Do NOT use Tramadol if:
you are allergic to any ingredient in Tramadol
you have severe diarrhea due to taking an antibiotic
you are intoxicated with alcohol, other opioids or narcotics (eg, morphine, codeine), sedatives or sleeping medicines (eg, temazepam, zolpidem), or other medicines
you are taking nefazodone, carbamazepine, or sodium oxybate (GHB)
Contact your doctor or health care provider right away if any of these apply to you.