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The next listing supplies some recognized unsafe interactions (although it is not really sure to include things like all of these).Flipping the course of your R2 and R1 bonds leads to the R- and S- enantiomers of O-Desmethyltramadol. O-DMST is sort of similar to tramadol, and it is named for the lack of your methyl group of tramadol's R3 methoxy su