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If these symptoms occur, tell your doctor tramadol immediately . It is a good habit to carry glucose tramadol tablets or gel to treat low blood sugar . Check with your doctor or pharmacist to tramadol find out what you should do if you miss a meal . Your tramadol doctor may need to adjust your diabetes medication(s) . You may be more likely to have hyperglycemia (high blood sugar) if you are taking Prandin with other drugs that raise blood sugar, such as: isoniazid; diuretics (water pills); tramadol for dogs post surgery opiate withdrawal under anesthesia tramadol hcl for knee pain steroids (prednisone and others); phenothiazines (Compazine and others); thyroid medicine (Synthroid and others); birth control pills and other hormones; seizure medicines (Dilantin and others); and diet pills or medicines to treat asthma, colds or allergies . 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SIDE EFFECTS Weight gain, diarrhea, and tramadol joint pain may occur . tramadol Tell your doctor about all medications you use . You may be more likely to have hypoglycemia (low blood sugar) if you are taking other drugs that lower blood sugar, such as: probenecid (Benemid); a blood thinner (warfarin, Coumadin); some nonsteroidal anti-inflammatory drugs (NSAIDs); aspirin or other salicylates (including Pepto-Bismol); a blood <font color=”#0033CC” size=”5″>tramadol</font> thinner (warfarin, Coumadin, Jantoven, and others); sulfa drugs (Bactrim, Septra, Sulfatrim, SMX-TMP, and others); a monoamine oxidase inhibitor (MAOI); or other oral diabetes medications, especially acarbose (Precose), metformin (Glucophage), miglitol (Glyset), pioglitazone (Actos, Duetact, Actoplus Met), or rosiglitazone (Avandia, Avandaryl, Avandamet) . 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