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    This is not a complete list of side effects associated with tramadol. There were no reports of scary or unusual vivid dreams. If you find these dreams bothersome, contact your doctor. Tramadol should be taken exactly as prescribed by your physician. Follow the directions on your prescription. Take your tramadol dose with a full glass of water with or without food. Tell your doctor if you feel the medicine is not working as well in relieving your pain. Do not change your dose without talking to your doctor. Do not stop using tramadol suddenly, or you could have unpleasant withdrawal symptoms such as anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication, particularly before taking any action. Jennifer Carey, RPh, PharmD
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