Tramadol can cause stomach upset, so it is recommended to take it with food to minimize any discomfort. If you experience severe nausea or vomiting after taking Tramadol, consult your doctor. Buy Tramadol online it comes in tablet form, and it should be swallowed whole. Do not crush or break the pills, as it can change the way the medication is absorbed in your body, leading to potential side effects or overdose. Tramadol is a central nervous system (CNS) depressant, and combining it with alcohol or other sedatives can lead to serious side effects such as slowed breathing, dizziness, and even coma. It is essential to avoid alcohol and other sedatives while taking Tramadol.