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Tramadol is one of the most prescribed medications in the US and one of the most commonly used painkillers in the world. And there's a reason for that. Being a very potent analgesic, Tramadol doesn't cause drowsiness or affect concentration like most other potent painkillers do. Thanks to its mechanism of action Tramadol is very effective against virtually any type of pain regardless of its cause. And this is certainly what people want when taking such a medication.

Do NOT use Tramadol if:

- you are taking carbamazepine, nefazodone, sodium oxybate (GHB), a thioxanthene or another product that contains tramadol,
- you are intoxicated with alcohol, other opioids or narcotics, sedatives or sleeping medicines,
- you have had a severe allergic reaction to codeine or another opioid,
- you have severe liver or kidney problems,
- you are allergic to any ingredient in Tramadol,
- you have severe or persistent diarrhea caused by antibiotic use,
- you have suicidal thoughts or actions, or have a history of alcohol or other substance abuse.

How to use Tramadol:
- Take Tramadol by mouth with or without food but take it the same way each time.
- Do not crush, chew, or break a tramadol tablet. Swallow it whole.
- If you miss a dose of Tramadol and you are taking it regularly, take it as soon as possible.
- Do not take 2 doses of Tramadol at once.

Possible side effects of Tramadol:
- dry mouth;
- nausea;
- itching;
- increased sweating;
- constipation;
- weakness;
- drowsiness;
- trouble sleeping;
- diarrhea;
- vomiting;
- dizziness;
- headache;

Stop taking Tramadol and seek medical attention right away if any of these SEVERE side effects occur:
- disorientation;
- fever;
- suicidal thoughts or behaviors;
- severe or persistent headache;
- tremor;
- red, blistered, swollen, or peeling skin;
- chest pain;
- fainting;
- fast or irregular heartbeat;
- loss of coordination;
- excessive sweating;
- hallucinations;
- agitation;
- severe allergic reactions;
- severe nausea, vomiting, or diarrhea;
- mood or mental changes;
- difficult or painful urination;
- slow or shallow breathing;
- seizures;
- severe dizziness or lightheadedness.

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