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According to the prescribing information for tramadol, sleeping problems were reported as a side effect associated with this medication and occurred in up to 13 percent of patients taking the medication. The most common side effects include constipation, nausea, dizziness, headache, drowsiness, nervousness, shakiness, agitation, itching, sweating, indigestion, dry mouth, and diarrhea. If you are experiencing side effects that are affecting your daily activities, it is important to discuss this with your physician. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Lori Poulin, PharmD
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