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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); steroids (prednisone and others); phenothiazines (Compazine and others); thyroid medicine (Synthroid and others); birth control pills and other hormones; opiate withdrawal kindling tramadol zoloft tramadol hcl make you sleepy tramadol x 225 price seizure medicines (Dilantin and others); and diet pills or medicines to treat asthma, colds or allergies . 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Remember that your doctor has prescribed this medication tramadol because he or she has judged that the benefit to you is greater than the risk of side effects . If you don't have these reliable forms of glucose, raise your blood sugar quickly by eating a quick source of sugar tramadol such as table sugar, honey, cady, or drinking a glass of fruit juice or non-diet soda . These lists are not complete and there are many other tramadol medicines that can increase or decrease the effects of Prandin on lowering your blood sugar . Do tramadol not start a new medication without telling your doctor . Consuming large quantities of alcohol, not getting enough calories from food, or doing unusually heavy exercise tramadol may also lead to low blood sugar . A very serious allergic reaction to this drug is tramadol rare . Using certain medicines can make it harder for you to tell when you have low tramadol blood sugar . 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