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Tramadol is a Schedule IV controlled substance opioid medication approved for the treatment of moderate to moderately severe pain. In the US, purchasing tramadol online legally requires a valid prescription from a licensed healthcare provider, who evaluates the medical need and potential risks before prescribing. Due to concerns about misuse and addiction, tramadol prescriptions have specific regulations such as limited refills (up to five within six months) and monitoring through state prescription drug monitoring programs (PDMPs).


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