See also Warning section.
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This medicine is utilized to help relieve moderate to moderately severe pain. Tramadol is similar to opioid (narcotic) analgesics. It works inside brain to alter how your body feels and responds to pain.
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Read the Medication Guide supplied by your pharmacist prior to starting taking tramadol each time you get a refill. If you have any queries, ask your doctor or pharmacist.
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Take medicines by mouth as directed by your medical professional, usually every 3 to 4 hours if required to decrease your pain. You may take this drug with or without food. If you've nausea, it may help take this drug with food. Ask your doctor or pharmacist about various ways to diminish nausea (including lying down for 1 to 2 hours with as little head movement as is possible).
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The dosage is founded on your problem and a reaction to treatment. To lessen your risk of negative effects, a medical expert may direct one to start medicines at a low dose and gradually increase your dose. Follow your medical professional's instructions carefully. The maximum recommended dose is 400 milligrams every day. If you are older than 75 years, the absolute maximum recommended dose is 300 milligrams each day. Do not enhance your dose, make medication more often, or take it for a longer period than prescribed. Properly stop the medication when so directed.
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Pain medications work most effectively should they be used because first signs of pain occur. If you delay until the pain sensation has worsened, the medication may not work as well.
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If you've got ongoing pain (such as because of arthritis), your doctor may direct one to also take long-acting opioid medications. In that case, prescription drugs might be used for sudden (breakthrough) pain only if required. Other anesthetics (such as acetaminophen, ibuprofen) can be prescribed. Ask a medical expert or pharmacist about using tramadol safely with other drugs.
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This medication might cause withdrawal reactions, particularly if it's been used regularly for a long time or in high doses. In such cases, withdrawal symptoms (such as restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur if you suddenly stop using prescription drugs. To prevent withdrawal reactions, your doctor may lessen your dose gradually. Consult your doctor or pharmacist for more information, and report any withdrawal reactions without delay.
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When this drugs are used for a long time, it could not act as well. Talk with a medical expert if prescription drugs reduces well.
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Though it may help many people, prescription drugs may sometimes cause addiction. This risk could be higher if you have a substance use disorder (including overuse of or obsession with drugs/alcohol). Take prescription drugs exactly as prescribed to lower the chance of addiction. Ask your physician or pharmacist for more information.
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Tell your physician if the pain persists or worsens.
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Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Some of these unwanted effects may decrease after you've got been using this medication for a while. If any of these effects persist or worsen, tell your medical professional or pharmacist promptly.
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To prevent constipation, eat fibers, drink enough water, and workout. Consult the pharmacist for help out with deciding on a laxative (for example a stimulant type with stool softener).
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To reduce the risk of dizziness and lightheadedness, wake up slowly when rising from the sitting or lying position.
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Remember that a medical expert has prescribed medicines while he or she's got judged how the advantage of you is in excess of the probability of unwanted effects. Many people using medicines do not have serious side effects.
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Tell your physician straight away if you have any serious unwanted effects, including: mental/mood changes (for example agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, indications of your adrenal glands broken well (like loss in appetite, unusual tiredness, weight-loss).
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Get medical help immediately if you have any very serious side effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.
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This medication may increase serotonin and rarely spark a serious condition called serotonin syndrome/toxicity. The risk increases should you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all drugs you're taking (see Drug Interactions section). Get medical help straight away in case you develop a few 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 into a strong opioid drug within you. In some people, this variation happens faster and more completely than usual, which enhances the chance of grave unwanted effects. Get medical help straight away in case you notice any of the following: slow/shallow breathing, severe drowsiness/difficulty waking up, confusion.
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A grave allergic attack to this drug is rare. However, get medical help immediately should you notice any of these symptoms: rash, itching/swelling (especially with the face/tongue/throat), severe dizziness, trouble breathing.
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This isn't a complete list of possible side effects. If you notice other effects unlisted above, contact your physician or pharmacist.
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Call your medical professional for medical health advice about unwanted 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 medical health advice about unwanted effects. You may report negative effects to Health Canada at 1-866-234-2345.
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Before taking tramadol, tell your physician or pharmacist should you are allergic with it; or if you've some other allergies. This product might have inactive ingredients, which can cause allergy symptoms or other problems. Talk to the pharmacist for more information.
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Before using this medication, tell your doctor or pharmacist your history, especially of: brain disorders (including head injury, tumor, seizures), breathing problems (like asthma, sleep apnea, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (such as confusion, depression, suicidal thoughts), personal or genealogy of an element use disorder (for example overuse of or addiction to drugs/alcohol), stomach/intestinal problems (like blockage, constipation, diarrhea on account of infection, paralytic ileus), difficulty urinating (for example as a result of enlarged prostate), gallbladder disease, disease from the pancreas (pancreatitis), obesity.
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This drug may make you dizzy or drowsy. Alcohol or marijuana will make you more dizzy or drowsy. Do not drive, use machinery, or do anything that really needs alertness before you can perform it safely. Avoid alcohol consumption. Talk to a medical expert should you are using marijuana.
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Tramadol could potentially cause a disorder that affects the guts 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 immediately.
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The likelihood of QT prolongation may be increased if you've certain medical conditions or consider other drugs that might cause QT prolongation. Before using tramadol, tell your physician or pharmacist of all the so-called drugs you adopt of course, if you have any of the following conditions: certain heart related illnesses (heart failure, slow heartbeat, QT prolongation inside the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).
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Low numbers of potassium or magnesium inside blood may also raise your probability of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/"water pills") or if you've conditions like severe sweating, diarrhea, or vomiting. Talk to your doctor about using tramadol safely.
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Before having surgery, tell your doctor or dentist about all of the products you utilize (including medications, nonprescription drugs, and herbal products).
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Some children might be more responsive to much more severe negative effects of tramadol, for example extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)
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Older adults might be more sensitive 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 must be used only once clearly needed. It may harm an child. Discuss the potential risks and benefits with your medical professional. (See also Warning section.)
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This medication passes into breast milk and may even 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 your medical professional before breast-feeding.
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