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See also Warning section.

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This medication is used to help relieve moderate to moderately severe pain. Tramadol is similar to 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 supplied by your friendly phamacist before starting taking tramadol and every time you recruit a refill. If you might have questions, ask your doctor or pharmacist.

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Take prescription drugs by mouth as directed by your physician, usually every 3 to 4 hours as needed for pain relief. You may take this drug with or without food. If you might have nausea, it might help to take this drug with food. Ask your medical professional or pharmacist about alternative methods to reduce nausea (such as prone for 1 or 2 hours with as little head movement as you possibly can).

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The dosage is based on your problem and reaction to treatment. To decrease your likelihood of side effects, your physician may direct you to start medicines at the low dose and gradually raise your dose. Follow your medical professional's instructions carefully. The maximum recommended dose is 400 milligrams per day. If you are more than 75 years, the utmost recommended dose is 300 milligrams every day. Do not raise your dose, consider the medication more often, or go for a longer period than prescribed. Properly stop the medication when so directed.

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Pain medications perform best should they be used since the first indications of pain occur. If you hold off until the anguish has worsened, the medication might not work as well.

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If you have ongoing pain (like as a result of arthritis), your physician may direct one to also take long-acting opioid medications. In that case, medicines might be useful for sudden (breakthrough) pain only as needed. Other pain-killer (including acetaminophen, ibuprofen) are often prescribed. Ask your physician or pharmacist about using tramadol safely with drugs.

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This medication could cause withdrawal reactions, especially if 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 medicines. To prevent withdrawal reactions, your medical professional may lessen your dose gradually. Consult a medical expert or pharmacist for more details, and report any withdrawal reactions without delay.

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When this drugs are useful for a long time, it may not are well. Talk with your physician if prescription drugs stops working well.

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Though it will help a lot of people, medicines may sometimes cause addiction. This risk may be higher if you've got a substance use disorder (for example overuse of or dependence on drugs/alcohol). Take prescription drugs exactly as prescribed to lessen the chance of addiction. Ask a medical expert or pharmacist for more information.

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Tell your medical professional if the 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 unwanted side effects may decrease after you might have been using medicines for a while. If 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 employ. Consult your friendly phamacist for aid in choosing the laxative (such as a stimulant type with stool softener).

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To slow up the probability of dizziness and lightheadedness, get out of bed slowly when rising from a sitting or lying position.

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Remember that a medical expert has prescribed medicines because he or she's judged how the advantage of you is higher than the probability of unwanted side effects. Many people using this medication would not have serious negative effects.

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Tell your doctor immediately if you have any serious side effects, including: mental/mood changes (such as agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, warning signs of your adrenal glands no longer working well (like loss of appetite, unusual tiredness, weight-loss).

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Get medical help straight away if you might have 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 very serious condition called serotonin syndrome/toxicity. The risk increases should you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all of the 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 in your body. In some people, this change happens faster and much more completely than usual, which boosts the chance of serious side effects. Get medical help without delay if you notice any of these: slow/shallow breathing, severe drowsiness/difficulty waking up, confusion.

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A grave allergic attack to this drug is rare. However, get medical help right away in the event you notice any of the following 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 negative effects. If you notice other effects unpublished above, contact your doctor or pharmacist.

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Before taking tramadol, tell your doctor or pharmacist should you are allergic for it; or if you have another allergies. This product might have inactive ingredients, which may cause allergies or any other problems. Talk to your friendly phamacist for additional information.

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

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This drug might make you dizzy or drowsy. Alcohol or marijuana could make you more dizzy or drowsy. Do not drive, use machinery, or do just about anything that needs alertness and soon you are able to do it safely. Avoid booze. Talk to a medical expert if you are using marijuana.

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Tramadol might 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 (for example severe dizziness, fainting) that want medical help right away.

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The chance of QT prolongation may be increased if you've certain medical conditions or consider other drugs that might cause QT prolongation. Before using tramadol, tell your physician or pharmacist of all drugs you're taking if you've got these things conditions: certain heart disease (heart failure, slow heartbeat, QT prolongation inside EKG), genealogy and family history of certain cardiovascular disease (QT prolongation within the EKG, sudden cardiac death).

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Low numbers of potassium or magnesium inside the blood may also enhance your chance of QT prolongation. This risk may increase in case you use certain drugs (including diuretics/"water pills") or if you might have conditions including 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 the products you have (including prescribed drugs, nonprescription drugs, and herbal products).

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

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Older adults may be more responsive to the negative effects of this drug, especially confusion, dizziness, drowsiness, slow/shallow breathing, and QT prolongation (see above).

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During pregnancy, prescription drugs ought to be used only if clearly needed. It may harm an baby. 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 could have undesirable effects on a nursing infant, including unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while employing this drug isn't recommended. Consult your physician before breast-feeding.

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