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If you do not have a dose-measuring device, ask your pharmacist for one. Because of the possibility of convulsions at high doses for some users, recreational use can be very dangerous. Tramadol's use in pregnancy is generally avoided as it may cause some reversible withdrawal effects in the newborn. You may report side effects to Health Canada at Notes Do not share this medication with others. If you become constipated , consult your pharmacist for help in choosing a laxative e. Call your doctor for medical tramadlo about side effects. John's wortpassifloraetc. The smaller the value, the more strongly the drug binds to the site. Take the missed dose as soon as you remember. From Wikipedia, the free encyclopedia. Greater than 1 to 5 years: