See also Warning section.
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This medication is accustomed 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.
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Read the Medication Guide given by your pharmacist before you start taking tramadol each time you have a refill. If you have any questions, ask your medical professional or pharmacist.
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Take this medication by mouth as directed by your medical professional, usually every four to six hours as required to decrease your pain. You may take this drug with or without food. If you've nausea, it may assistance to take this drug with food. Ask your physician or pharmacist about different ways to diminish nausea (like prone for 1 or 2 hours with very little head movement as you possibly can).
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The dosage is dependant on your medical condition and response to treatment. To lessen your probability of unwanted side effects, your medical professional may direct you to definitely start prescription drugs with a low dose and gradually improve your dose. Follow your physician's instructions carefully. The maximum recommended dose is 400 milligrams daily. If you are older than 75 years, the utmost recommended dose is 300 milligrams per day. Do not improve your dose, make medication with greater regularity, or go on it for a longer period than prescribed. Properly stop the medication when so directed.
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Pain medications perform most optimally if they're used as the first signs of pain occur. If you hold off until the pain has worsened, the medication might not work as well.
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If you've ongoing pain (like on account of arthritis), a medical expert may direct one to also take long-acting opioid medications. In that case, medicines could be used by sudden (breakthrough) pain only when needed. Other anesthetics (for example acetaminophen, ibuprofen) are often prescribed. Ask a medical expert or pharmacist about using tramadol safely with other drugs.
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This medication might cause withdrawal reactions, especially if many experts have used regularly for a long 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 medicines. To prevent withdrawal reactions, your medical professional may reduce your dose gradually. Consult a medical expert or pharmacist for additional information, and report any withdrawal reactions immediately.
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When this medicine is used for a long time, it might not work as well. Talk with a medical expert if medicines reduces well.
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Though it will help a lot of people, this medication may sometimes cause addiction. This risk could be higher if you've got an element use disorder (like overuse of or addiction to drugs/alcohol). Take prescription drugs exactly as prescribed to reduce the likelihood of addiction. Ask your medical professional or pharmacist for additional information.
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Tell your medical professional should your pain persists or worsens.
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Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Some of these negative effects may decrease after you've got been using prescription drugs for some time. If all of these effects persist or worsen, tell a medical expert or pharmacist promptly.
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To prevent constipation, eat soluble fiber, drink enough water, and employ. Consult the pharmacist for help out with deciding on a laxative (such as a stimulant type with stool softener).
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To slow up the probability of dizziness and lightheadedness, stand up slowly when rising from the sitting or lying position.
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Remember that your medical professional has prescribed medicines as they or she gets judged that this benefit to you is higher than the chance of side effects. Many people using this medication would not have serious negative effects.
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Tell your medical professional immediately if you have any serious unwanted effects, including: mental/mood changes (like agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, signs of your adrenal glands not working well (for example decrease of appetite, unusual tiredness, weight loss).
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Get medical help straight away if you've any serious negative effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.
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This medication may increase serotonin and rarely spark a grave condition called serotonin syndrome/toxicity. The risk increases in case you are also taking other drugs that increase serotonin, so tell a medical expert or pharmacist of all of the drugs you adopt (see Drug Interactions section). Get medical help immediately in case you develop some of the following symptoms: fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.
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Tramadol is changed into a strong opioid drug inside you. In some people, this change happens faster and much more completely than usual, which increases the likelihood of very serious unwanted effects. Get medical help right away in case you notice any of the following: slow/shallow breathing, severe drowsiness/difficulty getting out of bed, confusion.
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A much more severe allergic attack to this drug is rare. However, get medical help straight away in case you notice any of the following symptoms: rash, itching/swelling (especially with the face/tongue/throat), severe dizziness, trouble breathing.
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This just isn't a complete report on possible negative effects. If you notice other effects unlisted above, contact your physician or pharmacist.
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Call your physician for health advice about negative 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 a medical expert for health advice about unwanted side effects. You may report unwanted side effects to Health Canada at 1-866-234-2345.
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Before taking tramadol, tell your physician or pharmacist if you are allergic with it; or if you've any other allergies. This product might have inactive ingredients, which could cause allergic reactions and other problems. Talk to the pharmacist for more details.
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Before using medicines, tell your doctor or pharmacist your health background, especially of: brain disorders (like head injury, tumor, seizures), breathing problems (for example asthma, stop snoring, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (including confusion, depression, suicidal thoughts), personal or ancestors and family history of a substance use disorder (such as overuse of or dependence on drugs/alcohol), stomach/intestinal problems (such as blockage, constipation, diarrhea on account of infection, paralytic ileus), difficulty urinating (such as as a result of enlarged prostate), gallbladder disease, disease in the pancreas (pancreatitis), obesity.
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This drug may make you dizzy or drowsy. Alcohol or marijuana can make you more dizzy or drowsy. Do not drive, use machinery, or a single thing that really needs alertness before you are able to do it safely. Avoid alcohol based drinks. Talk to a medical expert in the event you are using marijuana.
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Tramadol could potentially cause a complaint that affects one's heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (like severe dizziness, fainting) that require medical help right away.
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The risk of QT prolongation could possibly be increased if you've certain health concerns or are taking other drugs that may cause QT prolongation. Before using tramadol, tell your medical professional or pharmacist of all the drugs you adopt of course, if you've got these things conditions: certain cardiovascular disease (heart failure, slow heartbeat, QT prolongation inside the EKG), family history of certain heart related illnesses (QT prolongation inside EKG, sudden cardiac death).
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Low levels 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 (including diuretics/"water pills") or if you've got conditions for example severe sweating, diarrhea, or vomiting. Talk to your doctor about using tramadol safely.
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Before having surgery, tell your medical professional or dentist about all the products you utilize (including medications, nonprescription drugs, and herbal products).
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Some children could be more understanding of grave side effects of tramadol, like extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)
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Older adults might be more sensitive to the unwanted 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 should be used only if clearly needed. It may harm an baby. Discuss the hazards and benefits with your physician. (See also Warning section.)
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This medication passes into breast milk and may even have undesirable effects on a nursing infant, like 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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