Tramadol and its metabolite, O-desmethyltramadol (M1), are current in human milk. There isn't any info on the consequences in the drug on the breastfed toddler or the effects on the drug on milk manufacturing. The M1 metabolite is much more powerful than tramadol in mu opioid receptor binding [see Medical https://josepha665zjs5.theobloggers.com/profile