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See also Warning section.

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

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Read the Medication Guide given by your pharmacist before you begin taking tramadol and each time you have a refill. If you have questions, ask your medical professional or pharmacist.

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Take medicines by mouth as directed by your physician, usually every 4 to 6 hours when needed to decrease your pain. You may take this drug with or without food. If you've got nausea, it may assist to take this drug with food. Ask your doctor or pharmacist about alternative methods to decrease nausea (like laying for one to two hours with only a small amount head movement as is possible).

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The dosage is dependant on your medical problem and response to treatment. To lower your chance of unwanted effects, your medical professional may direct that you start medicines at the low dose and gradually enhance your dose. Follow your doctor's instructions carefully. The maximum recommended dose is 400 milligrams per day. If you are much older than 75 years, the absolute maximum recommended dose is 300 milligrams every day. Do not improve your dose, take the medication more often, or get it for a longer period than prescribed. Properly stop the medication when so directed.

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

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If you've got ongoing pain (such as due to arthritis), your physician may direct one to also take long-acting opioid medications. In that case, medicines might be used by sudden (breakthrough) pain only when needed. Other pain relievers (including acetaminophen, ibuprofen) can be prescribed. Ask your doctor or pharmacist about using tramadol safely to drugs.

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This medication might cause withdrawal reactions, in particular when it has been used regularly for some time or perhaps in high doses. In such cases, withdrawal symptoms (like restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur if you suddenly stop using medicines. To prevent withdrawal reactions, your physician may reduce your dose gradually. Consult a medical expert or pharmacist for more information, and report any withdrawal reactions straight away.

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When this medication is employed for a long time, it could not act as well. Talk with your physician if medicines fails well.

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Though it helps a lot of people, medicines may sometimes cause addiction. This risk could possibly be higher if you've a substance use disorder (including overuse of or addiction to drugs/alcohol). Take this medication the same manner prescribed to lessen the chance 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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Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache may occur. Some of these unwanted effects may decrease after you've been using this medication for a time. If all of these effects persist or worsen, tell your doctor or pharmacist promptly.

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To prevent constipation, eat fiber, drink enough water, and exercise. Consult your pharmacist for assist in selecting a laxative (such as a stimulant type with stool softener).

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

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Remember that your physician has prescribed this medication as he or she's got judged that the help to you is greater than the risk of negative effects. Many people using this medication don't have serious unwanted effects.

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Tell your physician straight away if you have any serious unwanted effects, including: mental/mood changes (such as agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, signs and symptoms of your adrenal glands not working well (such as loss of appetite, unusual tiredness, fat loss).

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

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This medication may increase serotonin and rarely result in a very serious condition called serotonin syndrome/toxicity. The risk increases if you are also taking other drugs that increase serotonin, so tell your physician or pharmacist of all of the drugs you are taking (see Drug Interactions section). Get medical help right away should you develop many of the following symptoms: fast heartbeat, hallucinations, loss 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 your body. In some people, this variation happens faster and more completely than usual, which increases the risk of very serious unwanted side effects. Get medical help straight away if you notice any of these: slow/shallow breathing, severe drowsiness/difficulty getting up, confusion.

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

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This isn't a complete list of possible unwanted side effects. If you notice other effects not listed above, contact your medical professional or pharmacist.

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

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

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Before taking tramadol, tell a medical expert or pharmacist in case you are allergic with it; or if you've got every other allergies. This product may contain inactive ingredients, which can cause allergic reactions or another problems. Talk to your pharmacist for more details.

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

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This drug could make you dizzy or drowsy. Alcohol or marijuana can make you more dizzy or drowsy. Do not drive, use machinery, or do anything whatsoever that requires alertness unless you are able to do it safely. Avoid alcohol consumption. Talk to a medical expert if you are using marijuana.

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Tramadol might cause a disorder that affects the guts 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 right away.

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The likelihood of QT prolongation could possibly be increased if you've got certain medical conditions or consider other drugs that may cause QT prolongation. Before using tramadol, tell your medical professional or pharmacist of all of the drugs you are taking of course, if you might have the following conditions: certain cardiovascular disease (heart failure, slow heartbeat, QT prolongation within the EKG), genealogy and family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).

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

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

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Some children might be more sensitive to grave side effects of tramadol, including extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)

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Older adults may 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, medicines should be used only once clearly needed. It may harm an child. Discuss the potential risks and benefits with your doctor. (See also Warning section.)

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This medication passes into breast milk and might have undesirable effects over a nursing infant, for example 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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