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In the treatment of tramadol overdosage, primary attention should be given to the re establishment of a patent airway and institution tramadol of assisted or controlled ventilation .
Supportive measures (including oxygen and vasopressors) should be employed tramadol in the management of circulatory shock and pulmonary edema accompanying overdose as indicated .
Cardiac arrest or arrhythmias may tramadol require cardiac massage or defibrillation .
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