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Tramadolis a pain medicine that helps treat moderate to severe pain in adults. This drug acts in the central nervous system to relieve pain. The extended-release form of this drug is for around-the-clock pain treatment and is not for use on an as-needed basis for pain.
Tramadoloral tablets are available in both immediate and extended-release formulations. Tramadol immediate-release tablets are also available under the brand name Ultram. You can buy tramadol online or at a local pharmacy.
Important informationDo not use tramadolif you are prone to addiction or are suicidal.
You should stay away from tramadol if you have severe breathing problems, a blockage in your stomach or intestines.
Make sure not to use tramadol if you have recently used sedatives, tranquilizers, alcohol, narcotic medication, or MAO inhibitors (isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others).
You may have seizures after taking tramadol. Seizures are more likely if you are taking higher doses than recommended. Seizures are also more likely in people who have a seizure disorder or are taking certain antidepressants or opioid medications.
It is not recommended to give tramadol to a child under the age of 12 or to anyone below the age of 18 who has recently had surgery to remove their tonsils or adenoids.
Tramadol use during pregnancy can cause your baby to be born with fatal withdrawal symptoms.
Combining tramadol with alcohol or other drugs that cause drowsiness or slow your breathing is not recommended. Fatal side effects may occur.
Tramadol is a habit-forming drug that can slow down or stop your breathing. Improper use of tramadol may lead to addiction, overdose, or death.
What to know before taking tramadol?You should stay away from tramadolif you are allergic to it, or if you have:
a bowel or stomach obstruction (including paralytic ileus)
severe asthma or breathing disorders
if you have used MAO inhibitors in the past 14 days (such as linezolid, isocarboxazid, phenelzine, methylene blue injection, or tranylcypromine)
if you have recently used sedatives, alcohol, tranquilizers, or narcotic medications
If you want to know if tramadol is right for you, tell your doctor if you have ever had:
liver or kidney disease
breathing problems, sleep apnea
problems with your gallbladder, pancreas, or thyroid
urination problems
mental illness, or suicide attempt
a stomach disorder
Tramadol should not be administered to children under the age of 12 or to anyone under the age of 18 who has recently had surgery to remove their tonsils or adenoids.
Anyone under the age of 18 should avoid taking Ultram ER.
Seizures may occur during treatment with tramadol. You are more likely to have a seizure if you have ever had:
addiction to drugs or alcohol
a head injury, epilepsy, or other seizure disorder
a metabolic disorder
If you use tramadol during pregnancy, it can make your baby be born with fatal withdrawal symptoms. Your baby may require medical treatment for several weeks.
Consult your doctor before taking tramadol if you are breastfeeding. Inform your doctor if you notice the nursing baby is drowsy or has slow breathing.
How to take tramadol?Take tramadol with or without food, in the same way, each time.
Make sure to discontinue all other opioid medications when you start taking tramadol.
Take the capsule or tablet whole to avoid a potentially fatal overdose. Not to be crushed, chewed, broken, opened, or dissolved.
You should not crush or break a tramadol tablet to inhale the powder or mix it with a liquid in order to inject the drug into your vein. This practice has resulted in the death of several people.
If you stop using tramadol abruptly, you may experience withdrawal symptoms. Before discontinuing tramadol, consult with your doctor.
Adults (17 years or older): Take 50 mg to 100 mg orally every 4 to 6 hours as needed for pain.
For patients who do not require rapid onset of analgesic effect:
Initial dose: Take 25 mg orally once a day; titrate every three days in 25 mg increments to reach a dose of 25 mg four times a day. After that, increase by 50 mg as tolerated every three days.
Maximum dose: 400 mg per day
Adult Dose for Chronic PainExtended-Release (ER)
18 years or older (tramadol-naive): Take 100 mg orally once a day.
Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes side effects.
Maximum Dose: 300 mg per day
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