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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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Do not take double or extra doses.<br> <h3><u>What drug(s) may interact with tramadol?</u></h3><br> • alcohol<br> • antihistamines (commonly found in allergy or cold products)<br> • bupropion<br> • cocaine<br> • digoxin<br> • droperidol<br> • drugs to regulate heart rhythm such as amiodarone, propafenone, quinidine<br> • furazolidone<br> • imatinib<br> • isoniazid, INH<br> • linezolid<br> • medicines called MAO inhibitors-phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®), selegiline (Eldepryl®)<br> • medicines for anxiety, depression, or sleeping problems<br> • medicines for nausea or vomiting<br> • medicines for Parkinson's disease such as entacapone, pramipexole, ropinirole or tolcapone<br> • medicines for mental problems like schizophrenia<br> • muscle relaxants<br> • naloxone<br> • other medicines for pain such as codeine, morphine, nalbuphine, pentazocine, or propoxyphene<br> • procarbazine<br> • rifampin<br> • ritonavir<br> • seizure medicines<br> • stimulants such as amphetamine or dextroamphetamine<br> • St. John's wort<br> • warfarin<br> <br> Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines. 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Visit your prescriber or health care professional for regular checks on your progress if you are taking tramadol regularly.<br> <br> Do not drive, use machinery, or do anything that needs mental alertness until you know how tramadol affects you. Be careful taking other medicines which may also make you tired. This effect may be worse when taking these medicines with tramadol. Alcohol can increase possible drowsiness, dizziness, confusion and affect your breathing. Avoid alcohol while taking tramadol.<br> <br> Your mouth may get dry. Chewing sugarless gum, sucking hard candy and drinking plenty of water will help.<br> <br> If you are going to have surgery, tell your prescriber or health care professional that you are taking tramadol.<br> <h3><u>Where can I keep my medicine?</u></h3><br> Keep out of reach of children in a container that small children cannot open.<br> <br> Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). 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