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This drug also helps relieve chronic pain associated with cancer, nerve pain, or low-back pain. Generic tramadol tablets are available.<br> <h3><u>What should I tell my health care provider before I take this medicine?</u></h3><br> They need to know if you have any of these conditions:<br> • an alcohol or drug abuse problem<br> • breathing difficulty<br> • head injury or brain tumor<br> • kidney disease<br> • liver disease<br> • seizures (convulsions) or seizure disorder (epilepsy)<br> • stomach or intestinal problems<br> • an unusual or allergic reaction to tramadol, codeine, other pain medicines, foods, dyes, or preservatives<br> • pregnant or trying to get pregnant<br> • breast-feeding<br> <h3><u>How should I take this medicine?</u></h3><br> Take tramadol tablets by mouth. Follow the directions on the prescription label. Swallow the tablets with a drink of water. If tramadol upsets your stomach, take it with food or milk. 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