See also Warning section.
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This medicine is employed to help relieve moderate to moderately severe pain. Tramadol resembles 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 provided by your pharmacist prior to starting taking tramadol every time you receive a refill. If you've any questions, ask your medical professional or pharmacist.
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Take prescription drugs by mouth as directed by your physician, usually every 3 to 4 hours if required to decrease your pain. You may take this drug with or without food. If you've got nausea, it may well help take this drug with food. Ask your physician or pharmacist about various ways to decrease nausea (including resting for one to two hours with as little head movement as possible).
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The dosage will depend on your problem and reaction to treatment. To lower your likelihood of negative effects, a medical expert may direct one to start medicines at a low dose and gradually enhance your dose. Follow a medical expert's instructions carefully. The maximum recommended dose is 400 milligrams daily. If you are much older than 75 years, the absolute maximum recommended dose is 300 milligrams daily. Do not raise your dose, go ahead and take medication more frequently, or get it much more time than prescribed. Properly stop the medication when so directed.
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Pain medications work most effectively should they be used since the first warning signs of pain occur. If you hold back until the anguish has worsened, the medication may well not be well.
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If you've got ongoing pain (like as a result of arthritis), a medical expert may direct you to definitely also take long-acting opioid medications. In that case, prescription drugs may be used for sudden (breakthrough) pain only as required. Other pain relievers (including acetaminophen, ibuprofen) can be prescribed. Ask a medical expert or pharmacist about using tramadol safely along with other drugs.
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This medication could cause withdrawal reactions, in particular when many experts have used regularly for a long period or perhaps 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 medicines. To prevent withdrawal reactions, your physician may lower your dose gradually. Consult your physician or pharmacist for more details, and report any withdrawal reactions right away.
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When this medication is used by a long time, it could not work as well. Talk with a medical expert if this medication fights well.
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Though it may help many people, this medication may sometimes cause addiction. This risk could possibly be higher if you might have an element use disorder (including overuse of or dependence on drugs/alcohol). Take medicines exactly as prescribed to reduce the risk of addiction. Ask a medical expert or pharmacist for more details.
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Tell your physician 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 have been using this medication for quite a while. If any of 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 exercise. Consult your friendly phamacist for assist in deciding on a laxative (such as a stimulant type with stool softener).
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To reduce the probability of dizziness and lightheadedness, get up slowly when rising coming from a sitting or lying position.
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Remember that your medical professional has prescribed this medication as they or she has judged that this benefit to you is higher than the likelihood of negative effects. Many people using medicines do not have serious negative effects.
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Tell your doctor immediately if you have any serious unwanted side 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, weight reduction).
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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 result in a grave condition called serotonin syndrome/toxicity. The risk increases in case you are also taking other drugs that increase serotonin, so tell your physician or pharmacist of all the drugs you're taking (see Drug Interactions section). Get medical help without delay in the event you develop a number of the following symptoms: fast heartbeat, hallucinations, loss in coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness.
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Tramadol is changed in to a strong opioid drug in your body. In some people, this variation happens faster plus much more completely than usual, which boosts the chance of serious unwanted effects. Get medical help without delay if you notice any of the following: slow/shallow breathing, severe drowsiness/difficulty waking up, confusion.
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A very serious allergic reaction for this drug is rare. However, get medical help without delay should 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 is not a complete set of possible unwanted side effects. If you notice other effects unlisted above, contact a medical expert or pharmacist.
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Call your medical professional for health advice about unwanted side effects. You may report unwanted side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
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In Canada - Call your physician for health advice about negative effects. You may report negative effects to Health Canada at 1-866-234-2345.
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Before taking tramadol, tell your medical professional or pharmacist should you are allergic to it; or if you've got every other allergies. This product might have inactive ingredients, which may cause allergies and other problems. Talk to the pharmacist for additional information.
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Before using prescription drugs, tell a medical expert or pharmacist your health background, especially of: brain disorders (for example head injury, tumor, seizures), breathing problems (like asthma, stop snoring, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (for example confusion, depression, suicidal thoughts), personal or family history of an element use disorder (including overuse of or dependence on drugs/alcohol), stomach/intestinal problems (such as blockage, constipation, diarrhea on account of infection, paralytic ileus), difficulty urinating (including on account of enlarged prostate), gallbladder disease, disease from the pancreas (pancreatitis), obesity.
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This drug could make you dizzy or drowsy. Alcohol or marijuana will make you more dizzy or drowsy. Do not drive, use machinery, or do anything whatsoever that requires alertness until you are capable of doing it safely. Avoid alcohol consumption. Talk to your physician in case you are using marijuana.
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Tramadol could potentially cause a complaint that affects one's heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat along with other symptoms (including severe dizziness, fainting) that require medical attention straight away.
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The probability of QT prolongation could be increased if you have certain medical conditions or take other drugs that could potentially cause QT prolongation. Before using tramadol, tell your doctor or pharmacist of all the drugs you are taking if you might have any of the following conditions: certain heart disease (heart failure, slow heartbeat, QT prolongation within the EKG), family history of certain heart related illnesses (QT prolongation inside the EKG, sudden cardiac death).
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Low levels of potassium or magnesium inside blood may also enhance your likelihood of QT prolongation. This risk may increase in case you use certain drugs (such as 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 a medical expert or dentist about all the products you have (including medications, nonprescription drugs, and herbal products).
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Some children may be more sensitive to serious negative effects of tramadol, like 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 if clearly needed. It may harm an developing fetus. Discuss the hazards and benefits with a medical expert. (See also Warning section.)
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This medication passes into breast milk and might have undesirable effects on the nursing infant, for example unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while applying this drug is just not recommended. Consult a medical expert before breast-feeding.
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