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Pain management is an important aspect of medical care to enhance the quality of life for individuals with chronic or acute pain. One of the commonly prescribed pain relievers is Tramadol, an opioid medication used to relieve moderate to severe pain. Tramadol has been widely adopted for its effectiveness in managing different types of pain, including postoperative pain, cancer pain, and chronic pain. Pain is a common experience that everyone goes through at some point in their life. It could be as minor as a headache or as severe as chronic pain from cancer.

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The more pills that get prescribed, the more pills that get used, and vice versa—suggesting that preoperative patient education and expectation play an important role in recovery and overall opioid consumption. Most patients received a peripheral nerve block in the preoperative holding area. Four types of oral opioids were prescribed: oxycodone 5 mg, hydrocodone—acetaminophen 5 to mg, hydromorphone 2 mg and tramadol 50 mg. For purposes of the study, opioid consumption rates were converted into morphine milligram equivalents, then reconverted into oxycodone 5 mg pills to standardize the opioid amount. Eleven patients made refill requests, and 10 filled them.

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