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Advise people that: Tramadol Hydrochloride Extended-Launch is for oral use only and may be swallowed full. The capsule shouldn't be chewed, dissolved, crushed or split. Tramadol Hydrochloride Extended-Launch may possibly induce seizures and/or serotonin syndrome with concomitant use of serotonergic agents (which include SRIs, NRIs, and triptans) or