See also Warning section.
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This medication is employed to help relieve moderate to moderately severe pain. Tramadol is similar to opioid (narcotic) analgesics. It works in the brain to switch 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've got any queries, ask your physician or pharmacist.
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Take prescription drugs by mouth as directed by your medical professional, usually every 3 to 4 hours when needed for pain relief. You may take this drug with or without food. If you might have nausea, it could assistance to take this drug with food. Ask your doctor or pharmacist about other ways to lower nausea (like resting for 1 or 2 hours with only a small amount head movement as is possible).
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The dosage will depend on your condition and a reaction to treatment. To decrease your likelihood of negative effects, a medical expert may direct you to start medicines in a low dose and gradually enhance your dose. Follow your medical professional'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 each day. Do not raise your dose, go ahead and take medication more often, or go for a longer time than prescribed. Properly stop the medication when so directed.
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Pain medications perform most optimally if they are used since the first signs of pain occur. If you hold off until this has worsened, the medication might not exactly are well.
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If you have ongoing pain (including as a result of arthritis), your doctor may direct you to also take long-acting opioid medications. In that case, prescription drugs may be used by sudden (breakthrough) pain only when needed. Other anesthetics (for example acetaminophen, ibuprofen) can be prescribed. Ask your physician or pharmacist about using tramadol safely to drugs.
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This medication could potentially cause withdrawal reactions, particularly if it has been used regularly for a long period or in high doses. In such cases, withdrawal symptoms (such as restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur in case you suddenly stop using this medication. To prevent withdrawal reactions, your medical professional 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 medicine is used for a long time, it may well not be well. Talk with your physician if this medication reduces well.
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Though it will help a lot of people, prescription drugs may sometimes cause addiction. This risk could be higher if you might have a substance use disorder (like overuse of or obsession with drugs/alcohol). Take this medication just as prescribed in order to reduce the likelihood of addiction. Ask your medical professional or pharmacist for more details.
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Tell your physician in case 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 prescription drugs for quite a while. If all 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 use. Consult the pharmacist for help in deciding on a laxative (like a stimulant type with stool softener).
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To decrease the likelihood of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
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Remember that your medical professional has prescribed prescription drugs as they or she has judged the advantage of you is higher than the probability of negative effects. Many people using this medication would not have serious negative effects.
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Tell your doctor straight away if you've any serious unwanted side effects, including: mental/mood changes (such as agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, warning signs of your adrenal glands broken well (including loss in appetite, unusual tiredness, weight loss).
Get medical help straight away if you have any very serious negative effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.
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This medication may increase serotonin and rarely spark a grave condition called serotonin syndrome/toxicity. The risk increases should you are also taking other drugs that increase serotonin, so tell a medical expert or pharmacist of all the drugs you adopt (see Drug Interactions section). Get medical help immediately in case you develop some of the following symptoms: fast heartbeat, hallucinations, loss in 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 variation happens faster and much more completely than usual, which raises the probability of grave unwanted effects. Get medical help immediately should you notice any of the following: slow/shallow breathing, severe drowsiness/difficulty waking up, confusion.
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A much more severe allergic reaction to the drug is rare. However, get medical help without delay in the event you notice the following symptoms: rash, itching/swelling (especially from 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 unpublished above, contact a medical expert or pharmacist.
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Call a medical expert for medical advice about negative 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 medical professional or pharmacist in the event you are allergic to it; or if you might have another allergies. This product could have inactive ingredients, that may cause allergies or another problems. Talk to your pharmacist for additional information.
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Before using medicines, tell your doctor or pharmacist your track record, especially of: brain disorders (like head injury, tumor, seizures), breathing problems (for example asthma, sleep apnea, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (such as confusion, depression, suicidal thoughts), personal or family history of an element use disorder (including overuse of or obsession with drugs/alcohol), stomach/intestinal problems (for example blockage, constipation, diarrhea due to infection, paralytic ileus), difficulty urinating (for example due to enlarged prostate), gallbladder disease, disease with the pancreas (pancreatitis), obesity.
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This drug will 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 unless you can perform it safely. Avoid booze. Talk to your physician should you are using marijuana.
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Tramadol could potentially cause a complaint that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and also other symptoms (for example severe dizziness, fainting) that want medical assistance right away.
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The likelihood of QT prolongation might be increased if you've got certain medical conditions or are taking other drugs that may cause QT prolongation. Before using tramadol, tell your physician or pharmacist of all the so-called drugs you're taking and if you've got these things conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation inside EKG), genealogy and family history of certain heart related illnesses (QT prolongation in the EKG, sudden cardiac death).
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Low amounts of potassium or magnesium in the blood may also enhance your likelihood of QT prolongation. This risk may increase if you use certain drugs (for example diuretics/"water pills") or if you've conditions for example severe sweating, diarrhea, or vomiting. Talk to your physician about using tramadol safely.
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Before having surgery, tell your physician or dentist about all of the products you use (including prescription medications, nonprescription drugs, and herbal products).
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Some children might be more understanding of very serious negative effects of tramadol, including extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)
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Older adults could possibly be more responsive to the unwanted effects of this drug, especially confusion, dizziness, drowsiness, slow/shallow breathing, and QT prolongation (see above).
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During pregnancy, this medication should be used not until clearly needed. It may harm an baby. Discuss the potential for loss and benefits with your doctor. (See also Warning section.)
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This medication passes into breast milk and may have undesirable effects over a nursing infant, such as unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while employing this drug is not recommended. Consult your physician before breast-feeding.
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