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See also Warning section.

This medicine is utilized to help relieve moderate to moderately severe pain. Tramadol is comparable to opioid (narcotic) analgesics. It works in the brain to switch how your body feels and responds to pain.

How to utilize Ultram

Read the Medication Guide supplied by your pharmacist before you begin taking tramadol and each time you have a refill. If you've got any queries, ask your medical professional or pharmacist.

Take this medication by mouth as directed by your physician, usually every 3 to 4 hours as needed for pain relief. You may take this drug with or without food. If you might have nausea, it could help take this drug with food. Ask your physician or pharmacist about different ways to lower nausea (like lying down for 1 to 2 hours with only a small amount head movement as you possibly can).

The dosage is based on your condition and a reaction to treatment. To decrease your likelihood of unwanted side effects, your medical professional may direct you to start prescription drugs at the low dose and gradually raise your dose. Follow your medical professional's instructions carefully. The maximum recommended dose is 400 milligrams each day. If you are much older than 75 years, the most recommended dose is 300 milligrams daily. Do not enhance your dose, make medication with greater frequency, or go for a longer period than prescribed. Properly stop the medication when so directed.

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

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

This medication could cause withdrawal reactions, in particular when it has been used regularly for a long time or even in high doses. In such cases, withdrawal symptoms (like restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur in case you suddenly stop using this medication. To prevent withdrawal reactions, your physician may lower your dose gradually. Consult your physician or pharmacist for more details, and report any withdrawal reactions without delay.

When this medication is employed for a long time, it may well not be well. Talk with your medical professional if prescription drugs reduces well.

Though it may help lots of people, prescription drugs may sometimes cause addiction. This risk may be higher if you might have an element use disorder (including overuse of or obsession with drugs/alcohol). Take prescription drugs the same manner prescribed to lessen the probability of addiction. Ask a medical expert or pharmacist for more details.

Tell your doctor in case 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 prescription drugs for a while. If all of these effects persist or worsen, tell a medical expert or pharmacist promptly.

To prevent constipation, eat dietary fiber, drink enough water, and employ. Consult the pharmacist for help out with selecting a laxative (like a stimulant type with stool softener).

To lessen the probability of dizziness and lightheadedness, get up slowly when rising from your sitting or lying position.

Remember that your medical professional has prescribed prescription drugs while he or she has judged that the profit to you is greater than the probability of side effects. Many people using this medication don't have serious unwanted effects.

Tell your medical professional straight away if you have any serious unwanted effects, including: mental/mood changes (like agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, signs of your adrenal glands bust well (such as decrease of appetite, unusual tiredness, fat loss).

Get medical help straight away if you might have any very serious side effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.

This medication may increase serotonin and rarely result in a very serious condition called serotonin syndrome/toxicity. The risk increases in the event you are also taking other drugs that increase serotonin, so tell a medical expert or pharmacist of all of the drugs you take (see Drug Interactions section). Get medical help straight away in case you develop some 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 a strong opioid drug in your body. In some people, this transformation happens faster and more completely than usual, which boosts the probability of much more severe unwanted effects. Get medical help straight away in the event you notice any of the following: slow/shallow breathing, severe drowsiness/difficulty waking up, confusion.

A grave allergic attack to this particular drug is rare. However, get medical help immediately if you notice any of the following symptoms: rash, itching/swelling (especially in the face/tongue/throat), severe dizziness, trouble breathing.

This is just not a complete listing of possible negative effects. If you notice other effects unpublished above, contact a medical expert or pharmacist.

In the US -

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

In Canada - Call a medical expert for medical advice about unwanted side effects. You may report unwanted side effects to Health Canada at 1-866-234-2345.


Before taking tramadol, tell your medical professional or pharmacist if you are allergic for it; or if you might have some other allergies. This product could have inactive ingredients, which may cause hypersensitive reactions or other problems. Talk to your pharmacist for more information.

Before using medicines, tell your doctor or pharmacist your medical history, especially of: brain disorders (for example head injury, tumor, seizures), breathing problems (for example asthma, stop 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 ingredient use disorder (like overuse of or addiction to drugs/alcohol), stomach/intestinal problems (including blockage, constipation, diarrhea because of infection, paralytic ileus), difficulty urinating (for example as a result of enlarged prostate), gallbladder disease, disease with the pancreas (pancreatitis), obesity.

This drug could make you dizzy or drowsy. Alcohol or marijuana could make you more dizzy or drowsy. Do not drive, use machinery, or do anything whatsoever that has to have alertness before you are able to do it safely. Avoid alcohol based drinks. Talk to your medical professional in the event you are using marijuana.

Tramadol might cause a condition that affects the center 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 help immediately.

The risk of QT prolongation could be increased if you might have certain medical ailments or take other drugs that might cause QT prolongation. Before using tramadol, tell your physician or pharmacist of all drugs you take and when you might have any of these conditions: certain heart disease (heart failure, slow heartbeat, QT prolongation inside the EKG), genealogy and family history of certain heart problems (QT prolongation inside EKG, sudden cardiac death).

Low levels of potassium or magnesium inside blood may also enhance your risk of QT prolongation. This risk may increase in case you use certain drugs (including 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.

Before having surgery, tell your medical professional or dentist about each of the products you utilize (including prescription medications, nonprescription drugs, and herbal products).

Some children could possibly be more understanding of very serious negative effects of tramadol, such as extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)

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

During pregnancy, prescription drugs should be used not until clearly needed. It may harm an unborn baby. Discuss the potential risks and benefits with your physician. (See also Warning section.)

This medication passes into breast milk and may even have undesirable effects on a nursing infant, for example unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while using this drug isn't recommended. Consult your medical professional before breast-feeding.

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