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Side effects of tramadol

Tramadol can slow or stop your breathing, causing death. If you have symptoms such as blue-colored lips, slow breathing with long pauses, or are difficult to wake up, someone caring for you should administer naloxone and seek emergency medical attention.


Tramadol may cause a serious condition called serotonin syndrome. If you have serotonin syndrome symptoms such as hallucinations, agitation, fever, sweating, fast heart rate, shivering, muscle stiffness, loss of coordination, nausea, twitching, vomiting, or diarrhea, seek medical help right away.


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Avoid taking tramadol if you are allergic to it, or if you have:


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  • if you have used MAO inhibitors in the last 14 days (such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine)

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If you want to make sure that tramadol is safe for you, tell your doctor if you have ever had:


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  • mental illness, or suicide attempt

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Do not give tramadol to a child younger than 12 years old. Do not give Ultram ER to anyone younger than 18 years old.


Avoid giving tramadol to anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids.


Using tramadol during pregnancy may cause fatal withdrawal symptoms in your baby after birth.


Before using tramadol, consult your doctor if you are breastfeeding.

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