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Do not use this medication without telling your doctor if you are breast-feeding a baby. Older adults may be more sensitive to the effects of tramadol. If you are over 65, your doctor may recommend a lower dose. Tramadol should not be given to a child younger than 16 years of age.
Also tell your doctor if you drink or have ever drunk large amounts of alcohol, use or have ever used street drugs, or have overused prescription medications.
These drugs may slow your breathing or increase drowsiness when used together with tramadol. Tramadol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
Besides, tell your doctor if you have or have ever had seizures, head injury, infection in your brain or nervous system, increased intracranial pressure.