 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST] ated intravascular coagulation). Get medical help right away if your child develops sudden bleeding/bruising or bluish skin on the fingers/toes. Some children may be more sensitive to very serious side effects of this medication, such as extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.) Older adults may be more sensitive to the side effects of this drug, especially confusion, dizziness, drowsiness, slow/shallow breathing, and QT prolongation (see above). Older adults may also be at greater risk for stomach/intestinal bleeding, kidney problems, heart attack, and stroke, and more likely to develop a type of salt imbalance (hyponatremia) while using this drug. During pregnancy, this medication should be used only when clearly needed. It may harm an unborn baby. Discuss the risks and benefits with your doctor. (See also Warning section.) This medication passes into breast milk and may have undesirable effects on a nursing infant, such as unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding.The interactions of Tramadol-Celecoxib Oral: See also </s>