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General information
Tramadol is a pain reliever drug that is used in the management of moderate to severe pain caused by number of health conditions. It binds with the receptors of the brain and nervous system to decrease levels of pain. Tramadol is not a non-steroidal anti-inflammatory medication and that is why there is no risk of stomach ulcer internal bleeding.

Directions
Tramadol should be taken exactly as prescribed by the doctor. Take it with plain water only. It is important to take tramadol the same way each day, with or without food. Do not take more than the required dose for a prolonged period of time. This medication is for oral use only. Never crush or break a tramadol pill to inhale the powder or mix it into a liquid to inject the drug into your vein. This practice has resulted in death with the misuse of tramadol and similar prescription drugs. For more detailed information please see label and please consult specialist. Do not take more Tramadol than it is indicated at the label without consulting your doctor. The recommended dose for an adult is 100mg every 6 hours, with total daily dose not exceeding 400mg. For the patients over 65 years dose selection should be cautious and a maximum dose of regular oral tablets is 300 mg per day in divided doses.

Precautions
Do not use this medicine if you have a personal history of drug abuse or addiction. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Do not take Tramadol with other drugs or alcohol without consulting the doctor. Alcohol interaction with tramadol may result to seizure therefore caution is advised when this drug is used. Pregnant women and elderly patients are strongly recommended to consult their healthcare provider before using tramadol. Nursing mothers and women who are planning to become pregnant should use tramadol only after seeking expert medical advice. This medicine should not be used during long period of time in order to avoid addiction or lack of medical effect during long-term repeated use. Talk to the doctor before stopping the usage of this medication to avoid withdrawal symptoms. Selling or giving away tramadol to any other person is against the law.

Contraindications
You should not take tramadol if you are allergic to it or if you have a blockage in your stomach or intestines; if you have recently used alcohol, sedatives, tranquilizers or narcotic medications; if you have severe asthma or breathing problems. Some people after taking tramadol suffered from seizures so cosult with your doctor about your seizure risk, which may be higher if you have a history of head injury, epilepsy or other seizure disorder; if you also use certain antibiotics, antifungal medications, heart or blood pressure medications, or medicines to treat HIV or AIDS.

Possible side effect
Tramadol has certain side effects like all other medicines. Although not all of these side effects occur commonly, if they do occur it is important that you seek assistance from a healthcare professional. The most common side effects are dizziness, nausea and vomiting, nervousness, constipation and headache. Less common side effects are dry mouth, sweating, diarrhea, rash and visual disturbances. Rare side effects are tremors, hallucinations, fatigue, difficulty in urination and difficulty in concentration. The usage of tramadol may result in drowsiness, therefore, tasks that require attention and focus, such as driving and operating machinery, should be performed with great caution. Tramadol is more likely to cause breathing problems in older adults and people who are severely ill or malnourished.

Drug interactions
A serious condition called serotonin syndrome may occur when some medicines interact with tramadol. Be extra carefully and let your doctor know if you take medicine for narcotic medications (opioid pain medicine or prescription cough medicine), drugs that make you sleepy or slow your breathing (a sleeping pill, muscle relaxer, sedative, tranquilizer, or antipsychotic medicine) or drugs that affect serotonin levels in your body (medicine for depression, Parkinson's disease, migraine headaches, serious infections, or prevention of nausea and vomiting). Ask your doctor before making any changes in how or when you take your medications.

Missed dose
Since tramadol is used for relief from pain, you are not likely to miss a dose. Skip any missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

Overdose
A tramadol overdose can be fatal, especially in a child or other person using the medicine without a prescription. Overdose symptoms may include shallow breathing, slow heartbeat, extreme weakness, drowsiness, cold or clammy skin, fainting or coma. If they do occur it is important that you seek assistance from a healthcare professional.

Storage
Store at room temperature away from moisture and heat. Keep track of the amount of medicine used from each new bottle. Tramadol is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

Note
The information presented at the site has a general character. Note please this information cannot be used for self-treatment and self diagnosis. You should consult with your doctor or health care adviser regarding any specific instructions of your condition. The information is reliable, but we concede it could contain mistakes. We are not responsible for any direct, indirect, special or other damage caused by use of this information on the site and also for consequences of self-treatment.

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