Tramadol is a prescription narcotic-like pain reliever used for the treatment of chronic pain or some other conditions your health care provider may recommend it for. Tramadol is a drug of abuse and is never supposed to be taken by anyone with a history of addictions to any substances. Tramadol is intended for oral use only and is not supposed to be crushed or chewed. Instead, just swallow the tablet of tramadol whole and drink plenty of water to wash it down. Make sure you always observe the dose prescribed very carefully and never take more than 300 mg of tramadol a day. An overdose of tramadol can be fatal if not timely treated. Make sure you seek emergency medical help if you have taken too much of this medicine and have any of the following symptoms: light-headedness, extreme weakness, drowsiness, slow heartbeat, cold or clammy skin, fainting, and shallow breathing. You are not supposed to star the treatment if you have recently taken any of the following medications: tranquilizers, depression or anxiety medicines, sedatives, narcotic pain medicine, or mental illness meds. Flushing, vomiting, sleep problems, nausea, loss of appetite, constipation, dizziness, drowsiness, and weakness are all possible side effects of tramadol that do not need to be reported.