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See also Warning section. This medication is used to help relieve moderate to
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You may take this drug with or without food. If you have nausea, it may help to
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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
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dose. Follow your doctor's instructions carefully. The maximum recommended dose
is 400 milligrams per day. If you are older than 75 years, the maximum
recommended dose is 300 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. If you have ongoing pain (such as
due to arthritis), your doctor may direct you to also take long-acting opioid
medications. In that case, this medication might be used for sudden
(breakthrough) pain only as needed. Other pain relievers (such as acetaminophen,
ibuprofen) may also be prescribed. Ask your doctor or pharmacist about using
tramadol safely with other drugs. Suddenly stopping this medication may cause
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mental/mood changes (including anxiety, trouble sleeping, thoughts of suicide),
watering eyes, runny nose, nausea, diarrhea, sweating, muscle aches, or sudden
changes in behavior. When this medication is used for a long time, it may not
work as well. Talk with your doctor if this medication stops working well.
Though it helps many people, this medication may sometimes cause addiction. This
risk may be higher if you have a substance use disorder (such as overuse of or
addiction to drugs/alcohol). Take this medication exactly as prescribed to lower
the risk of addiction. Ask your doctor or pharmacist for more details. Side
Effects See also Warning section. Nausea, vomiting, constipation,
lightheadedness, dizziness, drowsiness, or headache may occur. Some of these
side effects may decrease after you have been using this medication for a while.
If any of these effects persist or worsen, tell your doctor or pharmacist
promptly. To prevent constipation, eat dietary fiber, drink enough water, and
exercise. You may also need to take a laxative. Ask your pharmacist which type
of laxative is right for you. To reduce the risk of dizziness and
lightheadedness, get up slowly when rising from a sitting or lying position.
Remember that your doctor has prescribed this medication because he or she has
judged that the benefit to you is greater than the risk of side effects. Many
people using this medication do not have serious side effects. Tell your doctor
right away if you have any serious side effects, including: mental/mood changes
(such as agitation, hallucinations), severe stomach/abdominal pain, difficulty
urinating, signs of your adrenal glands not working well (such as loss of
appetite, unusual tiredness, weight loss). Get medical help right away if you
have any very serious side effects, including: fast/irregular heartbeat, severe
dizziness, fainting, seizure. This medication may increase serotonin and rarely
cause a very serious condition called serotonin syndrome/toxicity. The risk
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your doctor or pharmacist of all the drugs you take (see Drug Interactions
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fever, unusual agitation/restlessness. Tramadol is changed into a strong opioid
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completely than usual, which increases the risk of very serious side effects.
Get medical help right away if you notice any of the following: slow/shallow
breathing, severe drowsiness/difficulty waking up, confusion. A very serious
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