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Tramadol should not be given to a child younger than 12 years old. Ultram ER should not be given to anyone younger than 18 years old.

Do not give this medicine to anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids.

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Seizures have occurred in some people taking tramadol. Your seizure risk may be higher if you have ever had:

  • a head injury, epilepsy or other seizure disorder;
  • drug or alcohol addiction; or
  • a metabolic disorder.

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To make sure tramadol is safe for you, tell your doctor if you have ever had:

  • breathing problems, sleep apnea;
  • liver or kidney disease;
  • urination problems;
  • problems with your gallbladder, pancreas, or thyroid;
  • a stomach disorder; or
  • mental illness, or suicide attempt.

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If you use tramadol during pregnancy, your baby could be born with life-threatening withdrawal symptoms, and may need medical treatment for several weeks.

Ask a doctor before using tramadol if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.

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