Tramadol is a pain relief medication for moderate to moderately acute pain. Tramadol’s effect is based on reducing the brain’s recognition and response to pain by decreasing the size or magnitude of the pain signal passed from one nerve to another. Post-surgical pain and chronic conditions such as cancer or joint pain may also be treated with Tramadol. In some cases, this medication is prescribed for other uses. For more detailed information, consult your doctor or pharmacist. Tramadol is administered orally in the form of tablets, with or without food. The recommended dosage is one tablet every 4-6 hours. Follow strictly prescription instructions and ask your doctor for clarification on any part of the label that you might not understand. Take Tramadol exactly as directed. Do not take this medication in quantities larger or over a longer period of time than prescribed as you might develop a dependence on Tramadol.

Warnings Precautions

If you have kidney or liver disease, a history of alcohol or drug dependence, consult your doctor before taking Tramadol. Dosage adjustment or special monitoring during treatment might be required if you have any of the above-listed conditions and in some cases the use of Tramadol might not be recommended at all. People over 75 years of age are more susceptible to the side effects of Tramadol and the maximum daily dosage in such cases has been limited to 300 mg. Tramadol does not have FDA approval for use by children younger than 16 years of age. Tramadol is in the C FDA pregnancy category, meaning that it has a harmful effect on the fetus. It is not known whether Tramadol is passed onto breast milk. If you are pregnant or breast-feeding, do not take Tramadol without consulting your doctor first.

Missing a Dose

In case of missing a dose, take the missed dose as soon as you remember. Skip the missed dose and resume your regular dosing schedule if it is almost time for your next dose. Never take two doses of Tramadol at the same time in order to catch up for missed doses.

Possible Side Effects

Few cases of side effects of Tramadol have been reported. Most commonly, these affect the central nervous system (migraine, speech disorders) and the gastrointestinal system (gastrointestinal bleeding, hepatitis, stomatitis, liver failure). If you experience dizziness, headache, drowsiness, blurred vision, upset stomach, vomiting, and diarrhea, notify your doctor. In case you have fast heartbeat, redness, swelling, and itching of the face, numbness or tingling of the hands and feet, difficulty breathing, changes in urination, seizures, contact your doctor at once.

Storage

Store at 25?°C (77?°F), Variations of temperature of between 15 and 30?°C (59 – 86?°F) are permitted. Dispense in a tight container.

Overdose

Troubled or shallow, weak breathing; and seizures are among the symptoms of a Tramadol overdose. In case of a suspected overdose, seek medical help immediately.

More Information

Tramadol may cause dizziness or drowsiness. Avoid sleeping pills, tranquilizers, sedatives, and antihistamines except under doctor’s supervision as these agents might enhance the effect of Tramadol. Exercise caution while driving or operating machinery and refrain from engaging in potentially hazardous activities. Do not consume alcohol while undergoing treatment with Tramadol. Alcohol may cause severe breathing disorders and/ or liver problems when used in combination with Tramadol.

Tramadol resources:
http://www.rxlist.com/cgi/generic/tramadol.htm
http://www.medicinenet.com/tramadol/article.htm
http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a695011.html

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