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Royal 225 mg tablets are an opioid based pain medication that is used to treat moderate to severe pain caused by several musculoskeletal conditions. This medicine is widely prescribed to treat muscle pain, joint pain, and pain associated with muscle spasms. Your doctor will prescribe the exact dose and duration of Royal 225 mg tablets, depending on your conditions and how your body will respond to them. It is wise to follow your doctor’s instructions, take the medication as directed, and immediately inform your doctor if side effects are identified.