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Tramadol is intended for the treatment of moderate to severe chronic pain and a number of other conditions as determined by your doctor. Tell your doctor if you are also taking antidepressants, digoxin, ketoconazole, warfarin, erythromycin, MAO inhibitors, paroxetine, sertraline, carbamazepine, St. John's wort or rifampin. You may not be able to take this medicine or a dose adjustment will be required. You should be very careful and take the exact dose prescribed by your doctor, as an overdose of tramadol can be fatal. The symptoms of an overdose include shallow breathing, slow heartbeat, cold or clammy skin, drowsiness, lightheadedness, fainting or extreme weakness.

Tramadol is FDA pregnancy category C. It has been reported to be fatal consequences for unborn babies if their mothers take this drug during pregnancy. It can also pass into breast milk and affect the health or a nursing infant. Make sure you avoid getting pregnant while taking tramadol to provide for the safety of your child. If you think you may have become pregnant while taking tramadol contact your doctor immediately to get further instructions.

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