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You cannot be reimbursed in advance for any services. Because FSA funds are available to you on the first day of your plan year, you must be able to receive full reimbursement for your contribution. Some FSA Administrators could still require a receipt to substantiate a claim. Check with your FSA Administrator about reimbursement procedures for your plan. Tramadol hydrochloride conventional tablets are used orally for the relief of pain that is severe enough to require an opiate analgesic; because of the risks of addiction, abuse, and misuse associated with opiates even at recommended dosages, conventional preparations of tramadol should be reserved for use in patients for whom alternative treatment options e. Tramadol hydrochloride extended-release capsules and tablets are used for the relief of pain that is severe enough to require long-term, daily, around-the-clock use of an opiate analgesic. These extended-release preparations of tramadol are not intended for use on an as-needed ''prn'' basis. Tramadol hydrochloride in fixed combination with acetaminophen is used for the short-term 5 days or less management of acute pain that is severe enough to require an opiate analgesic; because of the risks of addiction, abuse, and misuse associated with opiates even at recommended dosages, preparations containing tramadol in fixed combination with acetaminophen should be reserved for use in patients for whom alternative treatment options e. Single oral doses of tramadol hydrochloride ranging from mg as conventional tablets have provided relief of postoperative pain in patients who have undergone various types of surgery, including orthopedic, gynecologic, and cesarean section, and in oral surgical procedures e. In controlled clinical studies of postoperative pain, tramadol hydrochloride administered as a single oral dose of mg was comparable to, or more effective than, the combination of acetaminophen mg and propoxyphene napsylate mg.

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