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In addition to acting as an opioid, tramadol is also a very weak but rapidly acting serotonin-norepinephrine reuptake inhibitor .

Aspirin is a blood thinner. In their best interest . I use Vicodin during the night--not all nights but most. I found a figurative effect evenly, in retrospect.

Dosages of coumadin/ warfarin may need to be reduced for anticoagulated patients to avoid bleeding complications.

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