Be careful if you drive or do anything that requires you to be awake and alert. 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. Do not crush the tramadol tablet. This medicine is for oral (by mouth) use only.