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See also Warning section.

This medicine is used to help relieve moderate to moderately severe pain. Tramadol resembles opioid (narcotic) analgesics. It works inside the brain to alter how your body feels and responds to pain.

How to make use of Tramadol HCL

Read the Medication Guide supplied by your pharmacist before starting taking tramadol every time you recruit a refill. If you might have any questions, ask your doctor or pharmacist.

Take prescription drugs by mouth as directed by a medical expert, usually every 4 to 6 hours if required to decrease your pain. You may take this drug with or without food. If you have nausea, it may assistance to take this drug with food. Ask your doctor or pharmacist about different ways to decrease nausea (such as prone for 1 or 2 hours with only a small amount head movement as you possibly can).

The dosage is dependant on your medical condition and reply to treatment. To lower your chance of unwanted side effects, your doctor may direct one to start prescription drugs at a low dose and gradually enhance your dose. Follow your physician's instructions carefully. The maximum recommended dose is 400 milligrams each day. If you are older than 75 years, the utmost recommended dose is 300 milligrams every day. Do not increase your dose, make medication more frequently, or get it much more time than prescribed. Properly stop the medication when so directed.

Pain medications work best if they are used because the first signs of pain occur. If you wait until this has worsened, the medication may not are well.

If you have ongoing pain (such as as a result of arthritis), your physician may direct you to definitely also take long-acting opioid medications. In that case, this medication could be used for sudden (breakthrough) pain only as required. Other anesthetics (like acetaminophen, ibuprofen) can be prescribed. Ask your physician or pharmacist about using tramadol safely with other drugs.

This medication could cause withdrawal reactions, particularly if it is often used regularly for some 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 this medication. To prevent withdrawal reactions, your physician may decrease your dose gradually. Consult your doctor or pharmacist for more information, and report any withdrawal reactions immediately.

When this medication is employed for a long time, it may not work as well. Talk with your doctor if prescription drugs stops working well.

Though it may help a lot of people, this medication may sometimes cause addiction. This risk may be higher if you have an element use disorder (including overuse of or obsession with drugs/alcohol). Take medicines exactly as prescribed to lower the risk of addiction. Ask your medical professional or pharmacist for more details.

Tell your medical professional should your pain persists or worsens.

Side Effects

See also Warning section.

Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Some of these unwanted effects may decrease after you've got been using prescription drugs for a while. If these effects persist or worsen, tell a medical expert or pharmacist promptly.

To prevent constipation, eat fiber, drink enough water, and employ. Consult your friendly phamacist for help in deciding on a laxative (including a stimulant type with stool softener).

To decrease the likelihood of dizziness and lightheadedness, wake up slowly when rising coming from a sitting or lying position.

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

Tell your medical professional without delay if you've got any serious negative effects, including: mental/mood changes (for example agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, indications of your adrenal glands bust well (including lack of appetite, unusual tiredness, weight-loss).

Get medical help without delay if you might have any serious negative effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.

This medication may increase serotonin and rarely create a very serious 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 the so-called drugs you adopt (see Drug Interactions section). Get medical help straight away 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.

Tramadol is changed in a strong opioid drug within your body. In some people, this modification happens faster plus much more completely than usual, which increases the likelihood of much more severe unwanted side effects. Get medical help right away should you notice any of the following: slow/shallow breathing, severe drowsiness/difficulty getting out of bed, confusion.

A serious hypersensitive reaction for this drug is rare. However, get medical help right away in case you notice these things symptoms: rash, itching/swelling (especially with the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete listing of possible negative effects. If you notice other effects not listed above, contact a medical expert or pharmacist.

In the US -

Call a medical expert for medical health advice about negative effects. You may report negative effects to FDA at 1-800-FDA-1088 or at

In Canada - Call your medical professional for health advice about unwanted effects. You may report negative effects to Health Canada at 1-866-234-2345.


Before taking tramadol, tell your physician or pharmacist if you are allergic with it; or if you might have another allergies. This product might have inactive ingredients, which could cause allergies or another problems. Talk to the pharmacist for additional information.

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

This drug might make you dizzy or drowsy. Alcohol or marijuana can make you more dizzy or drowsy. Do not drive, use machinery, or do just about anything that needs alertness until you are able to do it safely. Avoid alcohol consumption. Talk to your doctor if you are using marijuana.

Tramadol may cause a disorder 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) which need medical assistance immediately.

The likelihood of QT prolongation may be increased if you've got certain medical ailments or consider other drugs that may cause QT prolongation. Before using tramadol, tell your medical professional or pharmacist of all the so-called drugs you take of course, if you've got any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), genealogy and family history of certain heart disease (QT prolongation inside EKG, sudden cardiac death).

Low degrees of potassium or magnesium within the blood may also increase your probability of QT prolongation. This risk may increase in the event you use certain drugs (such as diuretics/"water pills") or if you've got conditions such as severe sweating, diarrhea, or vomiting. Talk to your medical professional about using tramadol safely.

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

Some children could be more understanding of much more severe unwanted side effects of tramadol, like extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)

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

During pregnancy, this medication should be used only when clearly needed. It may harm an developing fetus. Discuss the risks and benefits with your doctor. (See also Warning section.)

This medication passes into breast milk and might have undesirable effects with a nursing infant, such as unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while using this drug just isn't recommended. Consult a medical expert before breast-feeding.

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