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Take Tramadol as per the doctor’s prescription and follow all the directions on your prescription label. Use a dosing syringe or a medicine dose-measuring device to measure the liquid medicine carefully. Never inhale the powder of the tablet or mix it into a liquid to inject the drug into your vein. It may lead to death. A sudden stop to the use of medicine may direct to unpleasant withdrawal symptoms. Take your doctor’s help to stop the use of this medicine. 
 
Resist taking all other around-the-clock narcotic pain medications when you start taking Tramadol. It is normal to use a Tramadol ER tablet, and the tablet shell may pass into your bowel movement (stool). Do not crush or open an extended-release capsule or tablet (ConZip, Ultram ER). To avoid exposure to a potentially fatal dose, swallow the whole tablet/capsule. Tramadol can slow your breathing, just like other narcotic medicines. Too much weakness in breathing may lead to death.
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Take Tramadol as per the doctor’s prescription and follow all the directions on your prescription label. Use a dosing syringe or a medicine dose-measuring device to measure the liquid medicine carefully. Never inhale the powder of the tablet or mix it into a liquid to inject the drug into your vein. It may lead to death. A sudden stop to the use of medicine may direct to unpleasant withdrawal symptoms. Take your doctor’s help to stop the use of this medicine.

Resist taking all other around-the-clock narcotic pain medications when you start taking Tramadol. It is normal to use a Tramadol ER tablet, and the tablet shell may pass into your bowel movement (stool). Do not crush or open an extended-release capsule or tablet (ConZip, Ultram ER). To avoid exposure to a potentially fatal dose, swallow the whole tablet/capsule. Tramadol can slow your breathing, just like other narcotic medicines. Too much weakness in breathing may lead to death.

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