See also Warning section.
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This medicine is employed to help relieve moderate to moderately severe pain. Tramadol resembles opioid (narcotic) analgesics. It works in the brain to alter how your body feels and responds to pain.
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Read the Medication Guide given by your pharmacist before starting taking tramadol and each time you receive a refill. If you've questions, ask your medical professional or pharmacist.
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Take prescription drugs by mouth as directed by your doctor, usually every 3 to 4 hours as required to decrease your pain. You may take this drug with or without food. If you have nausea, it might help take this drug with food. Ask your physician or pharmacist about alternative methods to reduce nausea (such as prone for 1 to 2 hours with as little head movement as is possible).
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The dosage is dependant on your problem and response to treatment. To decrease your chance of unwanted effects, your medical professional may direct that you start this medication at a low dose and gradually improve your dose. Follow a medical expert's instructions carefully. The maximum recommended dose is 400 milligrams every day. If you are older than 75 years, the maximum recommended dose is 300 milligrams every day. Do not improve your dose, take the medication more frequently, or go on it much more time than prescribed. Properly stop the medication when so directed.
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Pain medications perform most optimally if they are used as the first signs and symptoms of pain occur. If you hold back until the anguish has worsened, the medication might not exactly act as well.
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If you've ongoing pain (for example as a result of arthritis), your doctor may direct you to also take long-acting opioid medications. In that case, prescription drugs could be used for sudden (breakthrough) pain only if required. Other pain-killer (for example acetaminophen, ibuprofen) can also be prescribed. Ask your medical professional or pharmacist about using tramadol safely with drugs.
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This medication could cause withdrawal reactions, in particular when it's been used regularly for a long time or in high doses. In such cases, withdrawal symptoms (for example restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur if you suddenly stop using prescription drugs. To prevent withdrawal reactions, your physician may decrease your dose gradually. Consult your medical professional or pharmacist for additional information, and report any withdrawal reactions immediately.
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When this medicine is used for a long time, it might not be well. Talk with a medical expert if prescription drugs reduces well.
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Though it may help many individuals, prescription drugs may sometimes cause addiction. This risk could possibly be higher if you might have a substance use disorder (including overuse of or obsession with drugs/alcohol). Take medicines just as prescribed in order to reduce the risk of addiction. Ask your doctor or pharmacist for more details.
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Tell a medical expert if your pain persists or worsens.
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Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Some of these unwanted side effects may decrease after you've been using medicines for a time. If these effects persist or worsen, tell your medical professional or pharmacist promptly.
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To prevent constipation, eat dietary fiber, drink enough water, and employ. Consult your pharmacist for assist in picking out a laxative (such as a stimulant type with stool softener).
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To reduce the chance of dizziness and lightheadedness, stand up slowly when rising from the sitting or lying position.
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Remember that your medical professional has prescribed this medication as they or she's got judged that the help to you is more than the probability of unwanted side effects. Many people using medicines don't have serious unwanted effects.
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Tell your doctor straight away if you've got any serious side effects, including: mental/mood changes (like agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, warning signs of your adrenal glands bust well (for example lack of appetite, unusual tiredness, weight loss).
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Get medical help right away if you have any grave unwanted side effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.
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This medication may increase serotonin and rarely create a serious condition called serotonin syndrome/toxicity. The risk increases in case you are also taking other drugs that increase serotonin, so tell your physician or pharmacist of all drugs you adopt (see Drug Interactions section). Get medical help right away should you develop a number of the following symptoms: fast heartbeat, hallucinations, decrease of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.
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Tramadol is changed in to a strong opioid drug in your body. In some people, this change happens faster and much more completely than usual, which increases the likelihood of grave unwanted side effects. Get medical help immediately in the event you notice any of these: slow/shallow breathing, severe drowsiness/difficulty awakening, confusion.
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A grave allergic reaction to this drug is rare. However, get medical help right away in case you notice any of the following symptoms: rash, itching/swelling (especially in the face/tongue/throat), severe dizziness, trouble breathing.
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This isn't a complete list of possible negative effects. If you notice other effects not listed above, contact your doctor or pharmacist.
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Call a medical expert for health advice about unwanted side effects. You may report negative effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
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Before taking tramadol, tell your doctor or pharmacist in the event you are allergic with it; or if you've got another allergies. This product may contain inactive ingredients, which could cause hypersensitive reactions or another problems. Talk to your pharmacist for additional information.
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Before using this medication, tell your doctor or pharmacist your track record, especially of: brain disorders (like head injury, tumor, seizures), breathing problems (including asthma, anti snoring, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (for example confusion, depression, suicidal thoughts), personal or ancestors and family history of an element use disorder (for example overuse of or addiction to drugs/alcohol), stomach/intestinal problems (like blockage, constipation, diarrhea due to infection, paralytic ileus), difficulty urinating (such as on account of enlarged prostate), gallbladder disease, disease with the pancreas (pancreatitis), obesity.
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This drug may make you dizzy or drowsy. Alcohol or marijuana could make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Avoid alcoholic beverages. Talk to a medical expert in case you are using marijuana.
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Tramadol might cause a disorder that affects one's heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and also other symptoms (like severe dizziness, fainting) that need medical help without delay.
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The likelihood of QT prolongation may be increased if you might have certain medical conditions or are taking other drugs that may cause QT prolongation. Before using tramadol, tell your doctor or pharmacist of all drugs you are taking of course, if you have these things conditions: certain cardiovascular disease (heart failure, slow heartbeat, QT prolongation within the EKG), genealogy of certain cardiovascular disease (QT prolongation within the EKG, sudden cardiac death).
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Low levels of potassium or magnesium inside blood may also improve your risk of QT prolongation. This risk may increase in case you use certain drugs (such as diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. Talk to a medical expert about using tramadol safely.
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Before having surgery, tell your doctor or dentist about every one of the products you have (including prescription drugs, nonprescription drugs, and herbal products).
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Some children could possibly be more sensitive to very serious unwanted side effects of tramadol, including extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)
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Older adults may be more understanding of the negative effects of this drug, especially confusion, dizziness, drowsiness, slow/shallow breathing, and QT prolongation (see above).
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During pregnancy, this medication needs to be used not until clearly needed. It may harm an developing fetus. Discuss the hazards and benefits with your physician. (See also Warning section.)
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This medication passes into breast milk and might have undesirable effects with a nursing infant, such as unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while by using this drug is not recommended. Consult your medical professional before breast-feeding.
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