If you have nausea , it may help to take this drug with food. Ask your doctor or pharmacist about other ways to decrease nausea such as lying down for 1 to 2 hours with as little head movement as possible.
The dosage is based on your medical condition and response to treatment. To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. The maximum recommended dose is milligrams per day. If you are older than 75 years, the maximum recommended dose is milligrams per day. Do not increase your dose, take the medication more frequently, or take it for a longer time than prescribed.
Properly stop the medication when so directed. Pain medications work best if they are used as the first signs of pain occur. If you wait until the pain has worsened, the medication may not work as well. Tell your doctor if you notice any of the following side effects or notice any other effects not listed: Very common more than 1 in 10 users: Common less than 1 in 10 users: Uncommon less than 1 in users: Rare less than 1 in users: Very rare less than 1 in 10, users: Not known cannot be estimated from the available data: You may become dependent on the tablets and find it difficult to stop taking them or feel you need to take them more often than necessary.
If you stop taking the tablets suddenly you may suffer from withdrawal reactions see section 3 for withdrawal symptoms. How to store Keep out of the reach and sight of children. The expiry date refers to the last day of that month. Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
Further information The active substance the ingredient that makes the tablet work is tramadol hydrochloride. The other ingredients are pregelatinised starch, microcrystalline cellulose E , magnesium stearate The capsule shell contains gelatin, iron oxide E , titanium dioxide E , indigo carmine E The printing ink contains shellac glaze, iron oxide black E and propylene glycol.
What Tramadol capsules look like and contents of the pack Tramadol capsules are yellow and green, opaque, hard gelatin capsules. Pack sizes are 30 and Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect.
Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. Drug Interactions Considering the fact that Tramadol has demonstrated serotonin and norepinephrine reuptake inhibiting qualities, patients who are taking selective serotonin reuptake inhibitors like Zoloft, Prozac, and other compounds, selective norepinephrine reuptake inhibitors like Effexor, monoamine oxidase inhibitors like isocarboxazid, phenelzine, selegiline and other compounds, tricyclic antidepressants like amitriptyline, amitriptylinoxide, butriptyline, and others must consult with their physician about the dosage of tramadol to take.
In some of these situations, Tramadol might be ruled out completely due to strong drug interactions. Similarly, if the patient is taking strong opioid-based based compounds like morphine, fentanyl, methadone, and oxycodone, the patient's doctor needs to be advised to see if Tramadol is a feasible treatment option. Finally, if a patient is over 75 years of age or is a minor or is suffering from reduced liver or kidney functions, the patient's physician must be advised.
What are the adverse effects of Tramadol? For the majority of patients taking Tramadol, there are no adverse effects. However, in small percentages of Tramadol users, the following side effects have been observed. The following list is in the order of severity with the most common side effects listed first. The most common side effects of Tramadol are drowsiness, nausea, dizziness, constipation, headache, vomiting, diarrhea, dry mouth, fatigue, indigestion, and, in a very small number of patients, seizures.
In addition to the side effects above, there is also a body of observed side effects for people taken off Tramadol too quickly. These range from nervous 'thrashing' in the patient's bed and uncontrolled tremors and muscle contractions. Other fairly rare side effects include electrical shock-like sensations, a 'buzzing' effect, and anxiety. Some observers note that these effects are somewhat similar to those of patients experiencing withdrawal from Effexor.
In terms of sexual performance, Tramadol has been observed to delay ejaculation in some instances as well as produce other sexual dysfunctions. Patients who are taking SSRI medications require extra scrutiny since these medications might interact with Tramadol in such a way as to trigger potentially fatal serotonin toxicity.
The most severe side effect of Tramadol are seizures. Thankfully, this occurs only in very rare instances. Seizures have been reported in the cases of individuals who take very large doses mg oral or mg intravenous of Tramadol.
In very rare cases, persons who take much lower doses experience seizures. There is a growing body of research that indicates that Tramadol should not be prescribed for patients who have uncontrolled epilepsy. Who are most at risk of seizures? Tramadol takers who are between the gages of 25 and 54 years old, patients who exceed four tramadol prescriptions, and individuals who have a record of head trauma injury, stroke, or alcohol abuse. Can patients become physically dependent on Tramadol?
All in all, it is harder to become physically depend or addicted to Tramadol compared to other opiate-based medications. In fact, this drug's habit-forming potential is low enough for the US Drug Enforcement Agency to leave it off its list of controlled substances.
With that said, addiction to Tramadol is still possible. Patients who take low dosages for Tramadol on a short-term basis are less likely to develop physical dependence than those who take the medication over a long period of time at high dosages. These latter patients can exhibit withdrawal symptoms when taken off Tramadol. These withdrawal symptoms are like those of withdrawal symptoms for opiate-like or opioid-based pain relievers.
However, in a small percentage of cases, patients can experience withdrawal symptoms which are atypical-these involve seizures or other symptoms similar to those exhibited by patients who have gone off SSRI medications. Some of the more common symptoms of SSRI medication withdrawal that a minority of long-term Tramadol users might experience include: Still, patients should consider the version of the Physicians' Desk Reference which contains some warnings from Tramadol's main manufacturer.
These warnings were not included in previous versions of the Desk Reference. Interestingly enough, the warnings use more forceful language regarding Tramadol's possible habit-forming potential.
© Copyright 2017 Tramadol hcl purchase. Tramadol HCl, 2-[(dimethylamino)methyl](3-methoxyphenyl) cyclohexanol HCl, is a centrally acting synthetic analgesic compound. It is thought to produce its analgesic effect through at least two complementary mechanisms of action: agonist activity at the μ-opioid receptor and weak inhibition of neuronal monoamine reuptake..