Typically, it is taken once a day, either always with food or always without food. Some common side effects include sleepiness, insomnia, headache, nervousness, and mood changes. This medication can also cause more serious side effects, such as a decrease in fertility in both men and women and serious breathing problems. It has a serious risk of misuse and abuse, addiction, and overdose. Since it can be habit-forming, follow your doctor and pharmacist’s instructions exactly when taking tramadol. Get Tramadol ER (Ultram XR)

Make sure to also inform your doctor and/or pharmacist of all other medications (including over-the-counter drugs and supplements) you are taking to prevent drug interactions. This paragraph is only an overview, and it is not intended to replace medical counseling; please consult your pharmacist and/or medical provider for more comprehensive information. Get Tramadol ER (Ultram XR)

PRECAUTIONS: Before taking tramadol, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems.

Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: brain disorders (such as head injury, tumor, seizures), breathing problems (such as asthma, sleep apnea, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (such as confusion, depression, suicidal thoughts), personal or family history of regular use/abuse of drugs/alcohol, stomach/intestinal problems (such as blockage, constipation, diarrhea due to infection, paralytic ileus), difficulty urinating (such as due to enlarged prostate).

This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid alcoholic beverages.