Tramadol causes drowsiness and dizziness. Do not drive until you know your response, and avoid alcohol, which is dangerous in combination. It has recognised dependence and misuse potential. Use only as prescribed and store securely. Combining with other sedatives, certain antidepressants or benzodiazepines can dangerously suppress breathing or cause serotonin toxicity. Tell your doctor about all medicines. Causes constipation and nausea. Use caution in breathing problems, epilepsy, liver or kidney impairment, and the elderly. Report mood changes or thoughts of self-harm. This product information is for general guidance only and does not replace professional medical advice. Always consult a qualified healthcare provider before starting any new medication or supplement. Keep all medicines out of reach of children.