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See also Warning section.

This drugs are utilized to help relieve moderate to moderately severe pain. Tramadol is similar to opioid (narcotic) analgesics. It works inside the brain to change how your body feels and responds to pain.

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Read the Medication Guide supplied by the pharmacist before you start taking tramadol every time you get a refill. If you have any questions, ask your medical professional or pharmacist.

Take medicines by mouth as directed by your medical professional, usually every 3 to 5 hours if required to decrease your pain. You may take this drug with or without food. If you've got nausea, it might help take this drug with food. Ask your physician or pharmacist about other ways to diminish nausea (including prone for one to two hours with very little head movement as you possibly can).

The dosage will depend on your medical condition and a reaction to treatment. To lower your risk of unwanted effects, your physician may direct that you start medicines at a low dose and gradually raise your dose. Follow a medical expert's instructions carefully. The maximum recommended dose is 400 milligrams daily. If you are over the age of 75 years, the maximum recommended dose is 300 milligrams per day. Do not enhance your dose, go ahead and take medication more frequently, or take it for a longer time than prescribed. Properly stop the medication when so directed.

Pain medications perform best if they are used because first signs of pain occur. If you hold off until the pain has worsened, the medication might not exactly be well.

If you've got ongoing pain (like on account of arthritis), your doctor may direct that you also take long-acting opioid medications. In that case, prescription drugs might be used for sudden (breakthrough) pain only if required. Other pain-killer (like acetaminophen, ibuprofen) may also be prescribed. Ask a medical expert or pharmacist about using tramadol safely along with other drugs.

This medication may cause withdrawal reactions, in particular when it is often used regularly for some time or perhaps high doses. In such cases, withdrawal symptoms (like restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur in the event you suddenly stop using this medication. To prevent withdrawal reactions, a medical expert may lessen your dose gradually. Consult your physician or pharmacist for more details, and report any withdrawal reactions straight away.

When this medication is used for a long time, it might not act as well. Talk with your physician if medicines stops working well.

Though it helps lots of people, prescription drugs may sometimes cause addiction. This risk could possibly be higher if you've an ingredient use disorder (such as overuse of or addiction to drugs/alcohol). Take prescription drugs the same manner prescribed to lower the risk of addiction. Ask your doctor or pharmacist for more details.

Tell a medical expert if your pain persists or worsens.

Side Effects

See also Warning section.

Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Some of these unwanted effects may decrease after you have been using this medication for a while. If these effects persist or worsen, tell your physician or pharmacist promptly.

To prevent constipation, eat fibers, drink enough water, and use. Consult your friendly phamacist for aid in picking out a laxative (such as a stimulant type with stool softener).

To reduce the likelihood of dizziness and lightheadedness, get up slowly when rising from your sitting or lying position.

Remember that your medical professional has prescribed prescription drugs while he or she gets judged that this profit to you is more than the chance of unwanted side effects. Many people using medicines do not have serious side effects.

Tell your physician immediately if you have any serious negative effects, including: mental/mood changes (such as agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, warning signs of your adrenal glands bust well (such as loss of appetite, unusual tiredness, weight-loss).

Get medical help without delay if you've got any serious negative effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.

This medication may increase serotonin and rarely cause a grave condition called serotonin syndrome/toxicity. The risk increases if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the so-called drugs you are taking (see Drug Interactions section). Get medical help without delay should you develop a few of the following symptoms: fast heartbeat, hallucinations, lack of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.

Tramadol is changed in to a strong opioid drug in your body. In some people, this change happens faster plus much more completely than usual, which enhances the probability of very serious unwanted side effects. Get medical help immediately in the event you notice these things: slow/shallow breathing, severe drowsiness/difficulty waking up, confusion.

A grave hypersensitivity to this particular drug is rare. However, get medical help right away in case you notice these things symptoms: rash, itching/swelling (especially with the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible unwanted side effects. If you notice other effects unlisted above, contact your medical professional or pharmacist.

In the US -

Call your medical professional for medical health advice about negative effects. You may report unwanted side effects to FDA at 1-800-FDA-1088 or at

In Canada - Call your medical professional for health advice about negative effects. You may report side effects to Health Canada at 1-866-234-2345.


Before taking tramadol, tell a medical expert or pharmacist in the event you are allergic for it; or if you have some other allergies. This product could have inactive ingredients, which could cause allergy symptoms or any other problems. Talk to your pharmacist for more details.

Before using prescription drugs, tell your physician or pharmacist your track record, especially of: brain disorders (like head injury, tumor, seizures), breathing problems (such as asthma, sleep apnea, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (like confusion, depression, suicidal thoughts), personal or genealogy of an element use disorder (like overuse of or dependence on drugs/alcohol), stomach/intestinal problems (for example blockage, constipation, diarrhea on account of infection, paralytic ileus), difficulty urinating (including as a result of enlarged prostate), gallbladder disease, disease from the pancreas (pancreatitis), obesity.

This drug could make you dizzy or drowsy. Alcohol or marijuana can make you more dizzy or drowsy. Do not drive, use machinery, or do anything whatsoever that needs alertness before you can perform it safely. Avoid booze. Talk to your physician in case you are using marijuana.

Tramadol may cause a complaint that affects the center rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat along with other symptoms (for example severe dizziness, fainting) that need medical assistance right away.

The likelihood of QT prolongation could be increased if you have certain medical ailments or take other drugs that could cause QT prolongation. Before using tramadol, tell your medical professional or pharmacist of all the so-called drugs you are taking and when you have the following conditions: certain heart disease (heart failure, slow heartbeat, QT prolongation in the EKG), genealogy of certain heart problems (QT prolongation within the EKG, sudden cardiac death).

Low levels of potassium or magnesium in the blood may also increase your probability of QT prolongation. This risk may increase in case you use certain drugs (for example diuretics/"water pills") or if you've got conditions including severe sweating, diarrhea, or vomiting. Talk to your doctor about using tramadol safely.

Before having surgery, tell a medical expert or dentist about all of the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Some children might be more responsive to much more severe side effects of tramadol, such as extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)

Older adults may be more responsive to the unwanted effects of this drug, especially confusion, dizziness, drowsiness, slow/shallow breathing, and QT prolongation (see above).

During pregnancy, medicines must be used only once clearly needed. It may harm an developing fetus. Discuss the potential for loss and benefits with a medical expert. (See also Warning section.)

This medication passes into breast milk and may even have undesirable effects with a nursing infant, for example unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while using this drug isn't recommended. Consult your physician before breast-feeding.

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