See also Warning section.
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This drugs are used to help relieve moderate to moderately severe pain. Tramadol is comparable to opioid (narcotic) analgesics. It works within the brain to change how your body feels and responds to pain.
Read the Medication Guide supplied by your friendly phamacist prior to starting taking tramadol every time you get a refill. If you've got questions, ask your medical professional or pharmacist.
Take medicines by mouth as directed by your doctor, usually every 3 to 4 hours when needed to mask you pain. You may take this drug with or without food. If you've nausea, it may help take this drug with food. Ask your medical professional or pharmacist about different ways to decrease nausea (such as laying for 1 to 2 hours with as little head movement as possible).
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The dosage is founded on your condition and response to treatment. To decrease your likelihood of unwanted effects, your medical professional may direct you to definitely start this medication at a low dose and gradually enhance your dose. Follow a medical expert's instructions carefully. The maximum recommended dose is 400 milligrams each day. If you are more than 75 years, the utmost recommended dose is 300 milligrams each day. Do not enhance your dose, go ahead and take medication with greater frequency, or go on it for a longer time than prescribed. Properly stop the medication when so directed.
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Pain medications work most effectively should they be used since the first signs and symptoms of pain occur. If you wait until the anguish has worsened, the medication may not act as well.
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If you have ongoing pain (including on account of arthritis), your medical professional may direct one to also take long-acting opioid medications. In that case, medicines may be employed for sudden (breakthrough) pain only as needed. Other anesthetics (like acetaminophen, ibuprofen) can also be prescribed. Ask your doctor or pharmacist about using tramadol safely with other drugs.
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This medication might cause withdrawal reactions, particularly when it has been used regularly for a long time or in high doses. In such cases, withdrawal symptoms (like restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur should you suddenly stop using medicines. To prevent withdrawal reactions, your doctor may lessen your dose gradually. Consult your physician or pharmacist for additional information, and report any withdrawal reactions right away.
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When this medicine is useful for a long time, it might not are well. Talk with your doctor if medicines fails well.
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Though it helps many individuals, prescription drugs may sometimes cause addiction. This risk might be higher if you have a substance use disorder (like overuse of or dependence on drugs/alcohol). Take medicines just as prescribed in order to reduce the chance of addiction. Ask a medical expert or pharmacist for more information.
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Tell your physician should your pain persists or worsens.
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See also Warning section.
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Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Some of these side effects may decrease after you have been using medicines for some time. If all of these effects persist or worsen, tell your medical professional or pharmacist promptly.
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To prevent constipation, eat soluble fiber, drink enough water, and use. Consult your pharmacist for aid in picking out 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 your sitting or lying position.
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Remember that a medical expert has prescribed this medication because he or she gets judged that this profit to you is in excess of the probability of unwanted side effects. Many people using prescription drugs do not have serious unwanted effects.
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Tell your medical professional right away if you have any serious unwanted effects, including: mental/mood changes (for example agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, indications of your adrenal glands no longer working well (including loss in appetite, unusual tiredness, weight loss).
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Get medical help right away if you've got any serious negative effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.
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This medication may increase serotonin and rarely result in a grave condition called serotonin syndrome/toxicity. The risk increases in case you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all drugs you adopt (see Drug Interactions section). Get medical help immediately should you develop a few 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 right into a strong opioid drug within your body. In some people, this change happens faster and much more completely than usual, which boosts the likelihood of grave unwanted side effects. Get medical help straight away in case you notice these things: slow/shallow breathing, severe drowsiness/difficulty awakening, confusion.
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A grave hypersensitive reaction to the drug is rare. However, get medical help right away if you notice any of these symptoms: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
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This just isn't a complete list of possible negative effects. If you notice other effects unlisted above, contact your medical professional or pharmacist.
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Call your physician for medical advice about side effects. You may report unwanted effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
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In Canada - Call your physician for medical advice about negative effects. You may report negative effects to Health Canada at 1-866-234-2345.
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Before taking tramadol, tell your medical professional or pharmacist should you are allergic into it; or if you might have some other allergies. This product may contain inactive ingredients, which could cause hypersensitive reactions or another problems. Talk to your pharmacist for more details.
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Before using medicines, tell your physician or pharmacist your health background, especially of: brain disorders (such as head injury, tumor, seizures), breathing problems (for example asthma, anti snoring, 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 being hooked on drugs/alcohol), stomach/intestinal problems (including blockage, constipation, diarrhea on account 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 may 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 really needs alertness unless you can perform it safely. Avoid alcohol consumption. Talk to your physician if you are using marijuana.
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Tramadol may cause a complaint that affects one's heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (for example severe dizziness, fainting) that need medical attention right away.
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The chance of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that could potentially cause QT prolongation. Before using tramadol, tell your physician or pharmacist of all drugs you take of course, if you have these things conditions: certain cardiovascular disease (heart failure, slow heartbeat, QT prolongation within the EKG), ancestors and family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).
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Low levels of potassium or magnesium within the blood may also raise your chance of QT prolongation. This risk may increase should you use certain drugs (such as diuretics/"water pills") or if you might have conditions like severe sweating, diarrhea, or vomiting. Talk to your doctor about using tramadol safely.
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Before having surgery, tell your doctor or dentist about every one of the products you use (including prescribed drugs, nonprescription drugs, and herbal products).
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Some children might be more sensitive to grave negative 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 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 must be used only once clearly needed. It may harm an child. Discuss the potential risks and benefits with a medical expert. (See also Warning section.)
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This medication passes into breast milk and may even have undesirable effects over a nursing infant, such as unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while applying this drug is just not recommended. Consult your physician before breast-feeding.
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