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See also Warning section.

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

How to make use of Ultram

Read the Medication Guide furnished by your pharmacist before starting taking tramadol each time you recruit a refill. If you might have any queries, ask your physician or pharmacist.

Take this medication by mouth as directed by your medical professional, usually every 3 to 4 hours if required for pain relief. You may take this drug with or without food. If you have nausea, it might help take this drug with food. Ask your medical professional or pharmacist about different ways to decrease nausea (including laying for 1 to 2 hours with as little head movement as is possible).

The dosage is dependant on your medical condition and a reaction to treatment. To lessen your chance of unwanted side effects, a medical expert may direct that you start medicines in a low dose and gradually enhance your dose. Follow your physician's instructions carefully. The maximum recommended dose is 400 milligrams per day. If you are over the age of 75 years, the most recommended dose is 300 milligrams daily. Do not raise your dose, take the medication with greater frequency, or go a bit longer than prescribed. Properly stop the medication when so directed.

Pain medications work most effectively when they are used since the first signs of pain occur. If you hold off until the pain sensation has worsened, the medication may well not work as well.

If you've got ongoing pain (including on account of arthritis), your doctor may direct you to also take long-acting opioid medications. In that case, this medication could possibly be used for sudden (breakthrough) pain only as required. Other anesthetics (such as acetaminophen, ibuprofen) are often prescribed. Ask your medical professional or pharmacist about using tramadol safely along with other drugs.

This medication could potentially cause withdrawal reactions, particularly when it has been used regularly for years or perhaps in high doses. In such cases, withdrawal symptoms (like restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur in the event you suddenly stop using prescription drugs. To prevent withdrawal reactions, your physician may reduce your dose gradually. Consult a medical expert or pharmacist for more details, and report any withdrawal reactions without delay.

When this medicine is used for a long time, it might not are well. Talk with your physician if this medication fails well.

Though it can help many individuals, medicines may sometimes cause addiction. This risk may be higher if you have a substance use disorder (including overuse of or dependence on drugs/alcohol). Take this medication just as prescribed to lessen the chance of addiction. Ask a medical expert 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 side effects may decrease after you might have been using this medication for quite a while. If these effects persist or worsen, tell a medical expert or pharmacist promptly.

To prevent constipation, eat dietary fiber, drink enough water, and workout. Consult your pharmacist for help out with picking out a laxative (for example a stimulant type with stool softener).

To slow up the risk of dizziness and lightheadedness, get up slowly when rising from your sitting or lying position.

Remember that your medical professional has prescribed prescription drugs as they or she has judged that the profit to you is in excess of the risk of side effects. Many people using this medication would not have serious side effects.

Tell your medical professional immediately if you have any serious negative effects, including: mental/mood changes (like agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, signs and symptoms of your adrenal glands no longer working well (including lack of appetite, unusual tiredness, weight reduction).

Get medical help immediately if you might have any serious unwanted side effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.

This medication may increase serotonin and rarely cause 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 physician or pharmacist of all drugs you adopt (see Drug Interactions section). Get medical help right away in case you develop a number of the following symptoms: fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.

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

A much more severe hypersensitivity to the drug is rare. However, get medical help immediately in case you notice any of these symptoms: rash, itching/swelling (especially from the face/tongue/throat), severe dizziness, trouble breathing.

This isn't a complete listing of possible unwanted side effects. If you notice other effects unpublished above, contact your doctor or pharmacist.

In the US -

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

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


Before taking tramadol, tell your medical professional or pharmacist if you are allergic for it; or if you've some other allergies. This product may contain inactive ingredients, which may cause allergy symptoms or another problems. Talk to your pharmacist for more information.

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

This drug could make you dizzy or drowsy. Alcohol or marijuana could make you more dizzy or drowsy. Do not drive, use machinery, or a single thing that really needs alertness unless you can do it safely. Avoid alcohol based drinks. Talk to a medical expert in the event you are using marijuana.

Tramadol may cause a condition that affects the guts rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and also other symptoms (like severe dizziness, fainting) which need medical help right away.

The chance of QT prolongation could be increased if you have certain medical ailments or take other drugs that could cause QT prolongation. Before using tramadol, tell a medical expert or pharmacist of all of the drugs you're taking and when you have the following conditions: certain heart disease (heart failure, slow heartbeat, QT prolongation inside EKG), genealogy and family history of certain cardiovascular disease (QT prolongation inside EKG, sudden cardiac death).

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

Before having surgery, tell a medical expert or dentist about every one of the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Some children could be more understanding of grave negative effects of tramadol, for example extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)

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

During pregnancy, prescription drugs ought to be used not until clearly needed. It may harm an unborn baby. Discuss the risks and benefits with a medical expert. (See also Warning section.)

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

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