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Due to its opioid properties, tramadol carries the risk of side effects such as drowsiness, dizziness, nausea, constipation, and respiratory depression, particularly at higher doses. Like other opioids, tramadol also carries a risk of dependence, addiction, and withdrawal symptoms with prolonged or misuse. It is crucial for individuals prescribed tramadol to use it exactly as directed by their healthcare provider and to be aware of the potential risks associated with its use.