The
following information is a summary about Tramadol.
It is not intended to replace a doctor's instructions.
USES
Tramadol (generic Ultram) is used to treat moderate
to severe chronic pain when treatment is needed
around the clock. It also may be used to treat
pain caused by surgery and chronic conditions such
as cancer or joint pain.
DIRECTIONS
Take Tramadol by mouth as prescribed. It is usually
taken every 4 to 6 hours as needed. Use Tramadol
exactly as prescribed. Do not increase your dose,
use it more frequently or use it for a longer period
of time than prescribed because this drug can be
habit-forming. Also, if used for an extended period
of time, do not suddenly stop using this drug without
your doctor's approval. When used for extended
periods, Tramadol may not work as well and may
require different dosing. Consult your doctor if
the med stops working well.
SIDE EFFECTS
Tramadol may cause dizziness, weakness, incoordination,
nausea or vomiting, stomach upset, constipation,
headache, drowsiness, anxiety, irritability, dry
mouth, or increased sweating. If any of these effects
persist or worsen, inform your doctor. Notify your
doctor if you develop any of these serious effects
while taking Tramadol: chest pain, rapid heart
rate, skin rash or itching, mental confusion, disorientation,
seizures, tingling of the hands or feet, trouble
breathing. In the unlikely event you have an allergic
reaction to this drug, seek immediate medical attention.
Symptoms of an allergic reaction include: rash,
itching, swelling, dizziness, breathing trouble.
If you notice other effects not listed above, contact
your doctor or pharmacist.
PRECAUTIONS
Tell your doctor your medical history, especially
of: kidney disease, liver disease, seizure disorder,
lung disease, history of drug or alcohol dependency,
any allergies you may have. Limit alcohol as it
may add to the dizziness or drowsiness effects
caused by the med. Because this drug may make you
dizzy/drowsy, use caution performing tasks requiring
alertness such as driving. Caution is advised when
using this drug in the elderly because they may
be more sensitive to the effects of the drug. Tramadol
should be used only when clearly needed during
pregnancy. Discuss the risks and benefits with
your doctor. Tramadol is excreted into breast milk.
Because the effects on a nursing infant are not
known, consult your doctor before breast- feeding.
DRUG INTERACTIONS
Tell your doctor of all prescription and nonprescription
meds you may use, especially of: carbamazepine,
narcotic pain relievers (e.g., codeine), drugs
used to aid sleep, antidepressants (e.g., SSRI-types
such as fluoxetine or fluvoxamine), MAO inhibitors
(e.g., furazolidone, linezolid, phenelzine, procarbazine,
selegiline, tranylcypromine), psychiatric medicine
(e.g., nefazodone), "triptan"-type drugs, anti-anxiety
drugs (e.g., diazepam), sibutramine. Also, report
use of certain antihistamines (e.g., diphenhydramine)
which are also present in many cough-and-cold products.
Do not start or stop any medicine without doctor
or pharmacist approval.
MISSED DOSE
If you miss a dose, take it as soon as rememberher
corticosteroids (e.g., prednisone). Do not start
or stop any medicine without doctor or pharmacist
approval.
OVERDOSE
If overdose is suspected, contact your local poison
control center or emergency room immediately.
NOTES
Do not share Tramadol with others. Medical examinations
including the nose are generally performed during
prolonged use of this product to check for side
effects. Inform all your doctors you use (or have
used) Tramadol.
MISSED DOSE
If you miss a dose, use it as soon as you remember.
If it is near the time of the next dose, skip the
missed dose and resume your usual dosing schedule.
Do not "double-up" the dose to catch up.
STORAGE
Store at room temperature between 36 and 77 degrees
F (2 -25 degrees C) away from light and moisture.
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