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This medication is used to help relieve moderate to moderately severe pain. Tramadol is similar to narcotic analgesics. It really works in mental performance to alter exactly how the human body feels and responds to discomfort.

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Take this medication by mouth as directed by the doctor, usually every 3 to 4 hours as needed for pain alleviation. You may take this drug with or without food. It may help to take this drug with food if you have nausea. Ask your doctor or pharmacist about different ways to decrease nausea (such as lying down for 1 to 2 hours with as little head motion as possible).

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The dosage is dependant on your condition that is medical and to treatment. To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and slowly boost your dosage. Follow your medical professional's instructions carefully. The optimum recommended dose is 400 milligrams each day. If you are older than 75 years, the maximum recommended dose is 300 milligrams per day. Do not increase your dose, take the medicine with greater regularity, and take it for a significantly longer time than recommended. Correctly stop the medication whenever so directed.

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Pain medications work well if they are used as the first signs of pain occur. If you wait before the discomfort has worsened, the medication may not work as well.

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If you have ongoing pain (such as due to arthritis), your doctor may direct you to also take long-acting narcotic medications. Other non-narcotic pain relievers (such as acetaminophen, ibuprofen) may also be prescribed with this medication. Ask your doctor or pharmacist in the event that you have any relevant questions about using tramadol properly with other medications.

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This medication may cause withdrawal reactions, especially if it has been used regularly for a time that is long in high doses. In such cases, withdrawal symptoms (such as restlessness, watering eyes, runny nose, nausea, sweating, muscle aches) may occur if you suddenly stop using this medication. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Consult your doctor or pharmacist for more information, and report any withdrawal reactions right away.

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When this medication can be used for a long time, it may not work too. Talk with your doctor if this medication prevents working well.

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This medication may rarely cause abnormal drug-seeking behavior (addiction) along with its benefits. This risk might be increased when you have abused alcohol or drugs in the past. Take this medicine exactly as prescribed to reduce the risk of addiction.

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Inform your medical professional if your pain persists or worsens.

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Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or headache might occur. Some of these effects that are side decrease after you've got been using this medication for a while. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

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To stop constipation, eat a diet adequate in dietary fiber, drink plenty of water, and exercise. Ask your pharmacist for help in selecting a laxative (such as for example a stimulant type with stool softener).

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To cut back the possibility of dizziness and lightheadedness, get up slowly whenever rising from a sitting or lying position.

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Remember that your particular doctor has recommended this medication she has judged that the benefit to you is greater than the risk of adverse effects because he or. Many people using this medication do not have serious side effects.

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Tell your medical practitioner straight away if any of these unlikely but serious adverse effects occur: mental/mood changes (such as for example agitation, confusion, hallucinations), severe stomach/abdominal discomfort, difficulty urinating.

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Get medical help right away if any of these unusual but serious side effects occur: fainting, seizure, slow/shallow breathing, unusual drowsiness/difficulty waking up.

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This medication may increase serotonin and hardly ever cause a tremendously serious condition called serotonin syndrome/toxicity. The risk increases if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs you take (see Drug Interactions section). Get medical help right away if you develop a number of the following symptoms: fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained temperature, unusual agitation/restlessness.

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a really severe reaction that is allergic this drug is rare. However, get help that is medical away if you notice any of the following signs: rash, itching/swelling (especially of this face/tongue/throat), severe dizziness, trouble respiration.

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

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Call your doctor for medical advice about negative effects. You'll report effects that are side FDA at 1-800-FDA-1088 or at

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

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Before taking tramadol, inform your medical professional or pharmacist if you have any other allergies if you are allergic to it; or. This product may contain ingredients that are inactive which can cause allergic reactions or other problems. Talk to your pharmacist to get more details.

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Before applying this medicine, inform your doctor or pharmacist your medical history, especially of: brain disorders (such as for instance head injury, cyst, seizures), respiration issues (such as for instance asthma, sleep apnea, chronic pulmonary that is obstructive, renal disease, liver condition, mental/mood disorders (such as confusion, despair, suicidal thoughts), personal or genealogy and family history of regular use/abuse of drugs/alcohol, stomach/intestinal problems (such as for example obstruction, constipation, diarrhea due to illness, paralytic ileus), difficulty urinating (such as for example due to enlarged prostate), gallbladder disease, condition of the pancreas (pancreatitis).

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This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness you can perform such activities safely until you are sure. Avoid alcoholic beverages.

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

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Older adults may be much more responsive to the medial side effects of this drug, especially confusion, dizziness, drowsiness, and breathing that is slow/shallow.

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Before using this medication, women of childbearing age should consult with their doctor(s) about the risks and benefits. Tell your doctor if you plan to become pregnant if you are pregnant or. During pregnancy, this medication should be used only when demonstrably needed. It might slightly increase the risk of birth defects if used during the first two months of pregnancy. Also, using it for a long time or in high doses near the expected delivery date may harm the baby that is unborn. To reduce the danger, just take the tiniest effective dose for the shortest time that is possible. Tell the doctor right away if you notice any symptoms in your baby that is newborn such slow/shallow breathing, irritability, abnormal/persistent crying, vomiting, or diarrhea.

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This medication passes into breast milk and could rarely have effects that are undesirable a nursing infant. Tell the doctor right away if your baby develops unusual sleepiness, difficulty feeding, or trouble breathing. Consult your doctor before breast-feeding.

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