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See also Warning section.

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This medicine is accustomed to help relieve moderate to moderately severe pain. Tramadol is comparable to opioid (narcotic) analgesics. It works within 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 and each time you receive a refill. If you might have questions, ask your doctor or pharmacist.

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Take medicines by mouth as directed by a medical expert, usually every 3 to 4 hours if required for pain relief. You may take this drug with or without food. If you've nausea, it might help to take this drug with food. Ask your medical professional or pharmacist about different ways to reduce nausea (including laying for 1 to 2 hours with only a small amount head movement as is possible).

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The dosage will depend on your problem and a reaction to treatment. To lessen your chance of side effects, your medical professional may direct one to start this medication in a low dose and gradually increase your dose. Follow your medical professional's instructions carefully. The maximum recommended dose is 400 milligrams per day. If you are more than 75 years, the most recommended dose is 300 milligrams each day. Do not raise your dose, consider the medication with greater regularity, or take it for a longer period than prescribed. Properly stop the medication when so directed.

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Pain medications work most effectively should they be used because the first signs and symptoms of pain occur. If you hold back until this has worsened, the medication may not act as well.

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If you've ongoing pain (such as on account of arthritis), a medical expert may direct you to definitely also take long-acting opioid medications. In that case, this medication could be used by sudden (breakthrough) pain only as needed. Other anesthetics (including acetaminophen, ibuprofen) may also be prescribed. Ask your doctor or pharmacist about using tramadol safely with drugs.

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This medication could potentially cause withdrawal reactions, especially if many experts have used regularly for a long time or perhaps high doses. In such cases, withdrawal symptoms (including restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur if you suddenly stop using medicines. To prevent withdrawal reactions, a medical expert may lessen your dose gradually. Consult your medical professional or pharmacist for more information, and report any withdrawal reactions immediately.

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When this medication is useful for a long time, it may not work as well. Talk with your doctor if medicines stops working well.

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Though it can help many people, this medication may sometimes cause addiction. This risk could possibly be higher if you might have an ingredient use disorder (such as overuse of or being hooked on drugs/alcohol). Take prescription drugs the same manner prescribed to lower the probability of addiction. Ask your physician or pharmacist for additional information.

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Tell a medical expert if your pain persists or worsens.

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Side Effects

See also Warning section.

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Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Some of these unwanted effects may decrease after you've been using prescription drugs for some time. If these effects persist or worsen, tell a medical expert or pharmacist promptly.

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To prevent constipation, eat dietary fiber, drink enough water, and exercise. Consult your pharmacist for aid in deciding on a laxative (including a stimulant type with stool softener).

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To lessen the risk of dizziness and lightheadedness, stand up slowly when rising from the sitting or lying position.

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Remember that your medical professional has prescribed this medication because he or she gets judged that this profit to you is greater than the chance of unwanted effects. Many people using this medication will not have serious side effects.

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Tell your medical professional straight away if you've any serious negative effects, including: mental/mood changes (such as agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, signs and symptoms of your adrenal glands no longer working well (including lack of appetite, unusual tiredness, weight loss).

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

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This medication may increase serotonin and rarely create a very serious 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're taking (see Drug Interactions section). Get medical help right away in the event you develop a few 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 to a strong opioid drug in your body. In some people, this transformation happens faster plus much more completely than usual, which boosts the chance of grave side effects. Get medical help without delay if you notice any of these: slow/shallow breathing, severe drowsiness/difficulty getting up, confusion.

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A serious hypersensitive reaction for this drug is rare. However, get medical help without delay in the event you notice these things symptoms: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

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

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

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

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Before using prescription drugs, tell your medical professional or pharmacist your medical history, especially of: brain disorders (like head injury, tumor, seizures), breathing problems (like asthma, sleep apnea, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (including confusion, depression, suicidal thoughts), personal or family history of a substance use disorder (including overuse of or being hooked on drugs/alcohol), stomach/intestinal problems (such as blockage, constipation, diarrhea because of infection, paralytic ileus), difficulty urinating (such as because 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 unless you can perform it safely. Avoid alcohol consumption. Talk to your doctor should you are using marijuana.

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Tramadol could potentially cause a condition that affects the guts rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and also other symptoms (including severe dizziness, fainting) that need medical attention straight 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 the drugs you take of course, if you've any of these conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation within the EKG), family history of certain heart related illnesses (QT prolongation within the EKG, sudden cardiac death).

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Low numbers of potassium or magnesium within the blood may also increase your chance of QT prolongation. This risk may increase if you use certain drugs (for example diuretics/"water pills") or if you might 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 your doctor or dentist about all the products you have (including prescription drugs, nonprescription drugs, and herbal products).

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Some children could be more responsive to grave unwanted effects of tramadol, like extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)

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

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During pregnancy, medicines ought to be used only once 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 may have undesirable effects on the nursing infant, for example unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while by using this drug is just not recommended. Consult your doctor before breast-feeding.

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