Do not exceed the maximum recommended daily dose of tramadol. Gradual dosage increases may help reduce some of the side effects. To reduce stomach upset, consider taking tramadol with food.
If you experience drowsiness and sedation while taking tramadol please be cautious about operating hazardous machinery, including automobiles, until you are reasonably certain that tramadol does not affect your ability to engage in such activities.
People who are experiencing sedation and drowsiness may consider taking the medication closer to bedtime.
It should be recognized that tramadol is a type of opioid and can cause physical dependence as other opioids do, and precautions should be taken to avoid dependence by avoiding prolonged use.