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Brand name:Tramadol, Ultram

Generic name: Tramadol hydrochloride

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Why is Tramadol prescribed?

Tramadol is a centrally acting analgesic with opioid-like effects. It relieves pain by acting on the specific nerve endings of the spinal cord and brain. These nerve endings diminish the severity of the pain you feel, a natural function that is increased with the administration of Tramadol. Tramadol is indicated for the treatment of moderate to severe pain.

Most important fact about Tramadol

You should not drive a car, operate machinery, or perform any other potentially hazardous activities until you know how Tramadol affects you.

How should you take Tramadol?

It's important to take Tramadol exactly as prescribed. Do not increase the dosage or length of time you take Tramadol without your doctor's approval.

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If you miss a dose of Tramadol

Take Tramadol as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Never take 2 doses at once.

Storage information for Tramadol

Store in a tightly closed container at room temperature.

 

What side effects when taking Tramadol may occur?

Side effects of Tramadol cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Tramadol.

More common side effects when taking Tramadol may include:

Agitation, anxiety, bloating and gas, constipation, convulsive movements, diarrhea, dizziness, drowsiness, dry mouth, feeling of elation, hallucinations, headache, indigestion, itching, nausea, nervousness, sweating, tremor, vomiting, weakness.

Less common side effects when taking Tramadol may include:

Abdominal pain, confusion, coordination problems, feeling of illness, flushing, frequent urination, inability to urinate, loss of appetite, menopausal symptoms, rash, sleeping problems, visual problems

 

Rare side effects when taking Tramadol may include:

Accidental injury, allergic reaction, altered taste, amnesia, coma, difficult or labored breathing, difficulty concentrating, dizziness or light-headedness upon standing, fainting, feeling of "pins and needles," fever, heightened reflexes, hives, menstrual problems, mental sluggishness or clouding, painful urination, rapid heartbeat, seizures, shivering, seizures, suicidal tendencies, weight loss.

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Why should Tramadol not be prescribed ?

Avoid Tramadol if it has ever given you an allergic reaction. Also avoid Tramadol after taking large doses of sleeping pills such as Halcion, Dalmane, and Restoril; narcotic pain relievers such as Demerol, morphine, Darvon, and Percocet; or psychotherapeutic drugs such as antidepressants and tranquilizers.

Special warnings about Tramadol

If you have stomach problems such as an ulcer, make sure your doctor is aware of them. Tramadol may hide the symptoms, making them difficult to diagnose and treat.

Tramadol can cause mental and physical addiction. If you've ever had a problem with narcotic painkillers such as Percocet, Demerol, or morphine, you should avoid Tramadol. Withdrawal symptoms may occur if you stop taking Tramadol abruptly. Such symptoms include anxiety, sweating, insomnia, pain, nausea, tremor, diarrhea, and respiratory problems.

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If you have liver or kidney disease, be sure your doctor knows about it. Your dosage of Tramadol may have to be reduced.

If you have any kind of breathing problem, use Tramadol with caution or take a different kind of painkiller. Tramadol can impair respiration, especially if taken with alcohol.

If you have experienced a head injury, consult your doctor before taking Tramadol. Tramadol´s effects may be stronger and could hide warning signs of serious trouble. You can buy tramadol in our webshop

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Possible food and drug interactions when taking Tramadol

Tramadol may increase the drowsiness caused by alcohol. Do not drink alcohol while taking Tramadol.

It is especially important to check with your doctor before combining Tramadol with the following:

Cyclobenzaprine (Flexeril)
Drugs known as MAO inhibitors, including the antidepressants Nardil and Parnate
Serotonin-boosting antidepressants such as Paxil, Prozac, and Zoloft
"Tricyclic" antidepressants such as Elavil, Norpramin, and Tofranil
Major tranquilizers such as Thorazine and Stelazine
Narcotic pain relievers (Demerol, morphine, Darvon, Percocet)
Promethazine (Mepergan, Phenergan)
Quinidine (Quinidex)
Sleeping pills (Halcion, Dalmane, Restoril)
Tranquilizers (Valium, Xanax)

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Special information if you are pregnant or breastfeeding

There have been reports of serious harm to developing babies when Tramadol was used during pregnancy. If you are pregnant or plan to become pregnant, tell your doctor immediately. Tramadol appears in breast milk and may affect a nursing infant. If Tramadol is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment is finished. Buy Tramadol in our webshop

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Recommended dosages for Tramadol

ADULTS

The usual starting dose of Tramadol for chronic pain is 25 milligrams once a day in the morning. The daily dosage is then increased every 3 days until it reaches 200 milligrams taken in four doses of 50 milligrams each. After the phase-in period, Tramadol may be taken in doses of 50 to 100 milligrams every 4 to 6 hours, depending on the severity of pain. If rapid pain relief is needed, the phase-in steps can be skipped, though side effects will be more likely. The maximum dosage under any circumstances is 400 milligrams a day (300 milligrams for those over age 75).

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CHILDREN

Safety and effectiveness of Tramadol in children under 16 years of age have not been established.

Overdosage with Tramadol

An overdose of Tramadol can be fatal. If you suspect an overdose of Tramadol , seek emergency medical treatment immediately.

Symptoms of Tramadol overdose include:

Difficult or slowed breathing, drowsiness, coma, seizures, cardiac arrest.

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