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Before taking tramadol, tell your doctor and pharmacist if you are allergic to tramadol or other narcotic pain medications such as meperidine, any other medications, or corn.

Then tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. If you experience a serious side effect, you or your doctor may send a report to the administration.

Tramadol can increase the risk of seizure in epileptic patients, especially with simultaneous use of tricyclic antidepressants, such as Elavil. No dosage adjustment or reduction is necessary in healthy elderly patients 65-75 years of age.

Patients over the age of 75 years, and those with liver and kidney dysfunction may need lower dosages. The safety of tramadol in children has not been established. Tramadol may rarely be habit forming. Tramadol should be avoided in patients with a history of opiate addiction or hypersensitivity to opiate medications.

This medication is effective pain reliever; however it has significantly less potential for abuse and addiction than the narcotics. Indeed these pills do not depress respiration, a side effect of most narcotics. Generally this medication does not have the increased risk of stomach ulceration and internal bleeding.

These pills can increase the risk of seizure in epileptic patients - with simultaneous use of tricyclic and antidepressants.

Do not crush the tramadol tablet. This medicine is for oral (by mouth) use only. 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.