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kidney disease;
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a history of depression, mental illness, or suicide attempt.
FDA pregnancy category C. This medication may be harmful to an unborn baby. Tramadol may also cause serious or fatal side effects in a newborn if the mother uses the medication during pregnancy or labor. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Tramadol can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Tramadol should not be given to a child younger than 18 years of age. How should I take tramadol (Ultram, Ultram ER)? Take tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Follow the directions on your prescription label, 180 tramadol denton. Do not take more than 300 milligrams of tramadol in one day. Take this medication with a full glass of water. Tramadol can be taken with or without food, but take it the same way each time. 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, 180 tramadol denton. Using this medicine by inhalation or injection can cause life-threatening side effects, overdose, or death. Do not crush, , chew, break, , or open a controlled-release, delayed-release, or extended-release tablet or capsule. Swallow the pill whole. Breaking or opening the pill may cause too much of the drug to be released at one time. If you use the tramadol extended-release tablet, 180 tramadol denton, the tablet shell may pass into your stools (bowel movements). This is normal and does not mean that you are not receiving enough of the medicine. Tramadol may be habit-forming, 180 tramadol denton. Tell your doctor if you feel the medicine is not working as well in relieving your pain. Do not change your dose without talking to your doctor. Do not stop using tramadol suddenly, or you could have unpleasant withdrawal symptoms such as anxiety, , sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, 180 tramadol denton, or breathing problems. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Store tramadol at room temperature away from moisture and heat. Keep track of how many pills have been used from each new bottle of this medicine, 180 tramadol denton. Tramadol is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription. What happens if I miss a dose (Ultram, Ultram ER)? Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time, 180 tramadol denton. Do not take extra medicine to make up the missed dose. What happens if I overdose (Ultram, Ultram ER)? Seek emergency medical attention if you think you have used too much of this medicine. A tramadol overdose can be fatal. Overdose symptoms may include drowsiness, , shallow breathing, slow heartbeat, extreme weakness, 180 tramadol denton, cold or clammy skin, , feeling light-headed, fainting, or coma. What should I avoid while taking tramadol (Ultram, 180 tramadol denton, Ultram ER)? Do not drink alcohol while you are taking tramadol, c o d payment tramadol. Alcohol may cause a dangerous decrease in your breathing when used together with tramadol. Cold or allergy medicine, 180 tramadol denton, narcotic pain medicine, sleeping pills, muscle relaxers, , and medicine for seizures, 180 tramadol denton, depression or anxiety can add to sleepiness caused by tramadol. Tell your doctor if you regularly use any of these other medicines. Tramadol 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. What other drugs will affect tramadol (Ultram, Ultram ER)? You may be more likely to have a seizure (convulsions) if you take tramadol while you are using certain other medicines. Do not take tramadol without telling your doctor if you also use any of the following medications:
an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam); or
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Before taking tramadol, tell your doctor if you also use:
carbamazepine (Tegretol);
warfarin (Coumadin);
digoxin (Lanoxin, Lanoxicaps);
ketoconazole (Nizoral);
erythromycin (E-Mycin, E.E.S., Ery-Tab);
rifampin (Rifadin, Rimactane, Rifater);
St. John's wort;
quinidine (Quinaglute, 180 tramadol denton, Quinadex, Cardioquin, Quinora); or
drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety).
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