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See also Warning section.

This medication is employed to help relieve moderate to moderately severe pain. Tramadol is similar to opioid (narcotic) analgesics. It works within the brain to switch how your body feels and responds to pain.

How to work with Ultram

Read the Medication Guide given by the pharmacist before starting taking tramadol every time you have a refill. If you've questions, ask your doctor or pharmacist.

Take prescription drugs by mouth as directed by your physician, usually every 3 to 4 hours as required to mask you pain. You may take this drug with or without food. If you've nausea, it might assist to take this drug with food. Ask your doctor or pharmacist about various ways to reduce nausea (such as lying down for one to two hours with only a small amount head movement as is possible).

The dosage is dependant on your condition and reaction to treatment. To reduce your risk of unwanted effects, a medical expert may direct one to start medicines with a low dose and gradually raise your dose. Follow your physician's instructions carefully. The maximum recommended dose is 400 milligrams per day. If you are more than 75 years, the most recommended dose is 300 milligrams per day. Do not raise your dose, make medication more frequently, or get it for a longer period 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 hold back until the anguish has worsened, the medication may not act as well.

If you've got ongoing pain (like due to arthritis), a medical expert may direct you to also take long-acting opioid medications. In that case, medicines might be used for sudden (breakthrough) pain only as required. Other pain relievers (for example acetaminophen, ibuprofen) can be prescribed. Ask your doctor or pharmacist about using tramadol safely with other drugs.

This medication may cause withdrawal reactions, particularly if many experts have used regularly for some time or even 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 doctor may lower your dose gradually. Consult a medical expert or pharmacist for more information, and report any withdrawal reactions right away.

When this medicine is used by a long time, it may not are well. Talk with a medical expert if prescription drugs stops working well.

Though it may help many individuals, prescription drugs may sometimes cause addiction. This risk could be higher if you have an element use disorder (for example overuse of or being hooked on drugs/alcohol). Take medicines the same manner prescribed to lessen the chance of addiction. Ask your physician or pharmacist for more details.

Tell a medical expert 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 negative effects may decrease after you might have been using prescription drugs for a time. If these effects persist or worsen, tell your physician or pharmacist promptly.

To prevent constipation, eat fiber, drink enough water, and employ. Consult the pharmacist for aid in picking out a laxative (like a stimulant type with stool softener).

To reduce the chance of dizziness and lightheadedness, wake up slowly when rising from your sitting or lying position.

Remember that a medical expert has prescribed prescription drugs because he or she's judged that this benefit to you is higher than the likelihood of side effects. Many people using prescription drugs will not have serious negative effects.

Tell your medical professional straight away if you might have any serious side effects, including: mental/mood changes (including agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, signs of your adrenal glands bust well (like decrease of appetite, unusual tiredness, weight loss).

Get medical help without delay if you've got any very serious unwanted side effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.

This medication may increase serotonin and rarely spark a serious condition called serotonin syndrome/toxicity. The risk increases in the event you are also taking other drugs that increase serotonin, so tell your medical professional or pharmacist of all the so-called drugs you adopt (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.

Tramadol is changed in a strong opioid drug within your body. In some people, this change happens faster and more completely than usual, which increases the chance of grave unwanted effects. Get medical help immediately should you notice any of the following: slow/shallow breathing, severe drowsiness/difficulty waking up, confusion.

A grave allergic attack for this drug is rare. However, get medical help right away in the event you notice any of these symptoms: rash, itching/swelling (especially with the face/tongue/throat), severe dizziness, trouble breathing.

This is just not a complete list of possible unwanted effects. If you notice other effects unlisted above, contact a medical expert or pharmacist.

In the US -

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

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


Before taking tramadol, tell your doctor or pharmacist in the event you are allergic to it; or if you have another allergies. This product could have inactive ingredients, which may cause allergies or any other problems. Talk to your pharmacist for more details.

Before using prescription drugs, tell a medical expert or pharmacist your history, especially of: brain disorders (including 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 family history of an element use disorder (including overuse of or obsession with drugs/alcohol), stomach/intestinal problems (for example blockage, constipation, diarrhea because of infection, paralytic ileus), difficulty urinating (such as because of enlarged prostate), gallbladder disease, disease of 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 anything whatsoever that requires alertness unless you can perform it safely. Avoid alcohol consumption. Talk to your doctor if you are using marijuana.

Tramadol may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat along with other symptoms (like severe dizziness, fainting) which need medical assistance without delay.

The chance of QT prolongation could be increased if you have certain health conditions or consider other drugs that might cause QT prolongation. Before using tramadol, tell your doctor or pharmacist of all of the drugs you're taking and if you might have the following conditions: certain heart disease (heart failure, slow heartbeat, QT prolongation inside EKG), family history of certain heart related illnesses (QT prolongation within the EKG, sudden cardiac death).

Low numbers of potassium or magnesium inside the blood may also increase your probability of QT prolongation. This risk may increase in the event you use certain drugs (for example diuretics/"water pills") or if you have conditions including severe sweating, diarrhea, or vomiting. Talk to your physician about using tramadol safely.

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

Some children may be more understanding of very serious negative effects of tramadol, such as extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)

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

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

This medication passes into breast milk and might have undesirable effects over a nursing infant, like unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while by using this drug is not recommended. Consult your physician before breast-feeding.

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