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Tramadol should be avoided in patients intoxicated with alcohol, hypnotics, and narcotics. Large doses of tramadol administered with alcohol or anesthetic agents can impair breathing.

Symptoms of a pill overdose may include drowsiness, shallow breathing, slow heartbeat, extreme weakness, cold or clammy skin, feeling light-headed, fainting, or coma.

No dosage adjustment or reduction is necessary in healthy elderly patients 65-75 years of age. Pill can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Pill is a narcotic-like pain reliever.

Tramadol can increase the risk of seizure in epileptic patients, especially with simultaneous use of tricyclic antidepressants, such as Elavil.

The safety of tramadol during pregnancy has not been established. You should not take tramadol if you have ever been addicted to drugs or alcohol. Do not take tramadol if you are intoxicated (drunk), or if you have recently used any of the following drugs alcohol, narcotic pain, edicine.

Tramadol is generally well tolerated and side effects are usually transient. Commonly reported side effects include nausea, constipation, dizziness, headache, drowsiness, and vomiting.

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