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Do not stop using this medication suddenly without talking to your doctor. You may need to gradually reduce the dose.

Withdrawal symptoms may occur when you stop using tramadol.

Tramadol is used to relieve moderate to moderately severe pain. It may be used to treat pain caused by surgery and chronic conditions such as cancer or joint pain. Tramadol is in a class of medications called opiate (narcotic) analgesics. It works by decreasing the body's sense of pain.

Withdrawal symptoms include anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems.

Call your doctor at once if you have any of these withdrawal symptoms after you stop using tramadol.

Tramadol can be habit-forming. Do not take a larger dose, take it more often, or take it for a longer period of time than prescribed by your doctor.

Call your doctor if you find that you want to take extra medication or notice any other unusual changes in your behavior or mood.

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.

Seizures (convulsions) have occurred in some people taking tramadol.

You may be more likely to have a seizure while taking tramadol 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.

Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take tramadol exactly as