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This is not a complete list of the side effects associated with tramadol and acetaminophen. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. It may help to take over the counter acetaminophen (Tylenol) alone at night if tramadol is causing insomnia. Your doctor may also prescribe a different pain medication to use at night if they feel it is appropriate. When your doctor prescribes a new medication, be sure to discuss all your prescription and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals, and herbals, as well as the foods you eat.
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