Tramadol is classified as a Category C drug by the FDA, which means that risk to the fetus cannot be ruled out. Use during pregnancy is only recommended if the potential benefits justify the potential risks to the fetus. Tramadol can pass into breast milk and may have undesirable effects on a nursing infant, so it is important to discuss the risks and benefits with your doctor if you are breastfeeding. If you are pregnant or breastfeeding, it’s important to consult with your doctor before using Tramadol.