Tramadol and its metabolite, O-desmethyltramadol (M1), are existing in human milk. There's no info on the consequences from the drug around the breastfed toddler or the consequences in the drug on milk creation. The M1 metabolite is more potent than tramadol in mu opioid receptor binding [see Clinical Pharmacology (12)]. https://httpsjustpillsukcomproduc27159.tokka-blog.com/37879606/everything-about-bensedin-valium