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Conflict of interest: the authors declare that they have no conflicts of interest. Tramadol is a weak opioid included in the World Health Organization analgesia ladder. He developed swelling of his legs within 1 day, which resolved in 24 h after cessation of the medication. He was discharged and given oral tramadol to take, but after two doses of 50 mg, developed progressive swelling of his legs, ascending up to his groin. Oxford Academic is home to a wide variety of products. Oxford University Press is a department of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Extract Conflict of interest: the authors declare that they have no conflicts of interest.

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