It is not advisable to take certain medications either with food or around the same time or with certain type of food products that may lead to interactions. This drug should not be taken either with either grapefruit juice or ethanol as it may result in the occurrence of undesired side effects. If it is not possible to completely discontinue its use while on treatment with this medication, the qualified medical practitioner may make suitable in your dosage pattern and also in its frequency to prevent side effects. He may give special instructions regarding the usage of alcohol, food or tobacco while you are undergoing the treatment with tramadol pills. 

Click Here: https://ultramweb.wordpress.com/2019/03/16/tramadol-ultram/