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If you experience any of these side effects, talk to your doctor. They may be able to adjust your dose or recommend another medication. Tramadol can be addictive, so it is important to take it exactly as prescribed by your doctor. Do not take more of the medication than prescribed, and do not take it more often than prescribed. Tramadol should not be taken by people who have a history of drug abuse or addiction. It should also not be taken by people who have certain medical conditions, such as liver or kidney disease, seizures, or heart problems.