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See also Warning section.

This drugs are utilized to help relieve moderate to moderately severe pain. Tramadol is comparable to opioid (narcotic) analgesics. It works within the brain to alter how your body feels and responds to pain.

How to utilize Tramadol HCL

Read the Medication Guide given by your friendly phamacist before starting taking tramadol each time you get a refill. If you might have questions, ask your physician or pharmacist.

Take medicines by mouth as directed by a medical expert, usually every four to six hours if required for pain relief. You may take this drug with or without food. If you've nausea, it may well help to take this drug with food. Ask your physician or pharmacist about different ways to decrease nausea (like lying down for one to two hours with only a small amount head movement as possible).

The dosage is dependant on your problem and reply to treatment. To lessen your likelihood of negative effects, your physician may direct one to start prescription drugs at the low dose and gradually raise 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 absolute maximum recommended dose is 300 milligrams daily. Do not increase your dose, make medication with greater frequency, or go much more time than prescribed. Properly stop the medication when so directed.

Pain medications work most effectively if they are used as the first signs and symptoms of pain occur. If you hold off until the pain sensation has worsened, the medication may not act as well.

If you've ongoing pain (for example due to arthritis), a medical expert may direct one to also take long-acting opioid medications. In that case, medicines may be employed for sudden (breakthrough) pain only as needed. Other anesthetics (such as acetaminophen, ibuprofen) can be prescribed. Ask your medical professional or pharmacist about using tramadol safely to drugs.

This medication could cause withdrawal reactions, particularly when it has been used regularly for a long time or even in high doses. In such cases, withdrawal symptoms (including restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur in the event you suddenly stop using medicines. To prevent withdrawal reactions, your physician may lessen your dose gradually. Consult your physician or pharmacist for more information, and report any withdrawal reactions straight away.

When this drugs are employed for a long time, it might not be well. Talk with your doctor if this medication reduces well.

Though it will help lots of people, prescription drugs may sometimes cause addiction. This risk could possibly be higher if you've a substance use disorder (for example overuse of or being hooked on drugs/alcohol). Take prescription drugs exactly as prescribed to lessen the probability of addiction. Ask your doctor or pharmacist for more information.

Tell your medical professional if the 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've got been using medicines for some time. If some of these effects persist or worsen, tell a medical expert or pharmacist promptly.

To prevent constipation, eat dietary fiber, drink enough water, and use. Consult your friendly phamacist for assist in choosing the laxative (including a stimulant type with stool softener).

To reduce the probability of dizziness and lightheadedness, get out of bed slowly when rising from a sitting or lying position.

Remember that your physician has prescribed medicines as they or she gets judged that this help to you is higher than the chance of side effects. Many people using prescription drugs would not have serious side effects.

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

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

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

Tramadol is changed in a strong opioid drug within you. In some people, this variation happens faster plus more completely than usual, which increases the risk of very serious unwanted side effects. Get medical help right away if you notice the following: slow/shallow breathing, severe drowsiness/difficulty awakening, confusion.

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

This just isn't a complete set of possible side effects. If you notice other effects unlisted above, contact your physician or pharmacist.

In the US -

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

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


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

Before using this medication, tell a medical expert or pharmacist your health background, especially of: brain disorders (like head injury, tumor, seizures), breathing problems (like asthma, stop snoring, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (including confusion, depression, suicidal thoughts), personal or genealogy and family history of an ingredient use disorder (such as overuse of or being hooked on drugs/alcohol), stomach/intestinal problems (such as blockage, constipation, diarrhea on account of infection, paralytic ileus), difficulty urinating (for example because of enlarged prostate), gallbladder disease, disease with the pancreas (pancreatitis), obesity.

This drug may 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 needs alertness before you can do it safely. Avoid alcoholic beverages. Talk to a medical expert should you are using marijuana.

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

The likelihood of QT prolongation might be increased if you've got certain health conditions or consider other drugs that could potentially cause QT prolongation. Before using tramadol, tell your physician or pharmacist of all the drugs you take of course, if you have any of the following conditions: certain heart disease (heart failure, slow heartbeat, QT prolongation within the EKG), ancestors and family history of certain heart related illnesses (QT prolongation in the EKG, sudden cardiac death).

Low numbers of potassium or magnesium within the blood may also raise your probability of QT prolongation. This risk may increase in case you use certain drugs (such as diuretics/"water pills") or if you might have conditions including severe sweating, diarrhea, or vomiting. Talk to your physician about using tramadol safely.

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

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

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

During pregnancy, this medication ought to be used only if clearly needed. It may harm an child. Discuss the risks and benefits with your physician. (See also Warning section.)

This medication passes into breast milk and might have undesirable effects with a nursing infant, like unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while using this drug is just not recommended. Consult your medical professional before breast-feeding.

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