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See also Warning section.

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This medication is employed to help relieve moderate to moderately severe pain. Tramadol resembles 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 before you start taking tramadol each time you receive a refill. If you might have any queries, ask your medical professional or pharmacist.

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Take medicines by mouth as directed by your doctor, usually every 3 to 5 hours when needed for pain relief. You may take this drug with or without food. If you've nausea, it may assistance to take this drug with food. Ask a medical expert or pharmacist about alternative methods to lower nausea (including laying for one to two hours with as little head movement as is possible).

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The dosage will depend on your condition and response to treatment. To lower your risk of unwanted side effects, your doctor may direct that you start this medication with a low dose and gradually increase your dose. Follow your physician's instructions carefully. The maximum recommended dose is 400 milligrams daily. If you are over the age of 75 years, the absolute maximum recommended dose is 300 milligrams daily. Do not improve your dose, make medication with greater regularity, or go on it a bit longer than prescribed. Properly stop the medication when so directed.

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Pain medications work most effectively should they be used as the first warning signs of pain occur. If you delay until this has worsened, the medication might not exactly be well.

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If you might have ongoing pain (including due to arthritis), a medical expert may direct you to also take long-acting opioid medications. In that case, prescription drugs could be useful for sudden (breakthrough) pain only if required. Other pain-killer (like acetaminophen, ibuprofen) may also be prescribed. Ask a medical expert or pharmacist about using tramadol safely along with other drugs.

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This medication might cause withdrawal reactions, particularly if it is often 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 if you suddenly stop using medicines. To prevent withdrawal reactions, your medical professional may decrease your dose gradually. Consult your medical professional or pharmacist for more information, and report any withdrawal reactions right away.

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When this drugs are used for a long time, it might not are well. Talk with a medical expert if this medication stops working well.

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Though it helps a lot of people, this medication may sometimes cause addiction. This risk could be higher if you've an ingredient use disorder (such as overuse of or obsession with drugs/alcohol). Take medicines exactly as prescribed in order to reduce the chance of addiction. Ask your medical professional or pharmacist for more information.

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Tell your physician if the 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've got been using medicines for some time. If some of these effects persist or worsen, tell your medical professional or pharmacist promptly.

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To prevent constipation, eat fibers, drink enough water, and exercise. Consult your pharmacist for aid in choosing the laxative (like a stimulant type with stool softener).

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

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Remember that a medical expert has prescribed medicines because he or she's got judged the profit to you is higher than the probability of unwanted effects. Many people using medicines will not have serious negative effects.

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Tell your doctor right away if you might have any serious unwanted side effects, including: mental/mood changes (for example agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, signs and symptoms of your adrenal glands not working well (like lack of appetite, unusual tiredness, fat loss).

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Get medical help straight away if you've any much more severe unwanted side 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 physician or pharmacist of all the drugs you adopt (see Drug Interactions section). Get medical help immediately in case you develop a number of the following symptoms: fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.

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Tramadol is changed into a strong opioid drug inside you. In some people, this change happens faster and much more completely than usual, which increases the likelihood of much more severe side effects. Get medical help straight away should you notice any of the following: slow/shallow breathing, severe drowsiness/difficulty waking up, confusion.

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A much more severe hypersensitivity for this drug is rare. However, get medical help right away should you notice any of the following symptoms: rash, itching/swelling (especially with the face/tongue/throat), severe dizziness, trouble breathing.

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This is not a complete report on possible unwanted side effects. If you notice other effects unpublished above, contact your medical professional or pharmacist.

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Before taking tramadol, tell your medical professional or pharmacist in the event you are allergic for it; or if you might have every other allergies. This product might have inactive ingredients, which may cause allergies or other problems. Talk to your friendly phamacist for additional information.

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Before using medicines, tell a medical expert or pharmacist your health background, especially of: brain disorders (like head injury, tumor, seizures), breathing problems (such as asthma, stop snoring, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (such as confusion, depression, suicidal thoughts), personal or genealogy of a substance use disorder (for example overuse of or dependence on drugs/alcohol), stomach/intestinal problems (such as blockage, constipation, diarrhea because of infection, paralytic ileus), difficulty urinating (like as a result of enlarged prostate), gallbladder disease, disease in the pancreas (pancreatitis), obesity.

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This drug could make you dizzy or drowsy. Alcohol or marijuana will make you more dizzy or drowsy. Do not drive, use machinery, or do just about anything that has to have alertness before you can perform it safely. Avoid alcoholic beverages. Talk to your physician if you are using marijuana.

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Tramadol may cause a complaint that affects the guts rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat along with other symptoms (for example severe dizziness, fainting) which need medical attention immediately.

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The probability of QT prolongation might be increased if you've got certain medical conditions or are taking other drugs that could potentially cause QT prolongation. Before using tramadol, tell your physician or pharmacist of all the drugs you're taking of course, if you might have any of the following conditions: certain heart related illnesses (heart failure, slow heartbeat, QT prolongation within the EKG), ancestors 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 should you use certain drugs (such as diuretics/"water pills") or if you might have conditions such as severe sweating, diarrhea, or vomiting. Talk to your medical professional about using tramadol safely.

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

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

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

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

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

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