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    It may be taken with or without food. For patients who have been on tramadol for an extended period of time, drug dependence may occur. According to the prescribing information, patients who are going to stop tramadol should be slowly tapered off rather than discontinuing the medication abruptly. Your doctor can help you with a dosage taper (slowly taking less and less of the medication). Withdrawal symptoms can be minimized with a dosage taper. If pain relief is still needed Tylenol (acetaminophen) may be a good choice. Tylenol (acetaminophen) is an analgesic used to treat mild to moderate pain and fever. The maximum daily dose of Tylenol (acetaminophen) is 4,000 mg (4 grams) daily.
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