Tramadol is a controlled medicine that can cause dependence and is dangerous in overdose. Use only your own prescribed amount and keep it secure. It commonly causes drowsiness and dizziness: do not drive or operate machinery until you know how it affects you, and avoid alcohol. Tell your doctor about all other medicines, especially sedatives, certain antidepressants and other opioids, and if you have breathing problems, epilepsy, or kidney or liver disease. Seek urgent help for very slow or shallow breathing, extreme drowsiness or confusion. Tell your doctor if pregnant or breastfeeding. Store below 25C. 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.