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Drug Uses

Tramadol is used to relieve moderate to moderately severe pain. It also may be used
to treat pain caused by surgery and chronic conditions such as cancer or joint pain.
Tramadol works by decreasing the brain's perception and response to pain. It also
reduces the size or magnitude of the pain signal passed from one nerve to another.
This medication is sometimes prescribed for other uses; ask your doctor or
pharmacist for more information.

How Taken

Tramadol comes as a tablet to take it orally. It usually is taken every 4-6 hours as
needed. It may be taken with or without food. Follow the directions on your
prescription label carefully, and ask your doctor or pharmacist to explain any part
you do not understand. Take Tramadol exactly as directed. Tramadol can be
habit-forming. Do not take a larger dose take it more often, or for a longer period
than your doctor tells you to.

Warnings/Precautions

Before taking Tramadol, tell your doctor if you have kidney disease; liver disease;
or a history of alcohol or drug dependence. You may not be able to take Tramadol, or
you may require a dosage adjustment or special monitoring during treatment if you
have any of the conditions listed above. Tramadol is in the FDA pregnancy category
C. This means that it is not known whether it will be harmful to an unborn baby. Do
not take this medication without first talking to your doctor if you are pregnant.
It is also not known whether Tramadol passes into breast milk. Do not take Tramadol
without first talking to your doctor if you are breast-feeding a baby. If you are
over 75 years of age, you may be more likely to experience side effects from
Tramadol. The maximum daily dose of Tramadol for people over 75 years of age is 300
mg. Tramadol is not approved by the FDA for use by children younger than 16 years of
age.

Missed Dose

Take the missed dose as soon as you remember it. However, if it is almost time for
the next dose, skip the missed dose and continue your regular dosing schedule. Do
not take a double dose to make up for a missed one.

Possible Side Effects

Although side effects from Tramadol are not common, they can occur. The most
frequently reported events were in the central nervous system (Migraine, Speech
disorders) and gastrointestinal system (Gastrointestinal bleeding, Hepatitis,
Stomatitis, Liver failure). Tell your doctor if any of these symptoms are severe or
do not go away: dizziness, headache, drowsiness, blurred vision, upset stomach,
vomiting, and diarrhea. If you experience any of the following symptoms, call your
doctor immediately: fast heartbeat, redness, swelling, and itching of the face,
numbness or tingling of the hands and feet, difficulty breathing, changes in
urination, seizures.

Storage

Dispense in a tight container. Store at 25°C (77°F); excursions permitted to 15 -
30°C (59 - 86°F).

Overdose

Seek emergency medical attention. Symptoms of a Tramadol overdose include difficulty
breathing; shallow, weak breathing; and seizures.

More Information

Do not drink alcohol while taking Tramadol. Alcohol may cause a dangerous decrease
in breathing and/ or liver problems when used during treatment with Tramadol. Use
caution when driving, operating machinery, or performing other hazardous activities.
Tramadol may cause dizziness or drowsiness. If you experience dizziness or
drowsiness, avoid these activities. Avoid sleeping pills, tranquilizers, sedatives,
and antihistamines except under the supervision of your doctor. These drugs may
increase drowsiness caused by Tramadol.

Disclaimer

This drug information is for your information purposes only, it is not intended that
this information covers all uses, directions, drug interactions, precautions, or
adverse effects of your medication. This is only general information, and should not
be relied on for any purpose. It should not be construed as containing specific
instructions for any particular patient. We disclaim all responsibility for the
accuracy and reliability of this information, and/or any consequences arising from
the use of this information, including damage or adverse consequences to persons or
property, however such damages or consequences arise. No warranty, either expressed
or implied, is made in regards to this information.
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