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Only about 0.1% of the tramadol passes into your milk and the acetominaphen is not a concern at all in that dose.
That being said, though, I chose not to take it after removal of impacted wisdom teeth when I had dry socket. It will probably make you extremely tired and I wouldn't feel safe taking care of a baby or co-sleeping while on it.

That being said, though, I chose not to take it after removal of impacted wisdom teeth when I had dry socket. It will probably make you extremely tired and I wouldn't feel safe taking care of a baby or co-sleeping while on it.