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If you experience any of the following serious side effects, stop taking Tramadol and seek emergency medical attention: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives) slow, weak breathing liver damage (yellowing of the skin or eyes, nausea, abdominal pain or discomfort, unusual bleeding or bruising, severe fatigue) blood problems (easy or unusual bleeding or bruising) low blood sugar (fatigue, increased hunger or thirst, dizziness, or fainting). These side affects are very rare and are not likely to occur during proper treatment with Tramadol. If you experience any unusual reactions, stop taking this medicine and seek the advice of your doctor. Other, less serious side affects may be more likely to occur.

Continue to take Tramadol and talk to your doctor if you experience: drowsiness dizziness, confusion or lightheadedness shortness of breath dry mouth nausea, vomiting, abdominal pain, or decreased appetite tiredness, leg pain, or muscle weakness agitation, irritability, nervousness, anxiety or excitability rash or itching feeling of intoxication headache constipation. Tramadol may be habit forming. Side affect other than those listed here may also occur. Talk to your doctor about any side affect that seems unusual or that is especially bothersome.

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