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This drug also helps relieve chronic pain associated with cancer, nerve pain, or low-back pain. Generic tramadol tablets are available.<br> <h3><u>What should I tell my health care provider before I take this medicine?</u></h3><br> They need to know if you have any of these conditions:<br> • an alcohol or drug abuse problem<br> • breathing difficulty<br> • head injury or brain tumor<br> • kidney disease<br> • liver disease<br> • seizures (convulsions) or seizure disorder (epilepsy)<br> • stomach or intestinal problems<br> • an unusual or allergic reaction to tramadol, codeine, other pain medicines, foods, dyes, or preservatives<br> • pregnant or trying to get pregnant<br> • breast-feeding<br> <h3><u>How should I take this medicine?</u></h3><br> Take tramadol tablets by mouth. Follow the directions on the prescription label. Swallow the tablets with a drink of water. If tramadol upsets your stomach, take it with food or milk. 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Check with your health care professional before stopping or starting any of your medicines.<br> <h3><u>What side effects may I notice from taking tramadol?</u></h3><br> Side effects that you should report to your prescriber or health care professional as soon as possible:<br> <em>Rare or uncommon:</em><br> • changes in vision<br> • difficulty breathing, shortness of breath<br> • fast or irregular heartbeat<br> • hallucinations (seeing and hearing things that are not really there)<br> • passing urine more frequently than usual, or not passing urine as often as usual<br> • redness, blistering, peeling or loosening of the skin, including inside the mouth<br> • skin rash, itching<br> • seizures (convulsions)<br> <em>More common:</em><br> • anxiety, agitation<br> • nausea<br> • vomiting<br> <br> Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):<br> • constipation or diarrhea<br> • difficulty sleeping<br> • dizziness, drowsiness<br> • dry mouth<br> • false sense of well being, feeling of unreality, mood changes<br> • headache<br> • indigestion<br> • itching<br> <h3><u>What should I watch for while taking tramadol?</u></h3><br> Tell your prescriber or health care professional if your pain does not go away. 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