If you use tramadol during pregnancy, your baby could be born with life-threatening withdrawal symptoms, and may need medical treatment for several weeks. Ask a doctor before using tramadol if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby. Get emergency medical help if you have signs of an allergic reaction hives, difficult breathing, swelling in your face or throat or a severe skin reaction fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling.
Tramadol can slow or stop your breathing, and death may occur. Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.
Serious breathing problems may be more likely in older adults and people who are debilitated or have wasting syndrome or chronic breathing disorders. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. Avoid driving or hazardous activity until you know how this medicine will affect you.
Dizziness or drowsiness can cause falls, accidents, or severe injuries. Use Tramadol Ultram exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label and read all medication guides.
Never use tramadol in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to take more of this medicine. Never share tramadol with another person, especially someone with a history of drug addiction. Keep the medicine where others cannot get to it. Selling or giving away this medicine is against the law. Swallow the capsule or tablet whole to avoid exposure to a potentially fatal overdose.
Do not crush, chew, break, open, or dissolve. Measure liquid medicine with the supplied syringe or a dose-measuring device not a kitchen spoon.
Never crush or break a tramadol pill to inhale the powder or mix it into a liquid to inject the drug into your vein. This practice has resulted in death. You may have withdrawal symptoms if you stop using tramadol suddenly. Ask your doctor before stopping the medicine. Store at room temperature away from moisture and heat. The signs of opioid overdose in the breastfeeding mother are the same as can occur with any person taking an opioid.
These include trouble breathing, shortness of breath, extreme drowsiness, light-headedness when changing positions, or feeling faint. Breastfeeding mothers who are ultra-rapid metabolizers may have symptoms of too much opioid, even if they are taking a dose that would not otherwise be expected to cause an overdose. If any of these symptoms occur, the mother, family members, or other close contacts should call her doctor or right away.
It is important for health care professionals and breastfeeding women to discuss the use of pain medicines and to consider alternatives to codeine or tramadol. Because most people do not know if they are ultra-rapid metabolizers, and because early signs of opioid overdose in an infant may be difficult to notice, breastfeeding is not recommended during treatment with codeine or tramadol.
These tests are not routinely done but may help healthcare professionals make individualized treatment decisions for a patient. The mother should discuss her concerns with her doctor, and her doctor may select another pain medication that is not subject to the risks associated with CYP2D6 ultra-rapid metabolism. Visit the Codeine Information page. Index to Drug-Specific Information.
This means the tramadol is gradually released into your body over either 12 or 24 hours. This type of tramadol takes longer to start working but lasts longer.
It's used for long-term pain. Your doctor will decide the right dose for you, depending on how sensitive you are to pain and how bad your pain is.
Your dose may need to be changed several times to find what works best for you. In general, you will be prescribed the lowest dose that relieves your pain. Dosages vary from person to person. Your dose will depend on how bad your pain is, how you've responded to previous painkillers and if you get any side effects. Fast-acting tramadol comes as capsules, drops and 2 different tablets — soluble and dissolve-in-the-mouth tablets:.
Slow-release tramadol comes as tablets and capsules. It's important to swallow slow-release tramadol tablets and capsules whole with a drink of water. Do not break, crush, chew or suck slow-release tablets and capsules. If you do, the slow-release system will not work and the whole dose might get into your body in one go. This could cause a potentially fatal overdose. When to take it depends on the type of tramadol that you have been prescribed:.
If you're 65 and over, or you have liver or kidney problems, you may be asked by your doctor to take tramadol less often. You can take your tramadol at any time of day but try to take it at the same time every day and space your doses evenly. For example, if you take tramadol twice a day and have your first dose at 8am, take your second dose at 8pm.
If you forget to take a dose, check the information on the patient information leaflet inside the packaging or ask your pharmacist or doctor for advice on what to do. If you forget doses often, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine. If you need to take tramadol for a long time your body can become tolerant to it.
This is not usually a problem but you could get unpleasant withdrawal symptoms if you stop taking it suddenly. If you want to stop taking tramadol, talk to your doctor first. Your dose will usually be reduced gradually so you do not get unpleasant withdrawal effects. Tramadol can cause unpleasant withdrawal symptoms if you come off it suddenly, such as:. If you have been taking tramadol for more than a few weeks do not stop taking it without speaking to your doctor first.
It's important not to take more than your prescribed dose, even if you think it's not enough to relieve your pain. Speak to your doctor first, if you think you need a different dose.
If you've taken an accidental overdose you may feel very sleepy, sick or dizzy. You may also find it difficult to breathe. In serious cases you can become unconscious and may need emergency treatment in hospital.
The amount of tramadol that can lead to an overdose varies from person to person. If you've taken 1 extra dose by mistake, check the information that comes with the medicine packaging or ask your pharmacist or doctor for advice.
Generally, you are unlikely to get any symptoms and you can take your next dose as usual. Get someone else to drive you or call for an ambulance.
Take the tramadol box or leaflet inside the packet plus any remaining medicine with you. It's safe to take tramadol with paracetamol , ibuprofen or aspirin aspirin is suitable for most people aged 16 years and over. Do not take tramadol with codeine-containing painkillers you can buy from a pharmacy. You'll be more likely to get side effects.
Some everyday painkillers that you can buy from pharmacies contain codeine, which is a similar medicine to tramadol. Codeine-containing painkillers that you can buy from pharmacies include co-codamol , Nurofen Plus and Solpadeine.
Like all medicines, tramadol can cause side effects although not everyone gets them. Talk to your doctor or pharmacist if the side effects listed below bother you or don't go away.
Very common side effects of tramadol happen in more than 1 in 10 people and include:. Common side effects of tramadol happen in more than 1 in people. They include:. In rare cases, it's possible to have a serious allergic reaction anaphylaxis to tramadol. These are not all the side effects of tramadol. For a full list see the leaflet inside your medicines packet. In early pregnancy, it's been linked to some problems for your unborn baby. If you take tramadol at the end of pregnancy there's a risk that your newborn baby may get withdrawal symptoms.
However, it's important to treat pain in pregnancy. For some pregnant women with severe pain, tramadol might be the best option. Your doctor is the best person to help you decide what's right for you and your baby.
It's safe to breastfeed while taking tramadol. Tramadol passes into breast milk in small amounts but it's unlikely to harm your baby. However, if your baby is premature, had a low birthweight or has an illness, talk to your doctor before breastfeeding.
Some medicines and tramadol interfere with each other and increase the chances of you having side effects. Tell your doctor if you're taking:. Do not take medicines called monoamine oxidase inhibitors or MAOIs which are used to treat depression with tramadol. It's not known if complementary medicines and herbal teas are safe to take with tramadol. They're not tested in the same way as pharmacy and prescription medicines.
They're generally not tested for the effect they have on other medicines. Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements. It acts on pain receptors in the central nervous system and the brain to block pain signals to the rest of the body.
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