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See also Warning section.

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This drugs are accustomed 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.

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Read the Medication Guide given by the pharmacist prior to starting taking tramadol each time you get a refill. If you've any questions, ask your doctor or pharmacist.

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Take medicines by mouth as directed by your medical professional, usually every 4 to 6 hours as required to mask you pain. You may take this drug with or without food. If you have nausea, it could help take this drug with food. Ask your medical professional or pharmacist about various ways to diminish nausea (such as laying for one to two hours with only a small amount head movement as is possible).

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The dosage is founded on your medical problem and reaction to treatment. To lessen your probability of negative effects, your physician may direct that you start medicines with a low dose and gradually improve your dose. Follow your physician's instructions carefully. The maximum recommended dose is 400 milligrams per day. If you are older than 75 years, the utmost recommended dose is 300 milligrams per day. Do not enhance your dose, consider the medication more often, or go for a longer time than prescribed. Properly stop the medication when so directed.

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Pain medications work most effectively if they're used because first warning signs of pain occur. If you hold off until the anguish has worsened, the medication might not exactly act as well.

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If you've ongoing pain (for example due to arthritis), a medical expert may direct that you also take long-acting opioid medications. In that case, this medication could be used for sudden (breakthrough) pain only as required. Other pain relievers (such as acetaminophen, ibuprofen) may also be prescribed. Ask your doctor or pharmacist about using tramadol safely with other drugs.

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This medication could cause withdrawal reactions, particularly when it has been used regularly for years or perhaps in high doses. In such cases, withdrawal symptoms (including restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur should you suddenly stop using medicines. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Consult your physician or pharmacist for additional information, and report any withdrawal reactions without delay.

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When this drugs are employed for a long time, it may well not work as well. Talk with a medical expert if medicines fights well.

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Though it helps many people, this medication may sometimes cause addiction. This risk could be higher if you've a substance use disorder (including overuse of or being hooked on drugs/alcohol). Take this medication just as prescribed to reduce the risk of addiction. Ask your doctor or pharmacist for more information.

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Tell your doctor if your pain persists or worsens.

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Side Effects

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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 any of these effects persist or worsen, tell your doctor or pharmacist promptly.

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To prevent constipation, eat soluble fiber, drink enough water, and exercise. Consult your friendly phamacist for help out with selecting a laxative (including a stimulant type with stool softener).

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To decrease the likelihood of dizziness and lightheadedness, get out of bed slowly when rising from the sitting or lying position.

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Remember that your medical professional has prescribed medicines as he or she has judged how the advantage of you is more than the risk of unwanted side effects. Many people using medicines do not have serious negative effects.

Tell a medical expert right away if you've got any serious side effects, including: mental/mood changes (like agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, signs and symptoms of your adrenal glands no longer working well (such as lack of appetite, unusual tiredness, weight reduction).

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Get medical help immediately if you have any much more severe side effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.

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This medication may increase serotonin and rarely spark a serious condition called serotonin syndrome/toxicity. The risk increases in case you are also taking other drugs that increase serotonin, so tell a medical expert or pharmacist of all the drugs you're taking (see Drug Interactions section). Get medical help straight away in case you develop a number of the following symptoms: fast heartbeat, hallucinations, lack 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 modification happens faster plus much more completely than usual, which raises the risk of serious unwanted effects. Get medical help without delay if you notice the following: slow/shallow breathing, severe drowsiness/difficulty getting up, confusion.

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A very serious allergic reaction to this particular drug is rare. However, get medical help immediately should you notice these things symptoms: rash, itching/swelling (especially in the face/tongue/throat), severe dizziness, trouble breathing.

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

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

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Before taking tramadol, tell your physician or pharmacist should you are allergic into it; or if you might have another allergies. This product could have inactive ingredients, which could cause allergy symptoms or other problems. Talk to the pharmacist for more details.

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Before using prescription drugs, tell a medical expert or pharmacist your health background, especially of: brain disorders (such as head injury, tumor, seizures), breathing problems (like 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 as a result of infection, paralytic ileus), difficulty urinating (like because of enlarged prostate), gallbladder disease, disease in the pancreas (pancreatitis), obesity.

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This drug will make you dizzy or drowsy. Alcohol or marijuana could make you more dizzy or drowsy. Do not drive, use machinery, or do anything that requires alertness before you can perform it safely. Avoid alcohol based drinks. Talk to your doctor in case you are using marijuana.

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Tramadol might cause a condition that affects the center rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat as well as other symptoms (for example severe dizziness, fainting) that require medical attention immediately.

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The probability of QT prolongation might be increased if you've certain medical ailments or consider other drugs that could cause QT prolongation. Before using tramadol, tell your doctor or pharmacist of all of the drugs you take if you might have any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation inside EKG), family history of certain heart disease (QT prolongation inside the EKG, sudden cardiac death).

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

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Before having surgery, tell your physician or dentist about all the products you use (including prescribed drugs, nonprescription drugs, and herbal products).

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

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Older adults might 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, prescription drugs ought to be used only when clearly needed. It may harm an unborn baby. Discuss the risks and benefits with your medical professional. (See also Warning section.)

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This medication passes into breast milk and could have undesirable effects on a nursing infant, like unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while employing this drug is not recommended. Consult your doctor before breast-feeding.

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