???? ?????????? ?????? ????? ?? ???? ??? ??????? ???????? ???? ??? ???? ????? ??????? ?? ????? ?????? ????? ??????? ??? ??????.Like other narcotics used to treat pain, patients taking tramadol might abuse the drug and develop into addicted to it.Oral NSAIDs/COX-two inhibitors needs to be used at the bottom effective dose for your shortest feasible