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Tell clients that: Tramadol Hydrochloride Prolonged-Launch is for oral use only and will be swallowed full. The capsule shouldn't be chewed, dissolved, crushed or break up. Tramadol Hydrochloride Prolonged-Launch may bring about seizures and/or serotonin syndrome with concomitant usage of serotonergic brokers (which include SRIs, NRIs, and triptans