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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 inside the brain to switch how your body feels and responds to pain.

How to use Tramadol HCL

Read the Medication Guide provided by the pharmacist before you start taking tramadol and every time you receive a refill. If you've questions, ask your doctor or pharmacist.

Take this medication by mouth as directed by a medical expert, usually every 3 to 4 hours if required to mask you pain. You may take this drug with or without food. If you've nausea, it may assistance to take this drug with food. Ask a medical expert or pharmacist about other ways to lower nausea (including laying for one to two hours with very little head movement as you possibly can).

The dosage is founded on your condition and reply to treatment. To lessen your risk of unwanted effects, your physician may direct you to definitely start medicines at the low dose and gradually increase your dose. Follow your physician's instructions carefully. The maximum recommended dose is 400 milligrams per day. If you are older than 75 years, the maximum recommended dose is 300 milligrams every 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.

Pain medications perform best if they are used because the first signs of pain occur. If you hold off until this has worsened, the medication might not exactly act as well.

If you have ongoing pain (including as a result of arthritis), your physician may direct one to also take long-acting opioid medications. In that case, prescription drugs could be used by sudden (breakthrough) pain only when needed. Other anesthetics (including acetaminophen, ibuprofen) can also be prescribed. Ask your doctor or pharmacist about using tramadol safely with other drugs.

This medication could potentially cause withdrawal reactions, particularly if many experts have used regularly for a long time or even in high doses. In such cases, withdrawal symptoms (such as restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur in the event you suddenly stop using medicines. To prevent withdrawal reactions, a medical expert may decrease your dose gradually. Consult a medical expert or pharmacist for more details, and report any withdrawal reactions right away.

When this medicine is employed for a long time, it could not work as well. Talk with your medical professional if medicines fails well.

Though it will help lots of people, medicines may sometimes cause addiction. This risk could possibly be higher if you've a substance use disorder (for example overuse of or addiction to drugs/alcohol). Take this medication the same manner prescribed to lower the chance of addiction. Ask your doctor or pharmacist for more details.

Tell your doctor if 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've got been using medicines for quite a while. If all of these effects persist or worsen, tell a medical expert or pharmacist promptly.

To prevent constipation, eat fiber, drink enough water, and employ. Consult your friendly phamacist for aid in deciding on a laxative (such as a stimulant type with stool softener).

To decrease the likelihood of dizziness and lightheadedness, get out of bed slowly when rising coming from a sitting or lying position.

Remember that a medical expert has prescribed this medication as they or she's got judged that this profit to you is higher than the chance of unwanted effects. Many people using medicines don't have serious side effects.

Tell your medical professional straight away if you might have any serious unwanted side effects, including: mental/mood changes (for example agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, signs of your adrenal glands no longer working well (for example lack of appetite, unusual tiredness, weight-loss).

Get medical help right away if you've got any much more severe unwanted effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.

This medication may increase serotonin and rarely result in a much more severe condition called serotonin syndrome/toxicity. The risk increases should you are also taking other drugs that increase serotonin, so tell your physician or pharmacist of all of the drugs you are taking (see Drug Interactions section). Get medical help right away should you develop a few 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 inside you. In some people, this change happens faster and much more completely than usual, which enhances the risk of very serious negative effects. Get medical help immediately should you notice any of the following: slow/shallow breathing, severe drowsiness/difficulty awakening, confusion.

A grave hypersensitivity to the drug is rare. However, get medical help immediately should you notice the following symptoms: rash, itching/swelling (especially with the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible unwanted side effects. If you notice other effects unlisted above, contact your physician or pharmacist.

In the US -

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

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


Before taking tramadol, tell your physician or pharmacist in case you are allergic to it; or if you've got any other allergies. This product may contain inactive ingredients, which may cause allergic reactions or any other problems. Talk to the pharmacist for more details.

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

This drug may make you dizzy or drowsy. Alcohol or marijuana can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that requires alertness before you can perform it safely. Avoid booze. Talk to your medical professional in case you are using marijuana.

Tramadol might cause a condition that affects the 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 assistance immediately.

The likelihood of QT prolongation may be increased if you might have certain health concerns or consider other drugs that could cause QT prolongation. Before using tramadol, tell your physician or pharmacist of all the so-called drugs you take and when you've got these things conditions: certain cardiovascular disease (heart failure, slow heartbeat, QT prolongation inside the EKG), genealogy and family history of certain heart disease (QT prolongation within the EKG, sudden cardiac death).

Low amounts of potassium or magnesium inside blood may also improve your chance of QT prolongation. This risk may increase in case you use certain drugs (such as diuretics/"water pills") or if you've got conditions such as severe sweating, diarrhea, or vomiting. Talk to your physician about using tramadol safely.

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

Some children could possibly be more responsive to grave unwanted effects of tramadol, such as extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)

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

During pregnancy, medicines must be used only once clearly needed. It may harm an developing fetus. Discuss the potential risks and benefits with a medical expert. (See also Warning section.)

This medication passes into breast milk and could have undesirable effects over 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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