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5.     Tramadol ought not be given to a youngster more youthful than 12 years of age. Ultram ER ought not be given to anybody more youthful than 18 years of age.
6.     Try not to give this drug to anybody more youthful than 18 years of age who as of late had medical procedure to expel the tonsils or adenoids.
7.     Abstain from giving this drug to kids between 12 to 18 years old who have conditions that may cause breathing issues.
8.     Seizures have happened in certain individuals taking tramadol. Converse with your specialist about your seizure hazard, which might be higher on the off chance that you have ever had:
·         head damage, epilepsy or other seizure issue.
·         If you likewise utilize certain antidepressants, muscle relaxants, narcotics, or different prescriptions.
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