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Know more about Tramadol(TRAM a dol)Ultram, Ultram ER
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 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 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.
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. 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?
• 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?
• 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.
What are the possible side effects of tramadol?
• Get emergency medical help if you have any of these signs of an
allergic reaction: hives; difficulty breathing; swelling of your face,
lips, tongue, or throat.
• Stop using tramadol and call your doctor at once if you have any
of these serious side effects:
· seizure (convulsions);
· a red, blistering, peeling skin rash; or
· shallow breathing, weak pulse.
• Continue taking tramadol and talk to your doctor if you have any
of these less serious side effects:
· dizziness, drowsiness, weakness;
· nausea, vomiting, constipation, loss of appetite;
· blurred vision;
· flushing (redness, warmth, or tingly feeling); or
· sleep problems (insomnia).
• Side effects other than those listed here may also occur. Talk
to your doctor about any side effect that seems unusual or that is especially
bothersome.
What other drugs will affect tramadol?
• You may be more likely to have a seizure (convulsions) if you
take tramadol while you are using certain other medicines. Do not take
tramadol without telling your doctor if you also use any of the following:
· an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine
(Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam); or
· an antidepressant such as amitriptyline (Elavil), citalopram
(Celexa), clomipramine (Anafranil), desipramine (Norpramin), escitalopram
(Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine
(Tofranil), nortriptyline (Pamelor); paroxetine (Paxil), or sertraline
(Zoloft).
• Before taking tramadol, tell your doctor if you also use:
· carbamazepine (Tegretol);
· warfarin (Coumadin);
· digoxin (Lanoxin, Lanoxicaps);
· ketoconazole (Nizoral);
· erythromycin (E-Mycin, E.E.S., Ery-Tab);
· rifampin (Rifadin, Rimactane, Rifater);
· St. John's wort;
· quinidine (Quinaglute, Quinadex, Cardioquin, Quinora); or
· drugs that make you sleepy (such as cold medicine, other pain
medications, muscle relaxants, and medicine for seizures, depression or
anxiety).
• If you are using any of these drugs, you may not be able to use
tramadol or you may need dosage adjustments or special tests during treatment.
• There may be other drugs not listed that can affect tramadol.
Tell your doctor about all the prescription and over-the-counter medications
you use. This includes vitamins, minerals, herbal products, and drugs
prescribed by other doctors. Do not start using a new medication without
telling your doctor.
Where can I get more information?
• Your pharmacist has more information about tramadol written for
health professionals that you may read.
• Remember, keep this and all other medicines out of the reach of
children, never share your medicines with others, and use this medication
only for the indication prescribed.
• Every effort has been made to ensure that the information provided
by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete,
but no guarantee is made to that effect. Drug information contained herein
may be time sensitive. Multum information has been compiled for use by
healthcare practitioners and consumers in the United States and therefore
Multum does not warrant that uses outside of the United States are appropriate,
unless specifically indicated otherwise. Multum's drug information does
not endorse drugs, diagnose patients or recommend therapy. Multum's drug
information is an informational resource designed to assist licensed healthcare
practitioners in caring for their patients and/or to serve consumers viewing
this service as a supplement to, and not a substitute for, the expertise,
skill, knowledge and judgment of healthcare practitioners. The absence
of a warning for a given drug or drug combination in no way should be
construed to indicate that the drug or drug combination is safe, effective
or appropriate for any given patient. Multum does not assume any responsibility
for any aspect of healthcare administered with the aid of information
Multum provides. The information contained herein is not intended to cover
all possible uses, directions, precautions, warnings, drug interactions,
allergic reactions, or adverse effects. If you have questions about the
drugs you are taking, check with your doctor, nurse or pharmacist.Click
here for more information on Tramadol from the manufacturer.
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