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See also Warning section.

This medication is used to help relieve moderate to moderately severe pain. Tramadol is just like opioid (narcotic) analgesics. It works in the brain to improve how your body feels and responds to pain.

How to make use of Tramadol HCL

Read the Medication Guide provided by the pharmacist before you start taking tramadol every time you receive a refill. If you've any queries, ask a medical expert or pharmacist.

Take medicines by mouth as directed by a medical expert, usually every 3 to 5 hours if required to decrease your pain. You may take this drug with or without food. If you have nausea, it may well help take this drug with food. Ask a medical expert or pharmacist about various ways to decrease nausea (like resting for one to two hours with as little head movement as is possible).

The dosage will depend on your problem and reply to treatment. To lessen your probability of side effects, your medical professional may direct that you start prescription drugs in a low dose and gradually enhance your dose. Follow your physician's instructions carefully. The maximum recommended dose is 400 milligrams daily. If you are more than 75 years, the maximum recommended dose is 300 milligrams per day. Do not enhance your dose, make medication more often, or get it for a longer time than prescribed. Properly stop the medication when so directed.

Pain medications work most effectively should they be used because the first signs and symptoms of pain occur. If you hold back until the pain has worsened, the medication might not exactly work as well.

If you might have ongoing pain (including as a result of arthritis), a medical expert may direct you to definitely also take long-acting opioid medications. In that case, prescription drugs may be useful for sudden (breakthrough) pain only if required. Other pain relievers (for example acetaminophen, ibuprofen) may also be prescribed. Ask your doctor or pharmacist about using tramadol safely to drugs.

This medication could potentially cause withdrawal reactions, particularly if it is often used regularly for some time or perhaps in high doses. In such cases, withdrawal symptoms (like restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur in case you suddenly stop using this medication. To prevent withdrawal reactions, a medical expert may reduce your dose gradually. Consult your doctor or pharmacist for additional information, and report any withdrawal reactions right away.

When this drugs are employed for a long time, it might not act as well. Talk with a medical expert if prescription drugs fails well.

Though it helps a lot of people, prescription drugs may sometimes cause addiction. This risk could be higher if you have an element use disorder (including overuse of or dependence on drugs/alcohol). Take prescription drugs the same manner prescribed in order to reduce the likelihood of addiction. Ask your doctor or pharmacist for additional information.

Tell your doctor should 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 side effects may decrease after you might have been using prescription drugs for a while. If any of these effects persist or worsen, tell your medical professional or pharmacist promptly.

To prevent constipation, eat fiber, drink enough water, and workout. Consult the pharmacist for aid in choosing the laxative (including a stimulant type with stool softener).

To lessen the likelihood of dizziness and lightheadedness, stand up slowly when rising from the sitting or lying position.

Remember that your physician has prescribed this medication as they or she gets judged the benefit to you is more than the likelihood of side effects. Many people using medicines would not have serious side effects.

Tell your doctor immediately if you've got any serious negative effects, including: mental/mood changes (like agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, signs and symptoms of your adrenal glands bust well (for example loss of appetite, unusual tiredness, fat loss).

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

This medication may increase serotonin and rarely spark a serious 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 drugs you take (see Drug Interactions section). Get medical help right away in the event you develop some of the following symptoms: fast heartbeat, hallucinations, decrease of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.

Tramadol is changed into a strong opioid drug in your body. In some people, this modification happens faster plus much more completely than usual, which boosts the risk of much more severe unwanted effects. Get medical help right away in the event you notice any of these: slow/shallow breathing, severe drowsiness/difficulty getting out of bed, confusion.

A much more severe allergic attack to the drug is rare. However, get medical help right away in case you notice any of the following symptoms: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This just isn't a complete list of possible negative effects. If you notice other effects unlisted above, contact your doctor or pharmacist.

In the US -

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

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


Before taking tramadol, tell your doctor or pharmacist in case you are allergic into it; or if you've got some other allergies. This product might have inactive ingredients, which can cause allergic reactions and other problems. Talk to your friendly phamacist for more information.

Before using prescription drugs, tell your medical professional or pharmacist your history, especially of: brain disorders (including head injury, tumor, seizures), breathing problems (including asthma, anti snoring, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (like confusion, depression, suicidal thoughts), personal or genealogy of a substance use disorder (for example overuse of or obsession with drugs/alcohol), stomach/intestinal problems (like blockage, constipation, diarrhea on account of infection, paralytic ileus), difficulty urinating (including because of enlarged prostate), gallbladder disease, disease with the pancreas (pancreatitis), obesity.

This drug could make you dizzy or drowsy. Alcohol or marijuana will make you more dizzy or drowsy. Do not drive, use machinery, or a single thing that needs alertness and soon you are able to do it safely. Avoid booze. Talk to your doctor if you are using marijuana.

Tramadol may cause a condition that affects one's heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical help straight away.

The probability of QT prolongation could possibly be increased if you've certain medical ailments or take other drugs that could potentially cause QT prolongation. Before using tramadol, tell your medical professional or pharmacist of all drugs you adopt if you have any of these conditions: certain cardiovascular disease (heart failure, slow heartbeat, QT prolongation within the EKG), ancestors and family history of certain heart disease (QT prolongation in the EKG, sudden cardiac death).

Low degrees of potassium or magnesium inside the blood may also raise your chance of QT prolongation. This risk may increase in the event you use certain drugs (such as diuretics/"water pills") or if you might have conditions for example severe sweating, diarrhea, or vomiting. Talk to your medical professional about using tramadol safely.

Before having surgery, tell your medical professional or dentist about all of the products you utilize (including prescription medications, nonprescription drugs, and herbal products).

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

Older adults could possibly be more understanding of the unwanted side effects of this drug, especially confusion, dizziness, drowsiness, slow/shallow breathing, and QT prolongation (see above).

During pregnancy, this medication needs to be used only if clearly needed. It may harm an developing fetus. Discuss the potential for loss and benefits with your doctor. (See also Warning section.)

This medication passes into breast milk and might have undesirable effects over a nursing infant, such as unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while applying this drug is not recommended. Consult your doctor before breast-feeding.

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