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What is Tramadol?

Tramadol is a strong painkiller. It's used to treat moderate to severe pain, for example after an operation or a serious injury. It's also used to treat long-standing pain when weaker painkillers no longer work. Tramadol is available only on prescription.

The extended-release formulations of tramadol are typically given to people who need around-the-clock pain relief for an extended period of time. They’re not to be used for brief bouts of pain.

Tramadol is in a class of drugs called opiate (narcotic) analgesics. It works by altering the way your brain and nervous system respond to pain.

The U.S. Food and Drug Administration (FDA) approved this medicine in 1995.




 

What is the most important information I should know about Tramadol (Ultram)?

You should not take tramadol if you are allergic to it, or if you have:

severe asthma or breathing problems;

1.     a stomach or bowel obstruction (including paralytic ileus);

2.     if you have recently used alcohol, sedatives, tranquilizers, or narcotic medications; or

3.     if you have used an MAO inhibitor in the past 14 days (such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine).

4.     Tramadol should not be given to a child younger than 12 years old. Ultram ER should not be given to anyone younger than 18 years old.

5.     Do not give tramadol to anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids.

 

Seizures have occurred in some people taking tramadol. Your seizure risk may be higher if you have ever had:

·        a head injury, epilepsy or other seizure disorder;

·        drug or alcohol addiction; or

·        a metabolic disorder.

Tell your doctor if you have ever had:

v breathing problems, sleep apnea;

v liver or kidney disease;

v urination problems;

v problems with your gallbladder, pancreas, or thyroid;

v a stomach disorder; or

v mental illness, or suicide attempt.

If you use tramadol while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks.

Ask a doctor before using tramadol if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.

 

How should I take tramadol?

Take tramadol exactly as prescribed. Follow all directions on your prescription label. Tramadol can slow or stop your breathing, especially when you start using this medicine or whenever your dose is changed. Never take this medicine in larger amounts, or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in relieving your pain.

 

§  Tramadol may be habit-forming, even at regular doses. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. MISUSE OF PAIN MEDICATION CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or other person using the medicine without a prescription. Selling or giving away this medicine is against the law.

 

§  Stop taking all other around-the-clock narcotic pain medications when you start taking tramadol.

 

§  Tramadol can be taken with or without food, but take it the same way each time.

 

§  Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).

 

§  Do not crush, break, or open an extended-release tablet or capsule (Conic, Ultras ER). Swallow it whole to avoid exposure to a potentially fatal dose.

 

 


Tramadol side effects

Get emergency medical help if you have signs of an allergic reaction to tramadol (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling).

 

Like other narcotic medicines, tramadol can slow your breathing. Death may occur if breathing becomes too weak.

 

A person caring for you should give naloxone and/or seek emergency medical attention if you have slow breathing with long pauses, blue-colored lips, or if you are hard to wake up.

 

Call your doctor at once if you have:

 

·        noisy breathing, sighing, shallow breathing, breathing that stops during sleep;

 

·        a slow heart rate or weak pulse;

 

·        a light-headed feeling, like you, might pass out;

 

·        seizure (convulsions);

 

·        missed menstrual periods;

 

·        impotence, sexual problems, loss of interest in sex; or

 

·        nausea, vomiting, loss of appetite, dizziness, worsening tiredness, or weakness.

 

Seek medical attention right away if you have symptoms of serotonin syndrome, such as agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.

 

Serious side effects may be more likely in older adults and those who are overweight, malnourished, or debilitated.

 

Ø Long-term use of opioid medication may affect fertility (ability to have children) in men or women.

 

Ø Common tramadol side effects may include:

 

Ø constipation, nausea, vomiting, stomach pain;

 

Ø dizziness, drowsiness, tiredness;

 

Ø headache; or

 

Ø itching.

Sources: Ambien , Adderall

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