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Q: I sometimes take tramadol for rheumatoid arthritis although I do not like the side effects. But my doctor says it is best to stay on something non-addictive for as long as possible and as long as the arthritis does not progress further. This has been about 4 years now. My dose has gradually increased to 2 50mg tablets 4-6 times a day. I am noticing that I have a lot of involuntary muscle movements. Nothing major, sort of just a twitch. Is this normal?
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