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If the patient is pregnant or breast-feeding, thinks she may be pregnant or is planning to have a baby, ask the doctor or pharmacist for advice before using this medicine.
There is very little information regarding the safety of tramadol in human pregnancy. Therefore the patient should not receive tramadol if she is pregnant.
Chronic use during pregnancy may lead to withdrawal symptoms in newborns.
Generally, the use of tramadol is not recommended during breast-feeding. Small amounts of tramadol are excreted into breast milk. After a single dose it is usually not necessary to interrupt breast-feeding.
Based on human experience tramadol is suggested not to influence female or male fertility.
