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Some controversy exists regarding the dependence liability of tramadol. Grünenthal has promoted it as an opioid with a lower risk of opioid dependence than that of traditional opioids, claiming little evidence of such dependence in .

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As an opioid analgesic, tramadol can be used recreationally. It can, via agonism of ? opiate receptors, produce effects similar to those of other opioids (eg, morphine or hydrocodone), although not nearly as intense due to tramadol’s .

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