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See also Warning section.

This medication is employed to help relieve moderate to moderately severe pain. Tramadol is just like opioid (narcotic) analgesics. It works inside the brain to switch how your body feels and responds to pain.

How to make use of Tramadol HCL

Read the Medication Guide supplied by your pharmacist prior to starting taking tramadol and each time you get a refill. If you've any queries, ask your medical professional or pharmacist.

Take medicines by mouth as directed by your medical professional, usually every 3 to 4 hours when 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 medical professional or pharmacist about various ways to lower nausea (such as lying down for one to two hours with as little head movement as possible).

The dosage is founded on your problem and response to treatment. To lessen your chance of unwanted side effects, your medical professional may direct you to start this medication at the low dose and gradually enhance your dose. Follow a medical expert's instructions carefully. The maximum recommended dose is 400 milligrams per day. If you are much older than 75 years, the maximum recommended dose is 300 milligrams each day. Do not increase your dose, go ahead and take medication more frequently, or go for a longer time than prescribed. Properly stop the medication when so directed.

Pain medications work most effectively if they're used because the first indications of pain occur. If you hold back until the pain sensation has worsened, the medication might not exactly act as well.

If you've got ongoing pain (such as due to arthritis), a medical expert may direct you to definitely also take long-acting opioid medications. In that case, medicines might be employed for sudden (breakthrough) pain only if required. Other pain relievers (including acetaminophen, ibuprofen) are often prescribed. Ask your medical professional or pharmacist about using tramadol safely with other drugs.

This medication could cause withdrawal reactions, especially if many experts have used regularly for years 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, a medical expert may lower your dose gradually. Consult a medical expert or pharmacist for additional information, and report any withdrawal reactions right away.

When this drugs are used by a long time, it may not work as well. Talk with your medical professional if prescription drugs fights well.

Though it will help many individuals, medicines may sometimes cause addiction. This risk could possibly be higher if you've got an ingredient use disorder (such as overuse of or dependence on drugs/alcohol). Take this medication exactly as prescribed to reduce the chance of addiction. Ask your medical professional or pharmacist for more information.

Tell a medical expert 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 unwanted effects may decrease after you've got been using prescription drugs for a while. If some of these effects persist or worsen, tell your medical professional or pharmacist promptly.

To prevent constipation, eat soluble fiber, drink enough water, and workout. Consult your pharmacist for aid in picking out a laxative (for example a stimulant type with stool softener).

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

Remember that your doctor has prescribed prescription drugs as he or she gets judged the profit to you is greater than the risk of unwanted effects. Many people using medicines will not have serious unwanted effects.

Tell a medical expert immediately if you've any serious negative effects, including: mental/mood changes (like agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, warning signs of your adrenal glands no longer working well (including decrease of appetite, unusual tiredness, fat loss).

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

This medication may increase serotonin and rarely create a very 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 so-called drugs you are taking (see Drug Interactions section). Get medical help without delay should you develop a few 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 to a strong opioid drug within you. In some people, this modification happens faster plus more completely than usual, which boosts the likelihood of serious unwanted side effects. Get medical help without delay in the event you notice any of these: slow/shallow breathing, severe drowsiness/difficulty awakening, confusion.

A very serious hypersensitivity to the drug is rare. However, get medical help straight away should you notice any of these symptoms: rash, itching/swelling (especially from the face/tongue/throat), severe dizziness, trouble breathing.

This isn't a complete report on possible side effects. If you notice other effects unlisted above, contact your medical professional or pharmacist.

In the US -

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

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


Before taking tramadol, tell your doctor or pharmacist in case you are allergic for it; or if you might have any other allergies. This product could have inactive ingredients, which can cause allergic reactions or another problems. Talk to your pharmacist for additional information.

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

This drug will make you dizzy or drowsy. Alcohol or marijuana could make you more dizzy or drowsy. Do not drive, use machinery, or do anything that requires alertness unless you are able to do it safely. Avoid alcoholic beverages. Talk to a medical expert should you are using marijuana.

Tramadol may cause a disorder that affects one's heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and also other symptoms (for example severe dizziness, fainting) that need medical help straight away.

The risk of QT prolongation could be increased if you've certain health conditions or consider other drugs that could cause QT prolongation. Before using tramadol, tell your doctor or pharmacist of all of the drugs you take and when you've got any of the following conditions: certain cardiovascular disease (heart failure, slow heartbeat, QT prolongation in the EKG), genealogy of certain heart problems (QT prolongation in the EKG, sudden cardiac death).

Low degrees of potassium or magnesium in the blood may also improve your probability of QT prolongation. This risk may increase should you use certain drugs (like diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. Talk to your medical professional about using tramadol safely.

Before having surgery, tell your physician or dentist about all of the products you have (including prescription medications, nonprescription drugs, and herbal products).

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

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

During pregnancy, medicines ought to be used only when clearly needed. It may harm an child. Discuss the potential risks and benefits with your medical professional. (See also Warning section.)

This medication passes into breast milk and could have undesirable effects with a nursing infant, for example unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while employing this drug isn't recommended. Consult your physician before breast-feeding.

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