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Tell your doctor if you have any other medical problems, especially:
- Kidney disease or
- Liver disease¡XThe chance of side effects may be increased. Your doctor will consider this when deciding on your doses.
- Seizures¡XT
When you are taking tramadol, it is especially important that your health care provider know if you are taking any of the following:
- Carbamazepine (e.g., Tegretol)¡XMay decrease the effect
s of tramadol by decreasing the amount of medicine in the body
- Central nervous system (CNS) depressants (medicines that cause drowsiness)¡XUsing these medicines with tramadol may increase the ch
ance of serious side effects or increase the risk of convulsions (seizures)
- Monoamine oxidase (MAO) inhibitor activity (isocarboxazid [e.g., Marplan], phenelzine [e.g., Nardil], procarbazine [e
.g., Matulane], selegiline [e.g., Eldepryl], tranylcypromine [e.g., Parnate])¡XThe chance of convulsions (seizures) may be increased
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What is this medicine
Tramadol is used to relieve pain, including pain after surgery. The effects of tramadol are similar to those of narcotic analgesics. Although tramadol is not classified as a narcotic, it may become ha
bit-forming, causing mental or physical dependence.
Tramadol is available only with your doctor's prescription, in the following dosage form:
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Precautions while Using this Medicine
This medicine will add to the effects of alcohol and other CNS depressants (medicine that causes drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, other aller
gies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or anesthetics, including some dental an
esthetics. Do not drink alcoholic beverages, and check with your medical doctor or dentist before taking any of the medicines listed above while you are using this medicine.
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How should you take this medication?
Tramadol comes as a tablet to take by mouth. It usually is taken every 4-6 hours as needed. It may be taken with or without food. Follow the directions on your prescription label carefully, and ask yo
ur doctor or pharmacist to explain any part you do not understand. Take tramadol exactly as directed.
Tramadol can be habit-forming. Do not take a larger dose, take it more often, or for a lo
nger period than your doctor tells you to.
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What special precautions should I follow?
Pregnancy¡XAlthough studies on birth defects have not been done in pregnant women, tramadol has not been reported to cause birth defects. In animal studies, there were drug-related birth defects observ
ed. Studies done in animals given very high (toxic) doses resulted in lower than normal birth weights and some deaths in the fetuses and birth defects in some of the newborns.
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What side effects can this medication cause?
Although side effects from tramadol are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:
- dizziness
- headache
- drowsiness
- blurred vision
- upset stomach
- vomiting
- diarrhea
If you experience any of the following symptoms, call your doctor immediately:
- fast heartbeat
- rednes
s, swelling, and itching of the face
- numbness or tingling of the hands and feet
- difficulty breathing
- changes in urination
- seizures
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