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Common Side Effects of Tramadol Include (61) : Nausea Vomiting Dizziness Constipation Sedation Headache CNS depression Seizure Agitation Tachycardia Hypertension Appetite reduction Pruritus and rash Gastric irritation Serious side effects include (61) : Respiratory depression Serotonin syndrome Seizures Contraindications Clinicians should not prescribe tramadol to patients with (61) : History of hypersensitivity to opioids Acute intoxication with alcohol Opioids, or other psychoactive substances Patients who received monoamine oxidase inhibitors (MAOIs) The following findings can occur in tramadol intoxication (61): Miosis Respiratory depression Decreased level of consciousness

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This flushes metabolic waste from the periphery, creating the pressure gradient required for the brains glymphatic system to drain toxic proteins

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Nutrition 101 , 111704 (2022)

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