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Tramadol is usually marketed as the hydrochloride salt (tramadol hydrochloride) and is available in both injectable (intravenous and/or intramuscular) and oral preparations (e g Zydol reg in UK and Ultram reg in US). If you experience difficulty breathing or tightness of chest swelling of eyelids, face, or lips or develop a rash or hives, tell your doctor immediately.

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