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This includes prescription, over-the-counter, vitamin, and tramadol 50 mg mfg zydus tramadol 50 mg generic ultram tramadol hcl make you sleepy tramadol herbal products . Symptoms may include chills, cold sweat, dizziness, drowsiness, shaking, fast heartbeat, weakness, headache, fainting, tramadol tingling of the hands or feet, or hunger . Tell your doctor about all tramadol medications you use . Do not start a new medication without telling your tramadol doctor . Repaglinide can cause opiate withdrawal tremors tramadol controlled substance arizona tramadol elderly opiate withdrawal low blood sugar (hypoglycemia) especially if you are taking other medicines for diabetes . If you tramadol don’t have these reliable forms of glucose, raise your blood sugar quickly by eating a quick source of sugar such as table sugar, honey, cady, or drinking a glass of fruit juice or non-diet soda . 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