See also Warning section.
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This drugs are employed to help relieve moderate to moderately severe pain. Tramadol resembles 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 furnished by your pharmacist before starting taking tramadol and each time you receive a refill. If you've any queries, ask a medical expert or pharmacist.
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Take this medication by mouth as directed by a medical expert, usually every 4 to 6 hours as needed to decrease your pain. You may take this drug with or without food. If you might have nausea, it may help to take this drug with food. Ask your medical professional or pharmacist about other ways to lower nausea (like laying for one to two hours with as little head movement as you can).
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The dosage is founded on your problem and reaction to treatment. To reduce your likelihood of unwanted side effects, your doctor may direct you to start prescription drugs with a low dose and gradually raise your dose. Follow your physician's instructions carefully. The maximum recommended dose is 400 milligrams daily. If you are more than 75 years, the absolute maximum recommended dose is 300 milligrams per day. Do not enhance your dose, go ahead and take medication with greater regularity, or take it a bit longer than prescribed. Properly stop the medication when so directed.
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Pain medications perform most optimally if they're used because first signs and symptoms of pain occur. If you delay until the pain has worsened, the medication may well not act as well.
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If you have ongoing pain (like because of arthritis), your doctor may direct you to also take long-acting opioid medications. In that case, medicines may be used by sudden (breakthrough) pain only when needed. Other pain relievers (such as acetaminophen, ibuprofen) are often prescribed. Ask your doctor or pharmacist about using tramadol safely along with other drugs.
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This medication could potentially cause withdrawal reactions, especially if it is often used regularly for some time or in high doses. In such cases, withdrawal symptoms (for example restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur should you suddenly stop using medicines. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Consult a medical expert or pharmacist for more details, and report any withdrawal reactions without delay.
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When this medicine is useful for a long time, it may well not work as well. Talk with your medical professional if medicines fails well.
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Though it can help a lot of people, medicines may sometimes cause addiction. This risk may be higher if you have a substance use disorder (for example overuse of or addiction to drugs/alcohol). Take this medication just as prescribed to reduce the chance of addiction. Ask your medical professional or pharmacist for more information.
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Tell your medical professional should your pain persists or worsens.
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Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Some of these unwanted effects may decrease after you might have been using this medication for a while. If any of these effects persist or worsen, tell your medical professional or pharmacist promptly.
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To prevent constipation, eat fiber, drink enough water, and use. Consult your pharmacist for help in choosing the laxative (like a stimulant type with stool softener).
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To lessen the likelihood of dizziness and lightheadedness, get out of bed slowly when rising from the sitting or lying position.
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Remember that your doctor has prescribed this medication as he or she gets judged how the advantage of you is more than the risk of unwanted side effects. Many people using this medication don't have serious unwanted effects.
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Tell your medical professional immediately if you've got any serious negative effects, including: mental/mood changes (such as agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, indications of your adrenal glands not working well (for example loss in appetite, unusual tiredness, weight reduction).
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Get medical help straight away if you might have any very serious negative effects, including: fast/irregular heartbeat, severe dizziness, fainting, seizure.
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This medication may increase serotonin and rarely spark 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 the so-called drugs you are taking (see Drug Interactions section). Get medical help straight 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 right into a strong opioid drug inside you. In some people, this transformation happens faster and more completely than usual, which boosts the probability of serious unwanted side effects. Get medical help immediately in case you notice any of these: slow/shallow breathing, severe drowsiness/difficulty awakening, confusion.
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A grave allergic attack to this particular drug is rare. However, get medical help without delay in the event you notice the following symptoms: rash, itching/swelling (especially in the face/tongue/throat), severe dizziness, trouble breathing.
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This is just not a complete set of possible side effects. If you notice other effects unlisted above, contact your doctor or pharmacist.
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Call your medical professional for medical 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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In Canada - Call your physician for health advice about 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 doctor or pharmacist if you are allergic for it; or if you've any other allergies. This product may contain inactive ingredients, which can cause allergies or other problems. Talk to the pharmacist for more information.
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Before using this medication, tell your medical professional or pharmacist your track record, especially of: brain disorders (for example head injury, tumor, seizures), breathing problems (such as asthma, snore, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (like confusion, depression, suicidal thoughts), personal or ancestors and family history of a substance use disorder (such as overuse of or dependence on drugs/alcohol), stomach/intestinal problems (like blockage, constipation, diarrhea because of infection, paralytic ileus), difficulty urinating (like due to 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 can make you more dizzy or drowsy. Do not drive, use machinery, or a single thing that really needs alertness before you are able to do it safely. Avoid booze. Talk to your medical professional should you are using marijuana.
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Tramadol could cause a disorder that affects the center rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat along with other symptoms (for example severe dizziness, fainting) that need medical help without delay.
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The likelihood of QT prolongation might be increased if you've got certain medical ailments or consider other drugs that might cause QT prolongation. Before using tramadol, tell your medical professional or pharmacist of all of the drugs you take and if you've got these things conditions: certain heart disease (heart failure, slow heartbeat, QT prolongation inside the EKG), genealogy of certain cardiovascular disease (QT prolongation inside the EKG, sudden cardiac death).
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Low levels of potassium or magnesium within the blood may also increase your risk of QT prolongation. This risk may increase if you use certain drugs (for example diuretics/"water pills") or if you might have conditions for example severe sweating, diarrhea, or vomiting. Talk to a medical expert about using tramadol safely.
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Before having surgery, tell a medical expert or dentist about all of the products you use (including prescription medications, nonprescription drugs, and herbal products).
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Some children could be more understanding of grave side effects of tramadol, like extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)
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Older adults could be more responsive 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 developing fetus. Discuss the risks and benefits with your medical professional. (See also Warning section.)
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This medication passes into breast milk and may have undesirable effects with a nursing infant, such as 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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