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Recognised risk factors for tramadol overdose include depression, addiction and seizures. After five refills or after six months, whichever occurs first, a new prescription is required. However, the risk of dependence and abuse -- including drug-seeking behavior and attempting to get tramadol illegally -- are not limited to people with a prior history of opioid dependence. It is advised that the drug be used with caution in those with liver or kidney failure, due to metabolism in the liver to desmetramadol and elimination via the kidneys. The extended-release form of tramadol is for around-the-clock treatment of pain and not for use on an as-needed basis for pain. How long can you stay on tramadol, milligrams? Generic generic medications have to use the same active ingredient in the same amount. Use of tramadol list not advised for people deficient generoc CYP2D6 enzymes. Do ultram take tramadol if you have used alcohol, sedatives, tranquilizers, or purchase medications. There framadol no reports of scary or unusual vivid dreams. Serious and rarely fatal allergic reactions e. Ultram, Tramadol, others ingredients. Take tramadol as prescribed by your doctor or dentist, do not take more medication then is prescribed. What Is Tramadol Pills Used For?