See also Warning section.
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This medication is utilized to help relieve moderate to moderately severe pain. Tramadol is similar to 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 furnished by your pharmacist before you start taking tramadol and each time you get a refill. If you've questions, ask your doctor or pharmacist.
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Take medicines by mouth as directed by your doctor, usually every 4 to 6 hours when needed to mask you pain. You may take this drug with or without food. If you have nausea, it might help to take this drug with food. Ask your doctor or pharmacist about alternative methods to lower nausea (such as lying down for 1 to 2 hours with only a small amount head movement as you can).
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The dosage is dependant on your medical condition and a reaction to treatment. To decrease your probability of side effects, a medical expert may direct you to start prescription drugs in a low dose and gradually increase 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 utmost recommended dose is 300 milligrams each day. Do not increase your dose, consider the medication with greater regularity, or go on it for a longer time than prescribed. Properly stop the medication when so directed.
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Pain medications perform best should they be used because the first indications of pain occur. If you wait until the pain sensation has worsened, the medication may well not be well.
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If you've ongoing pain (like as a result of arthritis), your doctor may direct one to also take long-acting opioid medications. In that case, prescription drugs might be useful for sudden (breakthrough) pain only if required. Other pain-killer (such as acetaminophen, ibuprofen) can also be prescribed. Ask your doctor or pharmacist about using tramadol safely along with other drugs.
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This medication could cause withdrawal reactions, in particular when it is often used regularly for a long time or in high doses. In such cases, withdrawal symptoms (for example 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 lessen your dose gradually. Consult your doctor or pharmacist for more information, and report any withdrawal reactions without delay.
When this medicine is useful for a long time, it may not are well. Talk with a medical expert if this medication reduces well.
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Though it can help many individuals, medicines may sometimes cause addiction. This risk might be higher if you've a substance use disorder (for example overuse of or being hooked on drugs/alcohol). Take this medication exactly as prescribed to reduce the chance of addiction. Ask your doctor or pharmacist for more details.
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Tell your medical professional in case 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 this medication for a while. If any of these effects persist or worsen, tell your physician or pharmacist promptly.
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To prevent constipation, eat dietary fiber, drink enough water, and employ. Consult the pharmacist for help in selecting a laxative (including a stimulant type with stool softener).
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To reduce the probability of dizziness and lightheadedness, get out of bed slowly when rising from the sitting or lying position.
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Remember that your doctor has prescribed prescription drugs as he or she's got judged the benefit to you is higher than the probability of side effects. Many people using prescription drugs will not have serious unwanted effects.
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Tell your physician without delay if you've any serious unwanted effects, including: mental/mood changes (like agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, signs and symptoms of your adrenal glands not working well (including loss in appetite, unusual tiredness, weight loss).
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Get medical help immediately if you've any grave unwanted effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.
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This medication may increase serotonin and rarely create a serious condition called serotonin syndrome/toxicity. The risk increases if you are also taking other drugs that increase serotonin, so tell your medical professional or pharmacist of all the so-called drugs you take (see Drug Interactions section). Get medical help immediately if you develop a few 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 right into a strong opioid drug within you. In some people, this variation happens faster plus much more completely than usual, which boosts the chance of very serious side effects. Get medical help immediately in the event you notice any of these: slow/shallow breathing, severe drowsiness/difficulty waking up, confusion.
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A much more severe allergic attack to the drug is rare. However, get medical help without delay in case 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 listing of possible unwanted effects. If you notice other effects not listed above, contact a medical expert or pharmacist.
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Call your medical professional for medical advice about unwanted side effects. You may report negative effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
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In Canada - Call a medical expert for medical health 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 in case you are allergic into it; or if you might have every other allergies. This product may contain inactive ingredients, which can cause allergy symptoms or other problems. Talk to your pharmacist for additional information.
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Before using this medication, tell a medical expert or pharmacist your health background, especially of: brain disorders (for example head injury, tumor, seizures), breathing problems (including 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 on account of infection, paralytic ileus), difficulty urinating (like on account of enlarged prostate), gallbladder disease, disease of 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 do just about anything that requires alertness and soon you can do it safely. Avoid alcoholic beverages. Talk to your medical professional in case 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 as well as other symptoms (such as severe dizziness, fainting) that require medical attention immediately.
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The likelihood of QT prolongation may be increased if you might have certain medical conditions or consider other drugs that may cause QT prolongation. Before using tramadol, tell your physician or pharmacist of all the so-called drugs you are taking and if you have any of the following conditions: certain cardiovascular disease (heart failure, slow heartbeat, QT prolongation inside the EKG), family history of certain heart related illnesses (QT prolongation in the EKG, sudden cardiac death).
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Low numbers of potassium or magnesium inside blood may also improve your probability of QT prolongation. This risk may increase if you use certain drugs (like diuretics/"water pills") or if you've got conditions like 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 of the products you have (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, such as extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)
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Older adults could possibly 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, medicines ought to be used only when clearly needed. It may harm an baby. Discuss the hazards and benefits with your doctor. (See also Warning section.)
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This medication passes into breast milk and may have undesirable effects on the nursing infant, such as unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while by using this drug just isn't recommended. Consult a medical expert before breast-feeding.
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