Increased sensitivity to the drug.
States, accompanied by respiratory depression or marked depression of the central nervous system (alcohol poisoning, sleeping pills, narcotic analgesics, psychotropic drugs). The simultaneous use of MAO inhibitors (and two weeks after their withdrawal). Pregnancy and Lactation (application is possible only for health reasons). Age 14 years.
Pregnancy and lactation:
In pregnancy, should avoid prolonged use of tramadol because the risk of addiction in the fetus and the emergence of withdrawal syndrome in the neonatal period.
If necessary, admission to the lactation period should take into account that tramadol in small amounts excreted in breast milk.
