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See also Warning section.

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

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Read the Medication Guide furnished by your pharmacist before starting taking tramadol every time you recruit a refill. If you might have any queries, ask your doctor or pharmacist.

Take this medication by mouth as directed by your medical professional, usually every 4 to 6 hours as required to mask you pain. You may take this drug with or without food. If you have nausea, it might help take this drug with food. Ask your physician or pharmacist about alternative methods to reduce nausea (like laying for one to two hours with as little head movement as you can).

The dosage is founded on your medical condition and reaction to treatment. To lessen your probability of unwanted side effects, a medical expert may direct you to start prescription drugs in a low dose and gradually enhance your dose. Follow your medical professional's instructions carefully. The maximum recommended dose is 400 milligrams per day. If you are much older than 75 years, the utmost recommended dose is 300 milligrams per day. Do not enhance your dose, go ahead and take medication with greater frequency, or get it much more time than prescribed. Properly stop the medication when so directed.

Pain medications work most effectively when they are used because first warning signs of pain occur. If you delay until this has worsened, the medication might not exactly act as well.

If you've ongoing pain (such as because of arthritis), a medical expert may direct you to definitely also take long-acting opioid medications. In that case, this medication could be employed for sudden (breakthrough) pain only if required. Other pain relievers (for example acetaminophen, ibuprofen) can be prescribed. Ask a medical expert or pharmacist about using tramadol safely with drugs.

This medication might cause withdrawal reactions, particularly when many experts have used regularly for some time or even in high doses. In such cases, withdrawal symptoms (such as 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 without delay.

When this medicine is useful for a long time, it could not act as well. Talk with a medical expert if this medication fights well.

Though it will help many people, this medication may sometimes cause addiction. This risk could be higher if you might have an ingredient use disorder (like overuse of or being hooked on drugs/alcohol). Take medicines exactly as prescribed to reduce the risk of addiction. Ask a medical expert or pharmacist for more details.

Tell your doctor if 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 have been using this medication for a time. If all of these effects persist or worsen, tell your doctor or pharmacist promptly.

To prevent constipation, eat fibers, drink enough water, and workout. Consult the pharmacist for aid in picking out a laxative (such as a stimulant type with stool softener).

To decrease the chance of dizziness and lightheadedness, get out of bed slowly when rising from the sitting or lying position.

Remember that your medical professional has prescribed this medication because he or she's judged the help to you is higher than the risk of negative effects. Many people using prescription drugs would not have serious side effects.

Tell your physician right away if you might have any serious unwanted effects, including: mental/mood changes (for example agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, signs and symptoms of your adrenal glands bust well (for example loss in appetite, unusual tiredness, weight reduction).

Get medical help without delay if you've any very serious unwanted effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.

This medication may increase serotonin and rarely spark a serious condition called serotonin syndrome/toxicity. The risk increases if you are also taking other drugs that increase serotonin, so tell your medical professional or pharmacist of all the drugs you are taking (see Drug Interactions section). Get medical help right away in case 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.

Tramadol is changed in a strong opioid drug inside you. In some people, this variation happens faster plus much more completely than usual, which boosts the risk of serious unwanted side effects. Get medical help immediately in the event you notice the following: slow/shallow breathing, severe drowsiness/difficulty getting up, confusion.

A grave hypersensitive reaction to the drug is rare. However, get medical help immediately in the event you notice any of these symptoms: rash, itching/swelling (especially with the face/tongue/throat), severe dizziness, trouble breathing.

This isn't a complete listing of possible unwanted side effects. If you notice other effects not listed above, contact your medical professional or pharmacist.

In the US -

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

In Canada - Call your medical professional for medical advice about side effects. You may report negative effects to Health Canada at 1-866-234-2345.


Before taking tramadol, tell your medical professional or pharmacist should you are allergic for it; or if you might have some other allergies. This product might have inactive ingredients, which can cause allergies and other problems. Talk to your pharmacist for additional information.

Before using medicines, tell your physician or pharmacist your health background, especially of: brain disorders (including head injury, tumor, seizures), breathing problems (for example asthma, stop snoring, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (like confusion, depression, suicidal thoughts), personal or ancestors and family history of an ingredient use disorder (such as overuse of or addiction to drugs/alcohol), stomach/intestinal problems (for example blockage, constipation, diarrhea due to infection, paralytic ileus), difficulty urinating (for example due to enlarged prostate), gallbladder disease, disease from the pancreas (pancreatitis), obesity.

This drug might make you dizzy or drowsy. Alcohol or marijuana can make you more dizzy or drowsy. Do not drive, use machinery, or do just about anything that needs alertness until you are capable of doing it safely. Avoid alcoholic beverages. Talk to a medical expert should you are using marijuana.

Tramadol could potentially cause a complaint 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 assistance immediately.

The probability of QT prolongation could be increased if you've certain medical conditions or consider other drugs that could cause QT prolongation. Before using tramadol, tell a medical expert or pharmacist of all the so-called drugs you are taking and when you have the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation inside EKG), genealogy and family history of certain heart related illnesses (QT prolongation inside the EKG, sudden cardiac death).

Low levels of potassium or magnesium within the blood may also improve your probability of QT prolongation. This risk may increase in the event you use certain drugs (like diuretics/"water pills") or if you've conditions for example severe sweating, diarrhea, or vomiting. Talk to your doctor about using tramadol safely.

Before having surgery, tell your medical professional or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Some children could possibly be more sensitive to much more severe unwanted side effects of tramadol, such as extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)

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

During pregnancy, prescription drugs must be used only once clearly needed. It may harm an developing fetus. Discuss the hazards and benefits with your doctor. (See also Warning section.)

This medication passes into breast milk and might have undesirable effects over a nursing infant, for example 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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