![]() ![]() Your risk may be higher if you also take certain other medicines that affect serotonin levels in your body. These may be symptoms of a serious condition called serotonin syndrome. These may be symptoms of an overdose and need immediate medical attention.Ĭheck with your doctor right away if you or your child have anxiety, restlessness, a fast heartbeat, fever, sweating, muscle spasms, twitching, nausea, vomiting, diarrhea, or see or hear things that are not there. Your baby should generally nurse every 2 to 3 hours and should not sleep more than 4 hours at a time.Ĭheck with your doctor, hospital emergency room, or local emergency services (eg, "call 9-1-1") immediately if your baby shows signs of increased sleepiness (more than usual), difficulty breastfeeding, difficulty breathing, or limpness. Talk to your doctor if you have any questions about taking tramadol or about how this medicine may affect your baby.Ĭall your doctor if you become extremely tired and have difficulty caring for your baby. If a nursing mother is an ultra-rapid metabolizer of tramadol, it could lead to an overdose in the nursing baby and cause very serious side effects. Do not give this medicine to:Ĭhildren younger than 18 years of age who have had surgery removal of tonsils or adenoids.Ĭhildren 12 to 18 years of age who have a high risk for breathing problems (eg, obstructive sleep apnea, obesity, lung disease). Children may be especially sensitive to this effect (eg, serious breathing problems, death). These symptoms may indicate that you are an "ultra-rapid metabolizer of tramadol." As a result, there is too much O-desmethyltramadol in the body and more side effects of O-desmethyltramadol than usual. Contact your doctor immediately if you experience extreme sleepiness, confusion, or shallow breathing. These individuals are called "ultra-rapid metabolizers of tramadol". Some people change tramadol to a stronger product (O-desmethyltramadol) more quickly than others. Tramadol is highly metabolized in the body. Tell your doctor right away if you think you are pregnant or if you plan to become pregnant while using this medicine. Check with your doctor right away if your baby has an abnormal sleep pattern, diarrhea, a high-pitched cry, irritability, shakiness or tremors, weight loss, vomiting, or fails to gain weight. Using this medicine while you are pregnant may cause neonatal withdrawal syndrome in your newborn baby. Your doctor may decrease your dose if you have sleep apnea (stop breathing for short periods during sleep) while using this medicine. ![]() This medicine may cause sleep-related breathing problems (eg, sleep apnea, sleep-related hypoxemia). Some examples of medicines that affect the CNS are antihistamines or medicine for allergies or colds, sedatives, tranquilizers, or sleeping medicines, medicine for depression, medicine for anxiety, prescription pain medicine or narcotics, medicine for attention deficit and hyperactivity disorder, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics. The use of alcohol or other medicines that affect the CNS with tramadol may worsen the side effects of this medicine, such as dizziness, poor concentration, drowsiness, unusual dreams, and trouble with sleeping. Using these medicines together may increase your chance for more serious side effects.Ĭheck with your doctor before using this medicine with alcohol or other medicines that affect the central nervous system (CNS). This includes Conzip®, Qdolo, Rybix™, Ryzolt™, Ultram®, Ultram® ER, or Ultracet®. You should not take other medicines that also contain tramadol. Do not use this medicine if you are using or have used an MAO inhibitor (MAOI) such as isocarboxazid, linezolid, phenelzine, selegiline, tranylcypromine ) within the past 14 days. ![]()
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