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See also Warning section.

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This medication is utilized to help relieve moderate to moderately severe pain. Tramadol resembles opioid (narcotic) analgesics. It works inside brain to improve how your body feels and responds to pain.

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Read the Medication Guide supplied by your friendly phamacist before you start taking tramadol and every time you recruit a refill. If you've got questions, ask your physician or pharmacist.

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Take prescription drugs by mouth as directed by your doctor, usually every 4 to 6 hours if required to decrease your pain. You may take this drug with or without food. If you might have nausea, it may help take this drug with food. Ask your physician or pharmacist about alternative methods to lower nausea (for example prone for 1 or 2 hours with as little head movement as you possibly can).

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The dosage will depend on your medical problem and a reaction to treatment. To decrease your probability of negative effects, your doctor may direct you to start medicines with a low dose and gradually enhance your dose. Follow your doctor's instructions carefully. The maximum recommended dose is 400 milligrams every day. If you are over the age of 75 years, the maximum recommended dose is 300 milligrams per day. Do not enhance your dose, make medication with greater frequency, or get it for a longer period than prescribed. Properly stop the medication when so directed.

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Pain medications perform best if they are used since the first indications of pain occur. If you hold back until the pain has worsened, the medication might not exactly act as well.

If you have ongoing pain (like as a result of arthritis), your physician may direct one to also take long-acting opioid medications. In that case, medicines may be used by sudden (breakthrough) pain only if required. Other pain-killer (including acetaminophen, ibuprofen) may also be 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 many experts have used regularly for years or in high doses. In such cases, withdrawal symptoms (including restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur should you suddenly stop using prescription drugs. To prevent withdrawal reactions, your medical professional may decrease your dose gradually. Consult your doctor or pharmacist for more details, and report any withdrawal reactions straight away.

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When this medication is used for a long time, it may not act as well. Talk with your doctor if this medication fights well.

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Though it will help many individuals, this medication may sometimes cause addiction. This risk could be higher if you've an element use disorder (including overuse of or addiction to drugs/alcohol). Take prescription drugs exactly as prescribed to reduce the probability of addiction. Ask your doctor or pharmacist for more details.

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Tell your doctor if the pain persists or worsens.

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Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Some of these unwanted side effects may decrease after you've got been using this medication for some time. If any of these effects persist or worsen, tell your physician or pharmacist promptly.

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

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

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Remember that a medical expert has prescribed medicines as he or she's judged that this benefit to you is more than the risk of unwanted side effects. Many people using this medication do not have serious unwanted effects.

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Tell your medical professional immediately if you might have any serious unwanted effects, including: mental/mood changes (such as agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, indications of your adrenal glands no longer working well (like loss of appetite, unusual tiredness, fat loss).

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

This medication may increase serotonin and rarely create a much more severe condition called serotonin syndrome/toxicity. The risk increases in case you are also taking other drugs that increase serotonin, so tell your physician or pharmacist of all of the drugs you adopt (see Drug Interactions section). Get medical help right away in case you develop many 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 into a strong opioid drug within you. In some people, this modification happens faster plus more completely than usual, which increases the probability of serious side effects. Get medical help immediately in the event you notice any of the following: slow/shallow breathing, severe drowsiness/difficulty awakening, confusion.

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A grave allergic attack to this drug is rare. However, get medical help right away in the event you notice any of the following symptoms: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

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This is not a complete list of possible unwanted side effects. If you notice other effects unpublished above, contact your physician or pharmacist.

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Before taking tramadol, tell your physician or pharmacist in the event you are allergic into it; or if you have any other allergies. This product could have inactive ingredients, that may cause allergy symptoms or any other problems. Talk to your friendly phamacist for more information.

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

This drug will make you dizzy or drowsy. Alcohol or marijuana will make you more dizzy or drowsy. Do not drive, use machinery, or a single thing that requires alertness until you can do it safely. Avoid alcohol based drinks. Talk to your medical professional if you are using marijuana.

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Tramadol could potentially cause a complaint that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and also other symptoms (for example severe dizziness, fainting) which need medical assistance straight away.

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The chance of QT prolongation could possibly be increased if you have certain medical conditions or take other drugs that might cause QT prolongation. Before using tramadol, tell your physician or pharmacist of all of the drugs you adopt of course, if you might have the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation within the EKG), family history of certain cardiovascular disease (QT prolongation inside the EKG, sudden cardiac death).

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Low amounts of potassium or magnesium inside the blood may also enhance your risk of QT prolongation. This risk may increase should you use certain drugs (including diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. Talk to your doctor about using tramadol safely.

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

Some children might be more understanding of serious unwanted side effects of tramadol, like extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)

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Older adults may be more sensitive 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, this medication must be used only if clearly needed. It may harm an unborn baby. Discuss the risks and benefits with your medical professional. (See also Warning section.)

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This medication passes into breast milk and could have undesirable effects on a nursing infant, like unusual sleepiness, difficulty feeding, or trouble breathing. Breast-feeding while applying this drug is just not recommended. Consult your doctor before breast-feeding.

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