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See also Warning section.

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This drugs are used to help relieve moderate to moderately severe pain. Tramadol is similar 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 given by your friendly phamacist before you begin taking tramadol and each time you recruit a refill. If you have questions, ask your doctor or pharmacist.

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Take this medication by mouth as directed by your medical professional, usually every 4 to 6 hours when needed for pain relief. You may take this drug with or without food. If you've got nausea, it could help take this drug with food. Ask your doctor or pharmacist about other ways to reduce nausea (such as prone for 1 or 2 hours with as little head movement as is possible).

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The dosage will depend on your medical condition and response to treatment. To lower your likelihood of negative effects, your doctor may direct that you 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 daily. If you are more than 75 years, the absolute maximum recommended dose is 300 milligrams daily. Do not enhance your dose, take the medication with greater regularity, or take it for a longer time than prescribed. Properly stop the medication when so directed.

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Pain medications perform most optimally when they are used because the first signs and symptoms of pain occur. If you wait until this has worsened, the medication might not exactly work as well.

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If you've ongoing pain (including on account of arthritis), your physician may direct one to also take long-acting opioid medications. In that case, this medication could be used for sudden (breakthrough) pain only as required. Other pain-killer (including acetaminophen, ibuprofen) can also be prescribed. Ask your doctor or pharmacist about using tramadol safely to drugs.

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This medication may cause withdrawal reactions, particularly if it has been used regularly for a long period or even in high doses. In such cases, withdrawal symptoms (for example restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur should you suddenly stop using medicines. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Consult a medical expert or pharmacist for additional information, and report any withdrawal reactions right away.

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When this medicine is useful for a long time, it may well not are well. Talk with your medical professional if this medication fights well.

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Though it helps many individuals, this medication may sometimes cause addiction. This risk may be higher if you might have an ingredient use disorder (such as overuse of or addiction to drugs/alcohol). Take this medication the same manner prescribed in order to reduce the probability of addiction. Ask a medical expert or pharmacist for more details.

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Tell your medical professional should your pain persists or worsens.

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Side Effects

See also Warning section.

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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 this medication for a time. If all of these effects persist or worsen, tell your medical professional or pharmacist promptly.

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To prevent constipation, eat soluble fiber, drink enough water, and workout. Consult your friendly phamacist for help out with selecting a laxative (like a stimulant type with stool softener).

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

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Remember that your doctor has prescribed medicines as they or she's judged the profit to you is more than the chance of side effects. Many people using this medication would not have serious negative effects.

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Tell your doctor right away if you might have any serious side effects, including: mental/mood changes (such as agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, warning signs of your adrenal glands no longer working well (like loss of appetite, unusual tiredness, weight-loss).

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Get medical help without delay if you've got any very serious unwanted effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.

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This medication may increase serotonin and rarely create a very 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 take (see Drug Interactions section). Get medical help without delay in case you develop a number of the following symptoms: fast heartbeat, hallucinations, lack of 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 in your body. In some people, this modification happens faster and much more completely than usual, which boosts the risk of serious negative effects. Get medical help right away if you notice any of these: slow/shallow breathing, severe drowsiness/difficulty getting out of bed, confusion.

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A much more severe hypersensitivity to this particular drug is rare. However, get medical help straight away should you notice these things symptoms: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

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This isn't a complete report on possible unwanted side effects. If you notice other effects not listed above, contact your medical professional or pharmacist.

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Before taking tramadol, tell your physician or pharmacist in the event you are allergic with it; or if you might have every other allergies. This product may contain inactive ingredients, which may cause allergic reactions or any other problems. Talk to your friendly phamacist for more information.

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

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This drug might make you dizzy or drowsy. Alcohol or marijuana can make you more dizzy or drowsy. Do not drive, use machinery, or do anything whatsoever that has to have alertness and soon you are capable of doing it safely. Avoid alcoholic beverages. Talk to a medical expert should you are using marijuana.

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Tramadol could cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat along with other symptoms (such as severe dizziness, fainting) which need medical attention immediately.

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The likelihood of QT prolongation may be increased if you might have certain health concerns or are taking other drugs that might cause QT prolongation. Before using tramadol, tell your medical professional or pharmacist of all of the drugs you are taking and if you've got the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), ancestors and family history of certain heart disease (QT prolongation inside EKG, sudden cardiac death).

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

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Before having surgery, tell your doctor or dentist about all of the products you have (including prescribed drugs, nonprescription drugs, and herbal products).

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Some children may 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 possibly 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, prescription drugs needs to be used not until clearly needed. It may harm an developing fetus. 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, for example unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while using this drug is not recommended. Consult a medical expert before breast-feeding.

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