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Taking tramadol overnight can help manage pain and improve sleep, but it should be done with caution. Extended-release tablets are typically preferred for overnight use, providing 24-hour relief. However, side effects like drowsiness, dizziness, and slowed breathing can be exacerbated when lying down. It's crucial to follow your doctor's instructions and never exceed the recommended dose. Additionally, sudden stoppage of tramadol can cause withdrawal symptoms, so always consult your healthcare provider before making changes.