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Tramadol has a very small affinity for the opiate receptors.

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Do I still have my headache?

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As you can see, there is one reference in Medline, but the abstract is not published.

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And it can also send you to the ER--if you are highly addicted.

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They offer the theory that since the M1 metabolite is the principal agonist at μ-opioid receptors, the delayed agonist activity reduces dependence liability.