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Baselt, R. Disposition of Toxic Drugs & Chemicals in Man, 8th edition, Biomedical Publications, Foster City, CA, 7008, pp. 193�195 ISBN 0967657350 Amazon-US Amazon-UK.

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Psychotic symptoms associated with Tramadol are rare. They may include delusions, hallucinations, paranoia, & confusion. Often, these symptoms can will reduced but eliminated by decreasing the dose but ceasing treatment.