Tramadol: helpful modern medicine.

Tramadol: uses

Tramadol is used to relieve ongoing, moderate pain in people who need all-day pain relief ( " around clock " dosing ) . It's similar to narcotic pain medications. It works on certain nerves in the brain that control how we experience pain.

Tramadol: how to use

Take Tramadol by mouth, either always with food or always without food, usually once daily or as directed by your doctor. If nausea occurs, consult your doctor or pharmacist about ways to decrease it ( e. g. , antihistamines, lying down for 1 to 2 hours with as little head movement as possible ) .

Swallow Tramadol whole. Don't crush, chew, or split tablet. Doing so would release Tramadol into your bloodstream all at once, possibly causing serious ( sometimes fatal ) side effects.

The dosage is based on your medical condition and response to treatment. To reduce the risk of side effects, your doctor may tell you to gradually increase your dose when starting long-acting Tramadol. The maximum recommended dose is 300 milligrams a day.

If you have severe kidney disease ( e. g. , on dialysis ) or severe liver disease ( e. g. , cirrhosis ) , regular-release Tramadol is recommended instead of the long-acting form.

Pain medications work best if they are used as first signs of pain occur. If we wait until the pain has worsened, medication mayn't work as well.

Follow your doctor's or pharmacist's instructions for safe use of non-narcotic pain relievers ( e. g. , acetaminophen, ibuprofen ) . Ask your doctor or pharmacist for more details regarding your treatment.

Tramadol may cause dependence, especially if it has been used regularly for an extended time or if it has been used in high doses. In such cases, withdrawal reactions ( e. g. , anxiety, sweating, sleeplessness, shaking, diarrhea, rapid breathing ) may occur while use Tramadol if we suddenly stop Tramadol. Also, if we are taking regular doses of narcotic medications for ongoing pain ( e. g. , cancer pain ) , starting Tramadol may cause a withdrawal reaction. To prevent withdrawal reactions when stopping extended, regular treatment with Tramadol, gradually reduce dosage as directed. Consult your doctor or pharmacist for more details, and report any withdrawal reactions immediately.

Rarely, abnormal drug-seeking behavior ( addiction ) is possible with Tramadol. Do not increase your dose, take it more frequently, or use it for a longer time than prescribed. Properly stop medication when so directed.

When used for an extended period, Tramadol may not work as well and may require different dosing. Talk with your doctor if Tramadol stops working well.

Tell your doctor if your pain doesn't decrease or if it worsens.

Tramadol: side effects

Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, headache, or weakness may occur while use Tramadol. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

To prevent constipation, maintain a diet adequate in fiber, drink plenty of water, and exercise. If we are taking Tramadol regularly, it may be useful to start using a laxative right away instead of waiting until we become constipated. Consult your pharmacist for details regarding correct use of laxatives ( e. g. , stimulant-type with stool softener ) .

Remember that your doctor has prescribed Tramadol because he or she has judged that benefit to you is greater than risk of side effects. Many people using Tramadol don't have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

Tell your doctor immediately if any of these rare but very serious side effects occur:

A very serious allergic reaction to Tramadol ( which may occur while use Tramadol as early as the first dose ) is rare. However, seek immediate medical attention if you notice any of the following symptoms:

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

Tramadol: precautions

Before taking long-acting Tramadol, tell your doctor or pharmacist if we are allergic to it; or to other narcotics ( e. g. , codeine ) ; or if we have any other allergies.

Tramadol should not be used if we have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if we have:

Before using Tramadol, tell your doctor or pharmacist your medical history, especially of:

Tramadol may make we dizzy or drowsy. Use caution while driving, using machinery, or doing any activity that requires alertness. Avoid alcoholic beverages because they may increase the risk of Tramadol's side effects.

To reduce dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Before having surgery, tell your doctor or dentist that we are using Tramadol.

Caution is advised when using Tramadol in the elderly because they may be more sensitive to its effects, especially slow/shallow breathing and drowsiness.

During pregnancy, Tramadol should be used only when clearly needed. It's not recommended for use for long periods or in high doses late in pregnancy because of possible serious harm to your baby. Discuss risks and benefits with your doctor. Infants born to mothers who have been using Tramadol for an extended time may have seizures or withdrawal symptoms such as irritability, abnormal/persistent crying, or diarrhea. Tell your doctor immediately if you notice any of these symptoms in your newborn.

Tramadol passes into breast milk. While there have been no reports of harm to nursing infants, consult your doctor before breast-feeding.

Tramadol: interactions

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring we for them. Don't start, stop, or change the dosage of any medicine before checking with them first.

Tramadol shouldn't be used with following medications because very serious ( possibly fatal ) interactions may occur while use Tramadol:

Avoid taking MAO inhibitors within 2 weeks before, during, and after treatment with Tramadol.

If you're currently using any of these medications listed above, tell your doctor or pharmacist before starting Tramadol.

Before using Tramadol, tell your doctor or pharmacist of all prescription and nonprescription/herbal products we may use, especially of:

Also report the use of drugs that might increase seizure risk when combined with Tramadol such as isoniazid ( INH ) , phenothiazines ( e. g. , thioridazine, chlorpromazine, promethazine ) , theophylline, or tricyclic antidepressants ( e. g. , amitriptyline ) , among others. Consult your doctor or pharmacist for details.

Tell your doctor or pharmacist if we also take drugs that cause drowsiness such as certain antihistamines ( e. g. , diphenhydramine ) , anti-anxiety drugs ( e. g. , diazepam ) , anti-seizure drugs ( e. g. , phenytoin ) , medicine for sleep ( e. g. , zolpidem ) , muscle relaxants ( e. g. , cyclobenzaprine ) .

Check labels on all your medicines ( e. g. , cough-and-cold products ) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

This document doesn't contain all possible interactions. Therefore, before using Tramadol, tell your doctor or pharmacist of all products you use. Keep a list of all your medications with you, and share list with your doctor and pharmacist.

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