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Tramadol is a prescription medication used to treat moderate to moderately severe pain in adults. Tramadol is in a class of medications called opiate (narcotic) analgesics. It works by changing the way the brain and nervous system respond to pain.
This medication comes in immediate release tablet and that can be taken up to 6 times a day, with or without food. Tramadol also comes in extended-release tablet and capsule forms and are taken once a day, with or without food. Do not chew, divide, or break Tramadol extended-release forms. Swallow them whole.
Your dose of tramadol will depend on your level of pain and how you react to the medication. Your doctor may start at a low dose and gradually increase it to find the dose that works for you.
This is a typical dosing schedule for someone just starting to take tramadol regular-release tablets:
- Your doctor will most likely start with 25 milligrams (mg) each morning.
- That may increase by separate doses of 25 mg every three days to reach a maximum dose of 100 mg a day (25 mg, four times a day), depending on how much the medication is relieving your pain.
- If necessary, your doctor may increase by separate doses of 50 mg every three days to reach a maximum of 200 mg a day (50 mg, four times a day).
- A normal adult dose should not go above 400 mg a day.
- For someone with cirrhosis (liver damage), the daily dose should not be above 100 mg in a 24-hour period.
- People with kidney disease, the daily dose should not be above 200 mg.
- For someone older than 75, the daily dose should not be above 200 mg.
You can take regular and dissolving tablets with or without food about every four to six hours as needed. Before you take the tramadol tablets, make sure your hands are dry and remove the medication from the packaging very carefully.
Don’t push dissolvable tablets through the foil packaging. Place the tablet on your tongue immediately. You should usually take the long-acting, extended release tablets or capsules at the same time every day. Don’t chew, open, split, or crush the medication. Swallow tramadol whole with a glass of water.
Serious side effects have been reported with tramadol including the following:
- seizures. Tell your healthcare provider right away if you have some or all of the following symptoms of seizures:
- body convulsions (shaking and trembling)
- temporary loss of consciousness
- serotonin syndrome. Tell your healthcare provider right away if you have some or all of the following symptoms of serotonin syndrome:
- fast heart rate
- overactive reflexes
- high blood pressure
- restlessness or agitation
- nausea or vomiting
- decline in muscle coordination
- rise in body temperature
- discontinuation symptoms. Do not stop tramadol without first talking to your healthcare provider. Stopping tramadol suddenly may cause serious symptoms including the following:
- shaking or shivering
- upper airway symptoms
- goose bumps
- rarely hallucinations
Tramadol can cause dizziness or drowsiness. Thus do not drive or operate heavy machinery until you know how tramadol affects you.
Also do not take tramadol if you:
- are allergic to tramadol or any of its ingredients
- have a history of respiratory depression in unmonitored settings or the absence of corrective measures
- have a history of acute or chronic bronchial asthma or hypercapnia in unmonitored settings or the absence of corrective measures
Just like all medicine, Tramadol may cause some side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- difficulty falling asleep or staying asleep
- uncontrollable shaking of a part of the body
- muscle tightness
- changes in mood
- heartburn or indigestion
- dry mouth
Also some side effects can be serious. Therefore if you experience any of these symptoms, call your doctor immediately or get emergency medical treatment:
- difficulty swallowing or breathing
- swelling of the eyes, face, throat, tongue, lips, hands, feet, ankles, or lower legs
- agitation, hallucinations (seeing things or hearing voices that do not exist), fever, sweating, confusion, fast heartbeat, shivering, severe muscle stiffness or twitching, loss of coordination, nausea, vomiting, or diarrhea
- nausea, vomiting, loss of appetite, weakness, or dizziness
- inability to get or keep an erection
- irregular menstruation
- decreased sexual desire
- changes in heartbeat
- loss of consciousness