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emt seek emergency medical attention if you think you have used too much of this medicine. Overdose of tramadol and acetaminophen can be fatal.

May Overdose symptoms include drowsiness, breathing, slow heartbeat, extreme weakness, cold or clammy skin, stomach pain, loss of appetite, dark urine, jaundice (yellowing of the skin or eyes, dizziness, unconsciousness or coma.
What should I avoid while taking tramadol and acetaminophen?
noalcohol Do not drink alcohol while taking acetaminophen and tramadol. May cause alcohol a dangerous decrease in breathing when used with acetaminophen and tramadol.
dizziness or cold allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and seizure of drugs, depression or anxiety can add to sleepiness caused by tramadol. Talk to your doctor if you regularly use any of these medicines.
dizzy tramadol and acetaminophen can cause side effects that affect your thinking May or reactions. Be careful if you drive or do anything that requires you to stay awake and alert.
Do not use any other over-the-counter cough, cold, allergies or medications against pain, without first asking your doctor or pharmacist. Acetaminophen is contained in the cold and the pain of many drugs available on the counter. If you take certain products in May, all you have accidentally taken too much acetaminophen. Read the label of any other medicine you are using to see if it contains acetaminophen.
What are the possible side effects of acetaminophen and tramadol?
emt Get emergency medical help if you have any of these signs of an allergic reaction: hives, difficulty breathing, swelling of the face, lips, tongue, or throat.
emt Stop using tramadol and acetaminophen and call your doctor immediately if you have any of these serious side effects:

* Seizure (convulsions);
* A red, blistering, peeling skin rash, or
* Breathing, weak pulse.

Less serious side effects May include:

* Dizziness, drowsiness, weakness;
* Nausea, vomiting, constipation, loss of appetite;
* Blurred vision;
* Flushing (redness, warmth, or Tingly feeling), or
* Sleep disorders (insomnia).

This is not a complete list of side effects and others occur in May Talk to your doctor about any unusual or bothersome side effect.
What other drugs will affect tramadol and acetaminophen?

Before taking acetaminophen and tramadol, tell your doctor if you also use:

* Carbamazepine (Tegretol);
* Warfarin (Coumadin);
* Digoxin (Lanoxin, Lanoxicaps);
* Ketoconazole (Nizoral);
* Erythromycin (E-mycin, E.E.S., ery-Tab);
* Rifampin (Rifadin, Rimactane, Rifater);
* St. John’s wort;
* Quinidine (Quinaglute, Quinidex, Cardioquin, Quinora), or
* An antidepressant such as amitriptyline (Elavil), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor), paroxetine (Paxil) or sertraline (Zoloft).

This list is not complete and in May there be other drugs that can interact with tramadol and acetaminophen. Talk to your doctor all prescription medications and you are using. This includes vitamins, minerals, herbs and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

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