See also Warning section.
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This medicine is utilized to help relieve moderate to moderately severe pain. Tramadol is comparable to opioid (narcotic) analgesics. It works in the brain to alter how your body feels and responds to pain.
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Read the Medication Guide supplied by the pharmacist before starting taking tramadol every time you recruit a refill. If you have questions, ask your physician or pharmacist.
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Take medicines by mouth as directed by your physician, usually every four to six hours if required for pain relief. You may take this drug with or without food. If you've nausea, it could assist to take this drug with food. Ask your physician or pharmacist about alternative methods to reduce nausea (for example laying for one to two hours with as little head movement as you can).
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The dosage will depend on your condition and reaction to treatment. To lessen your chance of unwanted effects, your doctor may direct one to start this medication in a low dose and gradually raise your dose. Follow a medical expert's instructions carefully. The maximum recommended dose is 400 milligrams per day. If you are older than 75 years, the most recommended dose is 300 milligrams every day. Do not improve your dose, take the medication more frequently, or get it much more time than prescribed. Properly stop the medication when so directed.
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Pain medications perform most optimally should they be used since the first indications of pain occur. If you hold off until the pain has worsened, the medication might not exactly act as well.
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If you have ongoing pain (including on account of arthritis), your medical professional may direct you to definitely also take long-acting opioid medications. In that case, this medication might be used by sudden (breakthrough) pain only when needed. Other anesthetics (including acetaminophen, ibuprofen) can also be prescribed. Ask your medical professional or pharmacist about using tramadol safely with drugs.
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This medication could potentially cause withdrawal reactions, particularly when it is often used regularly for a long period or perhaps in high doses. In such cases, withdrawal symptoms (like restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur in case you suddenly stop using prescription drugs. To prevent withdrawal reactions, your physician may lower your dose gradually. Consult your doctor or pharmacist for additional information, and report any withdrawal reactions right away.
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When this drugs are useful for a long time, it may well not act as well. Talk with your medical professional if medicines reduces well.
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Though it helps a lot of people, prescription drugs may sometimes cause addiction. This risk may be higher if you might have a substance use disorder (for example overuse of or addiction to drugs/alcohol). Take prescription drugs just as prescribed to reduce the likelihood of addiction. Ask your doctor or pharmacist for more details.
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Tell a medical expert if your pain persists or worsens.
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Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Some of these unwanted side effects may decrease after you've got been using prescription drugs for quite a while. If 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 use. Consult your friendly phamacist for assist in selecting a laxative (such as a stimulant type with stool softener).
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To reduce the chance of dizziness and lightheadedness, wake up slowly when rising coming from a sitting or lying position.
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Remember that a medical expert has prescribed this medication as they or she has judged how the help to you is higher than the risk of negative effects. Many people using prescription drugs will not have serious side effects.
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Tell a medical expert immediately if you might have any serious 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 right away if you've got 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 grave 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 the drugs you are taking (see Drug Interactions section). Get medical help without delay in the event you develop many 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 inside you. In some people, this modification happens faster and much more completely than usual, which enhances the likelihood of serious negative effects. Get medical help immediately in case you notice the following: slow/shallow breathing, severe drowsiness/difficulty waking up, confusion.
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A serious hypersensitivity to this drug is rare. However, get medical help immediately should you notice any of these symptoms: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
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This isn't a complete list of possible unwanted side effects. If you notice other effects unlisted above, contact your doctor or pharmacist.
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Call a medical expert for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
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In Canada - Call your medical professional for medical health advice about side 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 if you are allergic with it; or if you've any other allergies. This product could have inactive ingredients, that may cause allergy symptoms or other problems. Talk to your friendly phamacist for more information.
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Before using prescription drugs, tell your doctor or pharmacist your health background, especially of: brain disorders (such as head injury, tumor, seizures), breathing problems (such as asthma, sleep apnea, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (including confusion, depression, suicidal thoughts), personal or ancestors and family history of an ingredient use disorder (for example overuse of or dependence on drugs/alcohol), stomach/intestinal problems (including blockage, constipation, diarrhea because of infection, paralytic ileus), difficulty urinating (for example because 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 will make you more dizzy or drowsy. Do not drive, use machinery, or do anything that has to have alertness and soon you are capable of doing it safely. Avoid alcoholic beverages. Talk to your medical professional if you are using marijuana.
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Tramadol could cause a complaint that affects one's heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and also other symptoms (including severe dizziness, fainting) which need medical attention immediately.
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The likelihood of QT prolongation could be increased if you might have certain medical ailments or consider other drugs that could potentially cause QT prolongation. Before using tramadol, tell your doctor or pharmacist of all the so-called drugs you're taking if you might have the following conditions: certain heart related illnesses (heart failure, slow heartbeat, QT prolongation within the EKG), family history of certain heart related illnesses (QT prolongation in the EKG, sudden cardiac death).
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Low levels of potassium or magnesium inside 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 have conditions including severe sweating, diarrhea, or vomiting. Talk to a medical expert about using tramadol safely.
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Before having surgery, tell a medical expert or dentist about all of the products you utilize (including prescription drugs, nonprescription drugs, and herbal products).
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Some children could possibly be more understanding of very serious side effects of tramadol, like extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)
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Older adults could be more responsive to the side 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 when clearly needed. It may harm an child. 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 may have undesirable effects on the nursing infant, including unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while employing this drug just isn't recommended. Consult your medical professional before breast-feeding.
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