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Q: What are the side effects of Tramadol and potential drug interactions? A: Tramadol (Ultram) is a centrally-acting pain reliever that is used to relieve moderate to moderately severe pain in adults. The most common side effects of Tramadol are dizziness, nausea, constipation, headache and tiredness. Tramadol may affect alertness and the ability to react, so patients should use caution when engaging in potentially hazardous tasks such as driving a car or operating heavy machinery. Alcohol or other drugs, like opioids, anesthetic agents, narcotics, phenothiazines, tranquilizers or sedative hypnotics that depress the central nervous system can increase these side effects and should not be used in combination with tramadol.
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