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  Tramadol
Drug uses
Tramadol belongs to the class of narcotic analgesics and acts as a pain-killer relieving and preventing moderate pain. It may be used to treat constant pain such as the one caused by chronic diseases (cancer, etc.) as well as the one caused by any kind of surgery. This medicine decreases the pain signal being passed from one nerve to another and blocks the response of the brain to the pain. In combination with hydrochloride it’s called Ultram, as well as the combination tramadol+acetaminophen, it serves for the same purpose as Tramadol itself.
How taken
Tramadol is produced in long-acting tablets taken orally .You are to strictly follow all the directions either on the label or the doctor’s ones. The dose will vary from patient to patient and if necessary, it may be taken every 4-6 hrs.
For people over 75y.o. it’s 300 mg at most for every day.
Average doses:
To treat chronic pain:
Adults 100 mg once a day
Kids under 18 prescribed by the doctor
To treat pain:
Adults 0.5-2 tablets every 4-6 hrs if necessary, but no more than 8 tablets a day
Kids under 16 prescribed by the doctor
The medicine is to be taken according to the doctor’s directions.
Precautions
1 The medicine can be both mentally and physically addictive.
2 This medicine is not to be taken for a longer period of time, in larger doses or more frequently than prescribed.
3 Stop taking the medicine if any side effects occur and consult with the doctor.
4 While taking this medicine you’re not to drink any alcohol beverages as they may cause different liver and breathing problems.
5 Before you find out how your body reacts to this medicine, don’t do anything that may be life-threatening.
6 Inform your doctor before you start using this medicine if you are planning to have a baby or you’re already pregnant. You’ll have to weigh the risks and benefits of the medicine first as it’s not stated yet whether it can do any harm to a baby. As the studies show, among animal babies inborn defects, low weight and a higher death rate was observed.
7 The medicine passes to breast milk, that’s why you can’t take it during lactation period.
8 You are not to let anyone else to take your medicine; it can be used only by the one it’s prescribed to.
9 Any other health conditions are not to be treated by this medicine.
10 While taking this medicine avoid taking sleeping drugs, antihistamines, tranquilizers, sedatives without the doctor’s knowing about it as these medications may increase side effects.
Be careful when using any other drugs together with this one as drug interaction may either cause side effects or prevent the medicine from working. Tell your doctor if you are taking any other medications at the moment.
11 The doctor should be informed if you have any of the following:
Alcohol/drug addiction (or ever had)
Brain or spine infections
Problems with hormones
Kidney, liver, stomach, abdominal problems
Seizures, epilepsy (or ever had)
Head injuries
In this case the doctor may not prescribe you this medicine or you may need special supervision and dose adjustment. The same can be applied to the cases if you take any of the following:
Neuroleptic drugs
Bupropion
Drugs for seizures
CNS depressants
Carbamazepine
Monoamine oxidase
Any narcotic analgetsics
Many other medications taken together with Tramadol may influence your health conditions. Be sure the doctor knows about the medicines you take. If you take any medications for emotional disorders and depression or Cyclobenzaprine, you shouldn’t use Tramadol 50 mg. Inform your doctor about it.
12 Your doctor should know about any special medical conditions of yours (allergies to any substances (food, etc.) or Tramadol itself, narcotic analgesics).
13 If the medicine stopped working, don’t increase the dose yourself, consult with the doctor first.
14 Elderly people over 75y.o. are subject to experience side effects.
15 Inform the specialists before having any kind of surgery about the medicine you’re taking.
16 Side effects may occur if you stop taking the medicine suddenly, consult with your doctor before doing it, he/she’ll suggest you how to do it gradually.
17 When you stop using this medicine, your body will need a period of time to adjust. This period will depend on the doses you used to take and how long you’ve been taking the medicine. Contact your doctor if any side effects occur.
Side effects
The most common side effects are connected with gastrointestinal system and CNS. These are: headaches, migraine, hepatitis, liver failure, etc. Also: perspiration, tremor, vomiting, dizziness, dry mouth, vision problems, constipation, diarrhea, sleepiness, headache, drowsiness, sickness. To make yourself feel better if you have, for example, dry mouth, you may eat a gum or a something sweet but without sugar or a melted piece of ice. Anyway, if any of these side effects turn to be worrying and troublesome, you should consult with your doctor, but the consultation is obligatory if there occur the following side effects: hallucinations, pain in different parts of the body, blisters, swelling, bloody urine, skin rash and itching, fast heartbeat, convulsions (seizures), troubled breathing, redness, ,swollen lips, eyelids, face as well as any others.
Side effects may also occur as the body is getting used to the medicine that’s why they may go away after some time.
Storage
  • Keep away from damp places, light and heat
  • Store it at room temperature in a tight container
  • Keep away from children
  • Don’t keep outdated medicine

Missed dose
If the medicine is taken according to a definite schedule and you have missed a dose, it should be taken as soon as possible, but if it’s nearly time for the next dose for you to take, skip this one and follow your schedule. You SHOULDN’T double doses.
Overdose
In the case of overdose immediately call the emergency as it may lead to fatal end. Symptoms you should pay attention to: nausea, convulsions, small pupils, low body temperature, troubled breathing, slow heartbeat, cold skin, dizziness, unconsciousness, heart attack, coma.
Disclaimer
The information given above on Tramadol does not cover all the issues, though it is to satisfy your information purposes. Unfortunately some damages and negative consequences sometimes arise from the use of general information on a certain issue, that’s why you are not to rely on this abstract only. We disclaim the responsibility for all negative effects and damages caused by the use of this information.