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Tramadol and Breastfeeding

According to the manufacturer, breastfeeding women should avoid using of tramadol (Ultram). Research studies have shown that the drug does pass through breast milk in significant amounts. However, it is not known what problems this medication might cause to a nursing infant. Before using tramadol, breastfeeding women should ask their healthcare providers about the potential risks.

Is Taking Tramadol While Breastfeeding Safe?

Tramadol hydrochloride (Ultram®) passes through breast milk in significant amounts. If you are breastfeeding or are thinking about breastfeeding, talk with your healthcare provider before taking tramadol. The manufacturer does not recommend that women use this medication while breastfeeding.
 

Breastfeeding and Tramadol: What Does the Research Say?

Research has shown that about 0.1 percent of the tramadol dosage is passed through breast milk. However, it is not known if this is enough to cause problems in a nursing infant. Therefore, tramadol is not usually recommended for use in women who are breastfeeding, including for pain relief after labor and delivery.
 

Talking With Your Healthcare Provider

You should talk with your healthcare provider about tramadol and breastfeeding. Each woman's situation is different, and you and your healthcare provider understand your situation best. After considering what you want and expect, as well as your current health situation, the two of you can make a shared decision that is right for you.
 
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