You would need to seek the advice of a doctor as Tramadol is not considered safe for people with severe renal impairment. I would not take it without the approval of a doctor. Tramadol ER, especially, cannot be taken at all safely. Safe dosages are dependant on your level of kidney function.
- Tramadol Information for Consumers
- Tramadol Information for Healthcare Professionals (includes dosage details)
- Side Effects of Tramadol (detailed)
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