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C max is slightly elevated (208 vs 162 ng/mL) and the elimination half-life is prolonged (7 vs 6 h) in subjects 65 to 75 y of age with tramadol immediate release.

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mainly through the M1 pathway, as well as several others such as CYP3A4 and CYP2B6 mainly in M2. Half-life is reported for adults as 430 min for tramadol and

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Of these, O-desmethyltramadol is the most significant since it has 200 times the μ -affinity of (+)-tramadol, and furthermore has an elimination half-life of nine

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