See also Warning section.
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This medication is used to help relieve moderate to moderately severe pain. Tramadol is just like opioid (narcotic) analgesics. It works inside the brain to improve how your body feels and responds to pain.
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Read the Medication Guide given by your friendly phamacist prior to starting taking tramadol each time you have a refill. If you've got questions, ask your doctor or pharmacist.
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Take this medication by mouth as directed by your physician, 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 may help take this drug with food. Ask a medical expert or pharmacist about other ways to diminish nausea (such as laying for 1 to 2 hours with very little head movement as possible).
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The dosage is founded on your problem and reply to treatment. To reduce your risk of negative effects, a medical expert may direct that you start this medication in a low dose and gradually improve your dose. Follow your medical professional's instructions carefully. The maximum recommended dose is 400 milligrams each day. If you are older than 75 years, the absolute maximum recommended dose is 300 milligrams daily. Do not improve your dose, make medication more frequently, or go on it for a longer period than prescribed. Properly stop the medication when so directed.
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Pain medications perform best if they're used because first warning signs of pain occur. If you hold back until the pain sensation has worsened, the medication may well not be well.
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If you've 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 could be used for sudden (breakthrough) pain only if required. Other pain relievers (like acetaminophen, ibuprofen) can also be prescribed. Ask your physician or pharmacist about using tramadol safely to drugs.
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This medication could potentially cause withdrawal reactions, particularly if it's been used regularly for a long time 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 prescription drugs. To prevent withdrawal reactions, your medical professional may decrease your dose gradually. Consult a medical expert or pharmacist for more information, and report any withdrawal reactions right away.
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When this medicine is used by a long time, it may not are well. Talk with a medical expert if medicines fails well.
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Though it may help 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 dependence on drugs/alcohol). Take medicines the same manner prescribed to reduce the chance of addiction. Ask your doctor or pharmacist for more information.
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Tell your medical professional in case 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 have been using prescription drugs for some time. If 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 your pharmacist for help out with selecting a laxative (for example a stimulant type with stool softener).
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To lessen the likelihood of dizziness and lightheadedness, wake up slowly when rising coming from a sitting or lying position.
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Remember that a medical expert has prescribed this medication because he or she's got judged how the advantage of you is greater than the likelihood of side effects. Many people using this medication do not have serious unwanted effects.
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Tell your physician straight away if you've got any serious unwanted effects, including: mental/mood changes (like agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, signs and symptoms of your adrenal glands broken well (for example lack of appetite, unusual tiredness, weight loss).
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Get medical help straight away if you have any much more severe unwanted side effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.
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This medication may increase serotonin and rarely create a serious condition called serotonin syndrome/toxicity. The risk increases if you are also taking other drugs that increase serotonin, so tell a medical expert or pharmacist of all the drugs you adopt (see Drug Interactions section). Get medical help straight away should 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 right into a strong opioid drug in your body. In some people, this variation happens faster plus more completely than usual, which increases the risk of very serious negative effects. Get medical help straight away in the event you notice the following: slow/shallow breathing, severe drowsiness/difficulty getting out of bed, confusion.
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A serious allergic attack for this drug is rare. However, get medical help without delay in case you notice these things symptoms: rash, itching/swelling (especially with the face/tongue/throat), severe dizziness, trouble breathing.
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This is just not a complete report on possible side effects. If you notice other effects unlisted above, contact your medical professional or pharmacist.
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Call a medical expert for 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 your doctor for medical advice about 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 doctor or pharmacist in case you are allergic to it; or if you might have some other allergies. This product may contain inactive ingredients, which could cause allergic reactions and other problems. Talk to your pharmacist for more information.
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Before using this medication, tell your medical professional or pharmacist your health background, especially of: brain disorders (such as head injury, tumor, seizures), breathing problems (including asthma, anti snoring, 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 obsession with drugs/alcohol), stomach/intestinal problems (like blockage, constipation, diarrhea because of infection, paralytic ileus), difficulty urinating (for example due to enlarged prostate), gallbladder disease, disease in the pancreas (pancreatitis), obesity.
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This drug will make you dizzy or drowsy. Alcohol or marijuana will make you more dizzy or drowsy. Do not drive, use machinery, or do just about anything that requires alertness unless you are capable of doing it safely. Avoid alcohol based drinks. Talk to your physician should you are using marijuana.
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Tramadol could cause a complaint that affects one's heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat as well as other symptoms (including severe dizziness, fainting) that require medical help straight away.
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The likelihood of QT prolongation might be increased if you have certain medical ailments or consider other drugs that could potentially cause QT prolongation. Before using tramadol, tell your doctor or pharmacist of all the so-called drugs you adopt and if you have any of these conditions: certain cardiovascular disease (heart failure, slow heartbeat, QT prolongation inside EKG), genealogy of certain heart disease (QT prolongation within the EKG, sudden cardiac death).
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Low numbers of potassium or magnesium within the blood may also increase your likelihood of QT prolongation. This risk may increase in case you use certain drugs (like diuretics/"water pills") or if you have conditions like severe sweating, diarrhea, or vomiting. Talk to your medical professional about using tramadol safely.
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Before having surgery, tell your physician or dentist about every one of the products you employ (including prescription medications, nonprescription drugs, and herbal products).
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Some children might be more responsive to grave negative effects of tramadol, including extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)
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Older adults may be more understanding of the side 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 only once clearly needed. It may harm an developing fetus. Discuss the hazards and benefits with your physician. (See also Warning section.)
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This medication passes into breast milk and could have undesirable effects over a nursing infant, including unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while by using this drug isn't recommended. Consult your doctor before breast-feeding.
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