See also Warning section.
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This medication is accustomed to help relieve moderate to moderately severe pain. Tramadol is just like opioid (narcotic) analgesics. It works inside the brain to change how your body feels and responds to pain.
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Read the Medication Guide provided by your friendly phamacist before you start taking tramadol every time you receive a refill. If you might have questions, ask your doctor or pharmacist.
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Take prescription drugs 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've got nausea, it might assist to take this drug with food. Ask a medical expert or pharmacist about various ways to diminish nausea (like lying down for one to two hours with only a small amount head movement as is possible).
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The dosage will depend on your problem and response to treatment. To decrease your chance of unwanted side effects, your doctor may direct you to start prescription drugs in a low dose and gradually raise your dose. Follow your medical professional's instructions carefully. The maximum recommended dose is 400 milligrams per day. If you are older than 75 years, the most recommended dose is 300 milligrams every day. Do not enhance your dose, make medication more frequently, or go much more time than prescribed. Properly stop the medication when so directed.
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Pain medications work most effectively when they are used because first signs of pain occur. If you hold back until the anguish has worsened, the medication might not exactly work as well.
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If you've ongoing pain (for example as a result of arthritis), a medical expert may direct you to also take long-acting opioid medications. In that case, prescription drugs may be useful for sudden (breakthrough) pain only if required. Other anesthetics (such as acetaminophen, ibuprofen) can also be prescribed. Ask your physician or pharmacist about using tramadol safely along with other drugs.
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This medication could potentially cause withdrawal reactions, in particular when it is often 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 in the event you suddenly stop using this medication. To prevent withdrawal reactions, your physician may lessen your dose gradually. Consult your physician or pharmacist for additional information, and report any withdrawal reactions right away.
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When this medication is used for a long time, it may well not be well. Talk with your physician if this medication stops working well.
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Though it will help a lot of people, this medication may sometimes cause addiction. This risk could possibly be higher if you might have a substance use disorder (such as overuse of or addiction to drugs/alcohol). Take prescription drugs exactly as prescribed in order to reduce the risk of addiction. Ask your medical professional or pharmacist for more details.
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Tell a medical expert if 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 might have been using prescription drugs for a time. If these effects persist or worsen, tell your physician or pharmacist promptly.
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To prevent constipation, eat dietary fiber, drink enough water, and exercise. Consult your pharmacist for assist in choosing the laxative (for example 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 coming from a sitting or lying position.
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Remember that your doctor has prescribed this medication because he or she gets judged how the profit to you is more than the chance of side effects. Many people using medicines do not have serious side effects.
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Tell your medical professional immediately if you've any serious side effects, including: mental/mood changes (for example agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, signs of your adrenal glands no longer working well (like lack of appetite, unusual tiredness, weight-loss).
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Get medical help straight away if you might 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 grave condition called serotonin syndrome/toxicity. The risk increases should you are also taking other drugs that increase serotonin, so tell your medical professional or pharmacist of all drugs you take (see Drug Interactions section). Get medical help right away in case 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 in a strong opioid drug within you. In some people, this transformation happens faster plus more completely than usual, which raises the chance of serious unwanted side effects. Get medical help right away in case you notice any of these: slow/shallow breathing, severe drowsiness/difficulty awakening, confusion.
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A much more severe hypersensitive reaction to this drug is rare. However, get medical help immediately should you notice these things symptoms: rash, itching/swelling (especially with the face/tongue/throat), severe dizziness, trouble breathing.
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This just isn't a complete set of possible side effects. If you notice other effects not listed above, contact a medical expert or pharmacist.
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Call your doctor for health advice about unwanted side effects. You may report negative effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
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Before taking tramadol, tell your physician or pharmacist in case you are allergic to it; or if you've another allergies. This product might have inactive ingredients, which could cause hypersensitive reactions or other problems. Talk to your friendly phamacist for additional information.
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Before using prescription drugs, tell your physician or pharmacist your history, especially of: brain disorders (like head injury, tumor, seizures), breathing problems (like asthma, snore, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (for example confusion, depression, suicidal thoughts), personal or genealogy and family history of a substance use disorder (for example overuse of or dependence on drugs/alcohol), stomach/intestinal problems (including blockage, constipation, diarrhea on account of infection, paralytic ileus), difficulty urinating (like as a result 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 will make you more dizzy or drowsy. Do not drive, use machinery, or a single thing that requires alertness until you are able to do it safely. Avoid booze. Talk to your medical professional in case you are using marijuana.
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Tramadol might 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 (for example severe dizziness, fainting) that want medical assistance right away.
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The chance of QT prolongation may be increased if you've certain health conditions or consider other drugs that may cause QT prolongation. Before using tramadol, tell a medical expert or pharmacist of all of the drugs you are taking of course, if you've these things conditions: certain heart disease (heart failure, slow heartbeat, QT prolongation within the EKG), genealogy and family history of certain heart disease (QT prolongation within the EKG, sudden cardiac death).
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Low degrees of potassium or magnesium within the blood may also increase your chance of QT prolongation. This risk may increase in the event you use certain drugs (like diuretics/"water pills") or if you've got conditions such as severe sweating, diarrhea, or vomiting. Talk to a medical expert about using tramadol safely.
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Before having surgery, tell your physician or dentist about each of the products you have (including prescription drugs, nonprescription drugs, and herbal products).
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Some children could possibly be more understanding of much more severe unwanted effects of tramadol, for example extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)
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Older adults could be more sensitive to the unwanted 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 ought to be used only when clearly needed. It may harm an unborn baby. Discuss the hazards and benefits with your physician. (See also Warning section.)
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This medication passes into breast milk and may even have undesirable effects over a nursing infant, including unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while using this drug is not recommended. Consult your doctor before breast-feeding.
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