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Tramadol MedlinePlus Drug Information


3.12.2018 | Christian Lawman

The American Society of Health-System Pharmacists, Inc., 4500 East-West Highway, Suite 900, Bethesda, Maryland. Duplication for commercial use must be authorized by ASHP. AHFS Patient Medication Information., 2017.

¶ This branded product is no longer on the market. Generic alternatives may be available.

Tramadol should also not be used in used in children 12 to 18 years of age who are obese or who have a neuromuscular disease (disease that affects the nerves that control voluntary muscles), a lung disease, or obstructive sleep apnea (condition in which the airway becomes blocked or narrow and breathing stops for short periods during sleep) as these conditions may increase their risk of breathing problems. Tramadol should never be used to treat pain in children younger than 12 years of age or to relieve pain after surgery to remove the tonsils and/or adenoids in children younger than 18 years of age. When tramadol was used in children, serious and life-threatening breathing problems such as slow or difficulty breathing and deaths were reported.

Unless your doctor ls you otherwise, continue your normal diet.

Drinking alcohol, taking prescription or nonprescription medications that contain alcohol, or using street drugs during your treatment with tramadol increases the risk that you will experience these serious, life-threatening side effects. Do not drink alcohol, take prescription or nonprescription medications that contain alcohol, or use street drugs during your treatment.

Tramadol
Tramadol MedlinePlus Drug Information

Do not allow anyone else to take your medication. Tramadol may harm or cause death to other people who take your medication, especially children.

The regular tablet is taken usually with or without food every 4 to 6 hours as needed. Tramadol comes as a tablet, an extended-release (long-acting) tablet, and an extended-release (long-acting) capsule to take by mouth. Do not take more medication as a single dose or take more doses per day than prescribed by your doctor. Taking more tramadol than prescribed by your doctor or in a way that is not recommended may cause serious side effects or death. Take tramadol exactly as directed. If you are taking the extended-release tablet, you should either always take it with food or always take it without food. Take the extended-release tablet and the extended-release capsule at about the same time of day every day. The extended-release tablet and extended-release capsule should be taken once a day. If you are taking the extended-release capsule, you may take it with or without food.

If you take tramadol regularly during your pregnancy, your baby may experience life-threatening withdrawal symptoms after birth. l your doctor if you are pregnant or plan to become pregnant. l your baby's doctor right away if your baby experiences any of the following symptoms: irritability, hyperactivity, abnormal sleep, high-pitched cry, uncontrollable shaking of a part of the body, vomiting, diarrhea, or failure to gain weight.

This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

l your doctor if you have any unusual problems while you are taking this medication. Tramadol may cause other side effects.

Before having any laboratory test (especially those that involve methylene blue), l your doctor and the laboratory personnel that you are taking tramadol.

If the victim has collapsed or is not breathing, call local emergency services at 911. In case of overdose, call your local poison control center at.

If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( http://www.fda.gov/Safety/MedWatch ) or by phone.

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).

You can also visit the Food and Drug Administration (FDA) website ( http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm ) or the manufacturer's website to obtain the Medication Guide. Read the information carefully and ask your doctor or pharmacist if you have any questions. Your doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with tramadol each time you refill your prescription.

Tramadol extended-release tablets and capsules are only used by people who are expected to need medication to relieve pain around-the-clock. Tramadol is in a class of medications called opiate (narcotic) analgesics. Tramadol is used to relieve moderate to moderay severe pain. It works by changing the way the brain and nervous system respond to pain.

Do not let anyone else take your medication. Prescriptions may be refilled only a limited number of times; ask your pharmacist if you have any questions. Tramadol is a controlled substance.

Taking certain other medications during your treatment with tramadol may increase the risk that you will experience breathing problems or other serious, life threatening breathing problems, sedation, or coma. Your doctor may need to change the dosages of your medications and will monitor you carefully. Be sure that your caregiver or family members know which symptoms may be serious so they can call the doctor or emergency medical care if you are unable to seek treatment on your own. If you take tramadol with any of these medications and you develop any of the following symptoms, call your doctor immediay or seek emergency medical care: unusual dizziness, lightheadedness, extreme sleepiness, slowed or difficult breathing, or unresponsiveness. l your doctor if you are taking or plan to take any of the following medications: amiodarone (Nexterone, Pacerone); certain antifungal medications including itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), and voriconazole (Vfend); benzodiazepines such as alprazolam (Xanax), diazepam (Diastat, Valium), estazolam, flurazepam, lorazepam (Ativan), and triazolam (Halcion); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril); erythromycin (Erytab, Erythrocin); certain medications for human immunodeficiency virus (HIV) including indinavir (Crixivan), nelfinavir (Viracept), and ritonavir (Norvir, in Kaletra); medications for mental illness, nausea, or pain; muscle relaxants; phenytoin (Dilantin, Phenytek); quinidine (in Nuedexta); rifampin (Rifadin, Rimactane, in Rifamate); sedatives; sleeping pills; or tranquilizers.

Your doctor may start you on a low dose of tramadol and gradually increase the amount of medication you take, not more often than every 3 days if you are taking the regular tablets or orally disintegrating tablets or every 5 days if you are taking the extended-release tablets or extended-release capsules.

If you suddenly stop taking tramadol, you may experience withdrawal symptoms such as nervousness; panic; sweating; difficulty falling asleep or staying asleep; runny nose, sneezing, or cough; pain; hair standing on end; chills; nausea; uncontrollable shaking of a part of your body; diarrhea; or rarely, hallucinations (seeing things or hearing voices that do not exist). Do not stop taking tramadol without talking to your doctor. Your doctor will probably decrease your dose gradually.

l your doctor if you have or have ever had slowed breathing or asthma. Also l your doctor if you have or have ever had lung disease such as chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways), a head injury or any condition that increases the amount of pressure in your brain. Your doctor will monitor you carefully during your treatment. Your doctor will probably l you not to take tramadol. If you experience any of the following symptoms, call your doctor immediay or get emergency medical treatment: slowed breathing, long pauses between breaths, or shortness of breath. Tramadol may cause serious or life-threatening breathing problems, especially during the first 24 to 72 hours of your treatment and any time your dose is increased. The risk that you will develop breathing problems may be higher if you are an older adult or are weak or malnourished due to disease.

Do not take more of it, take it more often, or take it in a different way than directed by your doctor. l your doctor if you or anyone in your family drinks or has ever drunk large amounts of alcohol, uses or has ever used street drugs, or has overused prescription medications, or if you have or have ever had depression or another mental illness. There is a greater risk that you will overuse tramadol if you have or have ever had any of these conditions. Tramadol may be habit-forming.

It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. http://www.upandaway.org. To protect young children from poisoning, always lock safety caps and immediay place the medication in a safe location – one that is up and away and out of their sight and reach.

If you swallow broken, chewed, crushed, or dissolved extended-release preparations, you may receive too much tramadol at once instead and this may cause serious problems, including overdose and death. Swallow each tablet right after you put it in your mouth. If you are taking the tramadol extended-release tablet or capsule, swallow them whole; do not chew, break, divide, crush, or dissolve them.

Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. See the FDA's Safe Disposal of Medicines website ( http://goo.gl/c4Rm4p ) for more information if you do not have access to a take-back program.

If your doctor has told you to take tramadol regularly, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

It is also important information to carry with you in case of emergencies. It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital.

Your doctor may order certain lab tests to check your body's response to tramadol. Keep all appointments with your doctor and laboratory.

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