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This medicine is used to help relieve moderate to moderately severe pain. Tramadol resembles opioid (narcotic) analgesics. It works inside brain to alter how your body feels and responds to pain.

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

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Take medicines by mouth as directed by your medical professional, usually every four to six hours as needed to decrease your pain. You may take this drug with or without food. If you have nausea, it could assistance to take this drug with food. Ask your medical professional or pharmacist about different ways to decrease nausea (for example resting for 1 or 2 hours with as little head movement as is possible).

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The dosage will depend on your problem and response to treatment. To lower your probability of unwanted side effects, a medical expert may direct that you start medicines in a low dose and gradually increase 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 daily. Do not raise your dose, take the medication with greater regularity, or take it much more time than prescribed. Properly stop the medication when so directed.

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Pain medications perform best if they are used as the first indications of pain occur. If you wait until the anguish has worsened, the medication might not be well.

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If you might have ongoing pain (like due to arthritis), a medical expert may direct you to also take long-acting opioid medications. In that case, this medication may be employed for sudden (breakthrough) pain only when needed. Other pain relievers (including acetaminophen, ibuprofen) can be prescribed. Ask your medical professional or pharmacist about using tramadol safely with drugs.

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This medication may cause withdrawal reactions, especially if it's been used regularly for a long time or even in high doses. In such cases, withdrawal symptoms (such as restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur in the event you suddenly stop using prescription drugs. To prevent withdrawal reactions, a medical expert may lower your dose gradually. Consult a medical expert or pharmacist for more details, and report any withdrawal reactions immediately.

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When this drugs are used for a long time, it could not are well. Talk with your physician if medicines stops working well.

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Though it may help many individuals, prescription drugs may sometimes cause addiction. This risk might be higher if you have a substance use disorder (like overuse of or addiction to drugs/alcohol). Take medicines exactly as prescribed in order to reduce the likelihood of addiction. Ask your physician or pharmacist for additional information.

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Tell a medical expert 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 negative effects may decrease after you might 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 fibers, drink enough water, and employ. Consult the pharmacist for help in choosing the laxative (for example a stimulant type with stool softener).

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

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Remember that a medical expert has prescribed medicines as he or she's got judged that the profit to you is greater than the chance of side effects. Many people using medicines do not have serious unwanted side effects.

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Tell your medical professional immediately if you've got any serious unwanted side effects, including: mental/mood changes (like agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, signs of your adrenal glands no longer working well (including loss of appetite, unusual tiredness, weight-loss).

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

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This medication may increase serotonin and rarely create a very serious condition called serotonin syndrome/toxicity. The risk increases should you are also taking other drugs that increase serotonin, so tell your medical professional or pharmacist of all the so-called drugs you adopt (see Drug Interactions section). Get medical help straight away in the event 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 a strong opioid drug within your body. In some people, this variation happens faster and much more completely than usual, which enhances the likelihood of much more severe 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 serious hypersensitivity for this drug is rare. However, get medical help right away if you notice these things symptoms: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

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This isn't a complete set of possible side effects. If you notice other effects unpublished above, contact your doctor or pharmacist.

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

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Before taking tramadol, tell a medical expert or pharmacist in case you are allergic for it; or if you've got any other allergies. This product might have inactive ingredients, which may cause allergies or another problems. Talk to your friendly phamacist for additional information.

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Before using medicines, tell a medical expert or pharmacist your medical history, especially of: brain disorders (like head injury, tumor, seizures), breathing problems (including asthma, sleep apnea, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (including 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 (such as blockage, constipation, diarrhea on account of infection, paralytic ileus), difficulty urinating (for example as a result of enlarged prostate), gallbladder disease, disease from the pancreas (pancreatitis), obesity.

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This drug might make you dizzy or drowsy. Alcohol or marijuana will make you more dizzy or drowsy. Do not drive, use machinery, or do anything that really needs alertness and soon you are able to do it safely. Avoid alcohol based drinks. Talk to your medical professional should you are using marijuana.

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Tramadol may cause a complaint that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that require medical help immediately.

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The chance of QT prolongation might be increased if you've certain medical conditions or are taking other drugs that might cause QT prolongation. Before using tramadol, tell your medical professional or pharmacist of all of the drugs you are taking and when you've got any of these conditions: certain heart related illnesses (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain heart related illnesses (QT prolongation inside the EKG, sudden cardiac death).

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

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

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Some children could possibly be more understanding of serious unwanted side effects of tramadol, for example extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)

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

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During pregnancy, prescription drugs must be used only once clearly needed. It may harm an developing fetus. Discuss the potential risks and benefits with your medical professional. (See also Warning section.)

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This medication passes into breast milk and may even have undesirable effects on a nursing infant, including unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while employing this drug just isn't recommended. Consult your medical professional before breast-feeding.

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