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It is usually ordered to be taken as needed but at the most every 4 to 6 hours. It does carry a similar effect as morphine so it does have a high rate of abuse, . If you have a history of alcohol or drug abuse you should not take this medication, tramadol hci tabs 50mg. If you are taking Tramadol you could have some side effects such as: medicine called tramadol, migraines, sleepiness, is tramadol injectable, nausea or vomiting, constipation or even dizziness. These are not considered serious side effects and in most cases can be taken care of by the patient himself/herself. Serious side effects while taking this medicine are considered very rare. Most people that take this medicine tolerate it very well and have no problems while taking it. In a few states in the United States this drug is still considered a controlled substance. In most of the states it is not a controlled substance. 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