See also Warning section.
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This drugs are employed to help relieve moderate to moderately severe pain. Tramadol resembles opioid (narcotic) analgesics. It works inside brain to switch how your body feels and responds to pain.
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Read the Medication Guide supplied by your friendly phamacist prior to starting taking tramadol and every time you have a refill. If you might have questions, ask your medical professional or pharmacist.
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Take this medication by mouth as directed by your doctor, usually every 3 to 5 hours as required to mask you pain. You may take this drug with or without food. If you might have nausea, it may assist to take this drug with food. Ask a medical expert or pharmacist about other ways to reduce nausea (like lying down for one to two hours with very little head movement as possible).
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The dosage is based on your condition and reaction to treatment. To lower your probability of negative effects, your medical professional may direct that you start this medication with a low dose and gradually enhance your dose. Follow your medical professional's instructions carefully. The maximum recommended dose is 400 milligrams each day. If you are over the age of 75 years, the maximum recommended dose is 300 milligrams per day. Do not improve your dose, make medication with greater regularity, or get it for a longer period than prescribed. Properly stop the medication when so directed.
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Pain medications work most effectively when they are used as the first signs and symptoms of pain occur. If you wait until the pain has worsened, the medication might not work as well.
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If you have ongoing pain (such as as a result of arthritis), a medical expert may direct one to also take long-acting opioid medications. In that case, this medication might be useful for sudden (breakthrough) pain only as required. Other anesthetics (like acetaminophen, ibuprofen) can be prescribed. Ask a medical expert or pharmacist about using tramadol safely with drugs.
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This medication could cause withdrawal reactions, particularly if it is often 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 medicines. To prevent withdrawal reactions, your physician may decrease your dose gradually. Consult your medical professional or pharmacist for more information, and report any withdrawal reactions immediately.
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When this medication is employed for a long time, it may well not are well. Talk with your doctor if this medication fails well.
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Though it helps lots of people, prescription drugs may sometimes cause addiction. This risk could possibly be higher if you have a substance use disorder (such as overuse of or obsession with drugs/alcohol). Take prescription drugs the same manner prescribed in order to reduce the chance of addiction. Ask your physician or pharmacist for additional information.
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Tell your doctor if the pain persists or worsens.
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Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Some of these unwanted side effects may decrease after you've been using medicines for some time. If these effects persist or worsen, tell your physician or pharmacist promptly.
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To prevent constipation, eat fibers, drink enough water, and employ. Consult your pharmacist for help in deciding on a laxative (like a stimulant type with stool softener).
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To lessen the likelihood of dizziness and lightheadedness, wake up slowly when rising from your sitting or lying position.
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Remember that your physician has prescribed this medication as they or she gets judged how the advantage of you is in excess of the chance of unwanted side effects. Many people using this medication will not have serious negative effects.
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Tell a medical expert right away if you have any serious negative effects, including: mental/mood changes (like agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, indications of your adrenal glands not working well (such as loss in appetite, unusual tiredness, fat loss).
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Get medical help immediately if you've got any serious unwanted side effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.
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This medication may increase serotonin and rarely create 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 doctor or pharmacist of all the drugs you take (see Drug Interactions section). Get medical help straight away should you develop some 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 within your body. In some people, this change happens faster and more completely than usual, which boosts the chance of grave negative effects. Get medical help straight away in the event you notice these things: slow/shallow breathing, severe drowsiness/difficulty waking up, confusion.
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A much more severe allergic attack to this drug is rare. However, get medical help straight away in the event you notice any of the following symptoms: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
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This just isn't a complete report on possible unwanted side effects. If you notice other effects unlisted above, contact your medical professional or pharmacist.
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Call your doctor for health advice about side effects. You may report unwanted 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 effects. You may report unwanted effects to Health Canada at 1-866-234-2345.
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Before taking tramadol, tell your doctor or pharmacist in case you are allergic to it; or if you've got some other allergies. This product might have inactive ingredients, that may cause allergic reactions or other problems. Talk to the pharmacist for additional information.
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Before using prescription drugs, tell your doctor or pharmacist your health background, especially of: brain disorders (such as head injury, tumor, seizures), breathing problems (such as asthma, sleep apnea, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (for example confusion, depression, suicidal thoughts), personal or genealogy of an ingredient use disorder (for example overuse of or obsession with drugs/alcohol), stomach/intestinal problems (including blockage, constipation, diarrhea as a result of infection, paralytic ileus), difficulty urinating (including because of enlarged prostate), gallbladder disease, disease of the pancreas (pancreatitis), obesity.
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This drug could 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 and soon you are able to do it safely. Avoid alcohol based drinks. Talk to your doctor if you are using marijuana.
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Tramadol could cause a disorder that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and also other symptoms (for example severe dizziness, fainting) which need medical assistance without delay.
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The probability of QT prolongation could possibly be increased if you've got certain medical ailments or consider other drugs that may cause QT prolongation. Before using tramadol, tell your medical professional or pharmacist of all of the drugs you are taking and when you have any of these conditions: certain heart disease (heart failure, slow heartbeat, QT prolongation within the EKG), ancestors and family history of certain heart problems (QT prolongation inside EKG, sudden cardiac death).
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Low amounts of potassium or magnesium in the blood may also improve your chance of QT prolongation. This risk may increase if you use certain drugs (like 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 medical professional or dentist about all of the products you use (including prescribed drugs, nonprescription drugs, and herbal products).
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Some children may be more responsive to very serious unwanted effects of tramadol, including extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)
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Older adults could possibly be more understanding of the negative effects of this drug, especially confusion, dizziness, drowsiness, slow/shallow breathing, and QT prolongation (see above).
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During pregnancy, medicines should be used only when clearly needed. It may harm an unborn baby. 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 have undesirable effects on the nursing infant, like unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while employing this drug is just not recommended. Consult your doctor before breast-feeding.
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