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(TRAM a dol) Brand Names: Ultram, Ultram ER,
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What is the most important information I should know about Tramadol?
You should not take tramadol if you have ever been addicted
to drugs or alcohol. Take tramadol exactly as it was prescribed
for you. Do not take it in larger doses or for longer than recommended
by your doctor. Do not take more than 300 milligrams of tramadol
in one day. Do not stop using this medication suddenly without
talking to your doctor. You may need to gradually reduce the
dose. Withdrawal symptoms may occur when you stop using tramadol.
Withdrawal symptoms include anxiety, sweating, nausea, diarrhea,
tremors, chills, hallucinations, trouble sleeping, or breathing
problems. Call your doctor at once if you have any of these
withdrawal symptoms after you stop using tramadol. Do not crush
the tramadol tablet. This medicine is for oral (by mouth) use
only. Powder from a crushed tablet should not be inhaled or
diluted with liquid and injected into the body. Using this medicine
by inhlation or injection can cause life-threatening side effects,
overdose, or death. Seizures (convulsions) have occurred in
some people taking tramadol. You may be more likely to have
a seizure while taking tramadol if you have a history of seizures
or head injury, a metabolic disorder, or if you are taking certain
medicines such as antidepressants, muscle relaxers, or medicine
for nausea and vomiting. Seek emergency medical attention if
you think you have used too much of this medicine. A tramadol
overdose can be fatal. Symptoms of a tramadol overdose may include
drowsiness, shallow breathing, slow heartbeat, extreme weakness,
cold or clammy skin, feeling light-headed, fainting, or coma.
While you are taking tramadol, do not drink alcohol or use drugs
that make you sleepy (such as cold medicine, other pain medications,
muscle relaxants, and medicine for seizures, depression or anxiety).
These drugs may slow your breathing or increase drowsiness when
used together with tramadol. Tramadol can cause side effects
that may impair your thinking or reactions. Be careful if you
drive or do anything that requires you to be awake and alert.
What is Tramadol?
Tramadol is a narcotic-like pain reliever. Tramadol is used
to treat moderate to severe pain. Tramadol extended-release
is used to treat moderate to severe chronic pain when treatment
is needed around the clock. Tramadol may also be used for purposes
other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking Tramadol?
You should not take tramadol if you have ever been addicted to drugs or alcohol. Do not take tramadol if you are intoxicated (drunk), or if you have recently used any of the following drugs:
*
alcohol;
*
narcotic pain medicine;
*
sedatives or tranquilizers (such as Valium);
*
medicine for depression or anxiety;
*
medicine for mental illness (such as bipolar disorder, schizophrenia); or
*
street drugs.
Seizures have occurred in some people taking tramadol. Your risk of a seizure may be higher if you have any of these conditions:
*
a history of drug or alcohol addiction;
*
a history of epilepsy or other seizure disorder;
*
a history of head injury; or
*
a metabolic disorder.
Talk with your doctor about your individual risk of having a seizure from this medicine.
Before taking tramadol, tell your doctor if you are allergic to any drugs, or if you have:
*
kidney disease;
*
liver disease;
*
a stomach disorder; or
*
a history of depression, mental illness, or suicide attempt.
If you have any of these conditions, you may not be able to use tramadol, or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category C. This medication may be harmful to an unborn baby. Tramadol may also cause serious or fatal side effects in a newborn if the mother uses the medication during pregnancy or labor. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Tramadol can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Older adults may be more sensitive to the effects of tramadol. If you are over 65, your doctor may recommend a lower dose. Tramadol should not be given to a child younger than 16 years of age.
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How should I take Tramadol?
Take tramadol exactly as it was prescribed for you. Do not
take it in larger doses or for longer than recommended by your
doctor. Follow the directions on your prescription label. Do
not take more than 300 milligrams of tramadol in one day. Take
each dose with a full glass of water. Tramadol can be taken
with or without food, but take it the same way each time. Do
not crush the tramadol tablet. This medicine is for oral (by
mouth) use only. Powder from a crushed tablet should not be
inhaled or diluted with liquid and injected into the body. Using
this medicine by inhlation or injection can cause life-threatening
side effects, overdose, or death. Do not crush, chew, or break
an extended-release tablet. Swallow the pill whole. It is specially
made to release medicine slowly in the body. Breaking the pill
would cause too much of the drug to be released at one time.
If you use the tramadol extended-release tablet, the tablet
shell may pass into your stools (bowel movements). This is normal
and does not mean that you are not receiving enough of the medicine.
Tramadol may be habit-forming. Tell your doctor if you feel
the medicine is not working as well in relieving your pain.
Do not change your dose without talking to your doctor. Do not
stop using this medication suddenly without talking to your
doctor. You may need to gradually reduce the dose. Withdrawal
symptoms may occur when you stop using tramadol. Withdrawal
symptoms include anxiety, sweating, nausea, diarrhea, tremors,
chills, hallucinations, trouble sleeping, or breathing problems.
Call your doctor at once if you have any of these withdrawal
symptoms after you stop using tramadol. Store tramadol at room
temperature away from moisture and heat.
What happens if I miss a dose of Tramadol?
Take the missed dose as soon as you remember. If it is almost
time for your next dose, skip the missed dose and take the medicine
at the next regularly scheduled time. Do not take extra medicine
to make up the missed dose.
What happens if I overdose with Tramadol?
Seek emergency medical attention if you think you have used
too much of this medicine. A tramadol overdose can be fatal.
Symptoms of a tramadol overdose may include drowsiness, shallow
breathing, slow heartbeat, extreme weakness, cold or clammy
skin, feeling light-headed, fainting, or coma.
What should I avoid while taking Tramadol?
Do not drink alcohol while you are taking tramadol. Alcohol may cause a dangerous decrease in your breathing when used together with tramadol.
Avoid using drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety). These drugs may slow your breathing or increase drowsiness when used together with tramadol.
Tramadol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.
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