This medicine will add to the effects of alcohol and other CNS depressants (medicines for hay fever, allergies, colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or anesthetics). Do not drink alcoholic beverages, and check with your medical doctor or dentist before taking any of the medicines listed above.

This medicine may cause some people to become drowsy, dizzy, or lightheaded. Do not drive a car, ride a bicycle, operate machinery, or do other things that might be dangerous until you know how this medicine affects you.

Dizziness, lightheadedness, or fainting may occur, especially when you get up suddenly from a lying or sitting position. Getting up slowly may help lessen this problem.

Nausea or vomiting may occur, especially after the first couple of doses. This effect may go away if you lie down for awhile. However, if nausea or vomiting continues, check with your medical doctor or dentist.

Before having any kind of surgery or emergency treatment, be sure to tell the medical doctor or dentist in charge that you are taking this medicine.

If you think you or someone else may have taken an overdose of tramadol, get emergency help at once. Signs of an overdose include convulsions and pinpoint pupils of the eyes.