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This medication may be harmful to an unborn baby. Tramadol may also cause serious or fatal side effects in a newborn if the mother uses the medication during pregnancy or labor. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Tramadol can pass into breast milk and may harm a nursing baby.

But remember that alcohol can add to the drowsiness caused by this drug. The manufacturer states that tramadol should not be taken with alcohol containing beverages.

Do not use this medication without telling your doctor if you are breast-feeding a baby. Older adults may be more sensitive to the effects of tramadol. If you are over 65, your doctor may recommend a lower dose. Tramadol should not be given to a child younger than 16 years of age.

Therefore if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking tramadol.

Tramadol may be taken every 4-6 hours as needed. If you take too much tramadol, you may experience serious side effects.Ask your doctor about the maximum number of tablets that you may take for each dose or for a 24-hour period.

These drugs may slow your breathing or increase drowsiness when used together with tramadol.

Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhlation or injection can cause life-threatening side effects, overdose, or death.

If you are using any of these drugs, you may not be able to use tramadol or you may need dosage adjustments or special tests during treatment.