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tramadolor The pharmacokinetics of ULTRAM ER has not been studied in patients with severe hepatic impairment .
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Therefore, (tramadol HCI) Extended-Release Tablets Clean Proposed Labeling Text ULTRAM ER should not be used in patients with severe hepatic impairment (see CLINICAL PHARMACOLOGY tramadolor and DOSAGE AND ADMINISTRATION) .
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•Patients should be informed that ULTRAM ER is for oral use only and should tramadolor be swallowed whole .
The tablets should not be tramadolor chewed, crushed, or split .
• Patients should be informed that ULTRAM ER may impair mental or physical abilities required for the performance of potentially hazardous tasks such tramadolor as driving a car or operating machinery .
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