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Q: Does tramadol do any organ damage if you take 4 a day for years. (about 5 years now)? A: Your question concerns the safety of long-term use of tramadol (Ultram). (//www.everydayhealth.com/drugs/tramadol) According to the Medicaid drug use review criteria for outpatient use, Section 2 (“Duration of Therapy”), “There is no basis for limiting the duration of tramadol therapy as tramadol is promoted for use in chronic pain (e.g., chronic musculoskeletal pain, cancer pain) as well as acute pain events (e.g., postoperative pain, dental extraction pain).”
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