Information
About Tramadol
IMPORTANT NOTE: The following information
is intended to supplement, not substitute for, the expertise and
judgment of your physician, pharmacist or other healthcare professional.
It should not be construed to indicate that use of the drug is
safe, appropriate, or effective for you. Consult your healthcare
professional before using this drug.
TRAMADOL - ORAL (TRAH-muh-dall)
COMMON BRAND NAME(S): Ultram
USES: Tramadol is used for pain relief.
HOW TO USE: Take this medication by mouth as prescribed.
It is usually taken every 4 to 6 hours as needed. Use this medication
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, this medication
may not work as well and may require different dosing. Consult
your doctor if the medication stops working well.
TRAMADOL SIDE EFFECTS: This medication 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 this medication: 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 medication. Because this drug may make you dizzy/drowsy,
use caution performing tasks requiring alertness such as driving.
This medication 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 medications 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.
OVERDOSE: If overdose is suspected, contact your local
poison control center or emergency room immediately. Symptoms
of overdose may include cold and clammy skin, low body temperature,
slowed breathing, slowed heartbeat, drowsiness, dizziness, lightheadedness,
deep sleep, loss of consciousness, or seizures.
NOTES: Do not share this Tramadol with others.
MISSED DOSE: If you miss a dose, take it as soon as remembered;
do not take it if it is near the time for the next dose, instead,
skip the missed dose and resume your usual dosing schedule. Do
not double the dose to catch up.
STORAGE: Store this medication at room temperature between
59 and 86 degrees F (15 to 30 degrees C) away from heat and light.
Do not store in the bathroom. Keep this and all medications out
of the reach of children.
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