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Your risk of seizures is higher if you are taking higher doses of tramadol over what is recommended.

Seizure risk is also higher in those with a seizure disorder or those taking certain antidepressants or opioid medications.Tramadol should not be used if you are suicidal or prone to addiction.You should not take tramadol if you have severe breathing problems, a blockage in your stomach or intestines, or if you have recently used alcohol, sedatives, tranquilizers, narcotic medication, or an MAO inhibitor (isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others).Tramadol can slow or stop your breathing, and may be habit-forming.

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