Tramadol and its metabolite, O-desmethyltramadol (M1), are current in human milk. There is no information on the consequences from the drug about the breastfed toddler or the effects from the drug on milk creation. The M1 metabolite is a lot more strong than tramadol in mu opioid receptor binding [see https://codeinephosphate30mg58123.blogolize.com/where-to-buy-cocodamol-options-76379065