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This medication is effective pain reliever; however it has significantly less potential for abuse and addiction than the narcotics. Indeed these tramadol 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.

Tramadol should be avoided in patients with a history of opiate addiction or hypersensitivity to opiate medications. These tramadol can increase the risk of seizure in epileptic patients - with simultaneous use of tricyclic and antidepressants.

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.

Seizures have occurred in some people taking pill. Less commonly reported side effects include itching, sweating, dry mouth, diarrhea, rash, visual disturbances, and vertigo. The safety of tramadol in nursing mothers has not been established.

You may be more likely to have a seizure while taking pill if you have a history of seizures or head injury, a metabolic disorder, or if you are taking certain medicines such as antidepressants, muscle relaxers, or medicine for nausea and vomiting.

Seek emergency medical attention if you think you have used too much of this medicine. A pill overdose can be fatal. Tramadol can impair thinking and the physical abilities required for driving or operating machinery.