You must not take tramadol in case you are allergic to it, or when you have:

severe allergies or respiratory problems;
a blockage to your belly or intestines;
when you have lately used alcohol, sedatives, tranquilizers, or narcotic medicinal drugs.
Seizures have came about in some human beings taking tramadol. speak with your physician approximately your seizure danger, which can be better if you have:

a history of head damage, epilepsy or different seizure disease;
a records of drug or alcohol dependancy;
a metabolic disorder; or
in case you also are the use of certain drug treatments to treat migraine complications, muscle spasms, depression, intellectual infection, or nausea and vomiting.
some medicines can interact with tramadol and cause a extreme situation known as serotonin syndrome. be sure your health practitioner knows if you also take remedy for despair, mental infection, Parkinson's ailment, migraine headaches, serious infections, or prevention of nausea and vomiting. Ask your medical doctor earlier than making any changes in how or while you're taking your medications.

To make sure tramadol is safe for you, tell your medical doctor if you have:

liver or kidney sickness;
a stomach ailment; or
a history of drug abuse, alcohol dependancy, mental infection, or suicide attempt.
Tramadol is much more likely to purpose respiration issues in older adults and people who are severely unwell, malnourished, or otherwise debilitated.

Tramadol can be habit forming and ought to be used simplest by means of the character it changed into prescribed for. never share this medicine with some other character, in particular someone with a history of drug abuse or dependancy. hold the medicine in an area where others can't get to it. promoting or giving freely tramadol to every other man or woman is a criminal offense.

It is not acknowledged whether tramadol will damage an unborn toddler. if you use this medicinal drug at the same time as you are pregnant, your child may want to turn out to be depending on the drug. this will purpose life-threatening withdrawal symptoms inside the infant after it's miles born. infants born dependent on dependancy-forming medication may want clinical remedy for numerous weeks. inform your physician if you are pregnant or plan to turn out to be pregnant.

Tramadol can skip into breast milk and can harm a nursing child. You have to no longer breast-feed at the same time as you are taking this medication.

Do now not supply this medicinal drug to everybody younger than 16 years old without the advice of a medical doctor. Ultram ER should no longer take delivery of to every body younger than 18 years old.

How should I take tramadol?

Take tramadol precisely as prescribed. observe all instructions for your prescription label. Tramadol can slow or stop your breathing, specifically when you start the use of this medicinal drug or each time your dose is changed. in no way absorb larger quantities, or for longer than prescribed. tell your medical doctor if the medication seems to stop operating as properly in relieving your pain.

forestall taking all different around-the-clock narcotic pain medicinal drugs when you begin taking tramadol.

Tramadol may be enthusiastic about or with out meals, but take it the equal manner whenever.

Do not crush, ruin, or open an prolonged-launch pill or tablet (ConZip, Ultram ER). Swallow it complete to keep away from exposure to a potentially fatal dose.

never crush or ruin a tramadol tablet to inhale the powder or blend it into a liquid to inject the drug into your vein. This exercise has led to death with the misuse of tramadol and comparable prescribed drugs.

if you use the tramadol extended-launch pill, the pill shell may bypass into your stools (bowel moves). that is ordinary and does now not suggest that you are not receiving sufficient of the drugs.

Do no longer prevent using tramadol abruptly, or you could have unsightly withdrawal signs. Ask your health practitioner how to adequately forestall using this medicine.

save at room temperature faraway from moisture and heat.