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      In addition, intramuscular tramadol achieved analgesia similar to that of pentazocine 30mg, nefopam 20mg and dipyrone 1500mg, but was less effective than nicomorphine ultram 10mg or buprenorphine 0 .
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      After surgery in paediatric patients, intramuscular tramadol provided analgesia similar to that ultram of equipotent doses of Nurse-Administered Analgesia The clinical efficacy of tramadol in the treatment of moderate to severe postoperative pain in adults has been investigated in several studies using nurse-administered analgesia .
      These studies have compared the analgesic efficacy of tramadol with that of several opioid agents (including morphine, which is the ultram gold standard opioid comparator) and nonsteroidal anti-inflammatory drugs © Adis International Limited .
      All patients in these studies had moderate to severe pain (VAS score ≥60 on 100mm or 100-point scale or rated moderate to severe on a 4- ultram or 5-point VRS scale) .

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