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Uses

See also Warning section.

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

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Read the Medication Guide supplied by the pharmacist before you begin taking tramadol every time you get a refill. If you've got questions, ask your doctor or pharmacist.

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Take medicines by mouth as directed by a medical expert, usually every 3 to 4 hours when needed to mask you pain. You may take this drug with or without food. If you've nausea, it might help take this drug with food. Ask your doctor or pharmacist about different ways to reduce nausea (for example lying down for 1 or 2 hours with very little head movement as is possible).

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The dosage is founded on your medical problem and reply to treatment. To lessen your risk of unwanted side effects, your doctor may direct you to definitely start this medication at 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 much older than 75 years, the absolute maximum recommended dose is 300 milligrams every day. Do not improve your dose, go ahead and take medication with greater frequency, or get it for a longer period than prescribed. Properly stop the medication when so directed.

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Pain medications perform most optimally when they are used as the first signs of pain occur. If you hold off until the anguish has worsened, the medication might not exactly be well.

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If you've ongoing pain (including because of arthritis), your physician may direct one to also take long-acting opioid medications. In that case, this medication could possibly be used by sudden (breakthrough) pain only as needed. Other pain relievers (including acetaminophen, ibuprofen) can be prescribed. Ask your physician or pharmacist about using tramadol safely to drugs.

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This medication might cause withdrawal reactions, especially if many experts have used regularly for some time or perhaps 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 reduce your dose gradually. Consult your medical professional or pharmacist for more information, and report any withdrawal reactions straight away.

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When this drugs are useful for a long time, it might not work as well. Talk with your doctor if this medication reduces well.

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Though it may help many individuals, medicines may sometimes cause addiction. This risk may be higher if you might have an ingredient use disorder (such as overuse of or being hooked on drugs/alcohol). Take this medication just as prescribed to reduce the risk of addiction. Ask a medical expert or pharmacist for additional information.

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Tell a medical expert should your pain persists or worsens.

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Side Effects

See also Warning section.

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Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Some of these negative effects may decrease after you've been using this medication for a time. If any of these effects persist or worsen, tell your physician or pharmacist promptly.

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To prevent constipation, eat fibers, drink enough water, and use. Consult the pharmacist for help out with 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 from the sitting or lying position.

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Remember that your physician has prescribed prescription drugs because he or she has judged the profit to you is in excess of the probability of negative effects. Many people using prescription drugs will not have serious side effects.

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Tell your medical professional immediately if you've got any serious unwanted side effects, including: mental/mood changes (such as agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, indications of your adrenal glands not working well (like decrease of appetite, unusual tiredness, weight-loss).

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Get medical help immediately if you've got any grave side effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.

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This medication may increase serotonin and rarely result in a much more severe condition called serotonin syndrome/toxicity. The risk increases if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all drugs you adopt (see Drug Interactions section). Get medical help straight away in case you develop many of the following symptoms: fast heartbeat, hallucinations, decrease of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.

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Tramadol is changed in a strong opioid drug inside you. In some people, this modification happens faster and much more completely than usual, which raises the chance of very serious side effects. Get medical help straight away in case you notice any of these: slow/shallow breathing, severe drowsiness/difficulty getting out of bed, confusion.

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A serious hypersensitivity to this particular drug is rare. However, get medical help without delay should you notice these things symptoms: rash, itching/swelling (especially with the face/tongue/throat), severe dizziness, trouble breathing.

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This is just not a complete set of possible unwanted effects. If you notice other effects unlisted above, contact your doctor or pharmacist.

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

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Precautions

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

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

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This drug will 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 do it safely. Avoid booze. Talk to a medical expert in the event you are using marijuana.

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Tramadol could potentially cause a disorder that affects the center rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat as well as other symptoms (including severe dizziness, fainting) that need medical attention straight away.

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The likelihood of QT prolongation might be increased if you've got certain medical ailments or take other drugs that might cause QT prolongation. Before using tramadol, tell your doctor or pharmacist of all of the drugs you're taking if you've got any of these conditions: certain heart disease (heart failure, slow heartbeat, QT prolongation inside the EKG), family history of certain cardiovascular disease (QT prolongation inside EKG, sudden cardiac death).

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

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Before having surgery, tell your physician or dentist about each of the products you use (including medications, nonprescription drugs, and herbal products).

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Some children may be more sensitive to grave unwanted 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, this medication needs to be used only once clearly needed. It may harm an baby. Discuss the potential for loss and benefits with your physician. (See also Warning section.)

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

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