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| | Tramadol (Ultram in its generic
form) is used for pain relief. |  |  |  |
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| | Take Tramadol by mouth as
prescribed. It is usually taken every 4 to 6 hours as needed. Use this medication
exactly as prescribed. Do not increase your dose, use it more frequently or use
it for a longer period of time than prescribed because this drug can be habit-forming.
Also, if used for an extended period of time, do not suddenly stop using this
drug without your doctor's approval. When used for extended periods, Tramadol
may not work as well and may require different dosing. Consult your doctor if
the medication stops working well. |  |  |  |
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| | Tramadol may cause dizziness,
weakness, incoordination, nausea or vomiting, stomach upset, constipation, headache,
drowsiness, anxiety, irritability, dry mouth, or increased sweating. If any of
these effects persist or worsen, inform your doctor. Notify your doctor if you
develop any of these serious effects while taking this medication: chest pain,
rapid heart rate, skin rash or itching, mental confusion, disorientation, seizures,
tingling of the hands or feet, trouble breathing. In the unlikely event you have
an allergic reaction to this drug, seek immediate medical attention. Symptoms
of an allergic reaction include: rash, itching, swelling, dizziness, breathing
trouble. If you notice other effects not listed above, contact your doctor or
pharmacist. |  |  |  |
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| | Tell your doctor your medical
history, especially of: kidney disease, liver disease, seizure disorder, lung
disease, history of drug or alcohol dependency, any allergies you may have. Limit
alcohol as it may add to the dizziness or drowsiness effects caused by the medication.
Because this drug may make you dizzy/drowsy, use caution performing tasks requiring
alertness such as driving. Caution is advised when using this drug in the elderly
because they may be more sensitive to the effects of the drug. This medication
should be used only when clearly needed during pregnancy. Discuss the risks and
benefits with your doctor. Tramadol is excreted into breast milk. Because the
effects on a nursing infant are not known, consult your doctor before breast-
feeding. |  |  |  |
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| | Tell your doctor of all prescription
and nonprescription medications you may use, especially of: carbamazepine, narcotic
pain relievers (e.g., codeine), drugs used to aid sleep, antidepressants (e.g.,
SSRI-types such as fluoxetine or fluvoxamine), MAO inhibitors (e.g., furazolidone,
linezolid, phenelzine, procarbazine, selegiline, tranylcypromine), psychiatric
medicine (e.g., nefazodone), "triptan"-type drugs, anti-anxiety drugs
(e.g., diazepam), sibutramine. Also, report use of certain antihistamines (e.g.,
diphenhydramine) which are also present in many cough-and-cold products. Do not
start or stop any medicine without doctor or pharmacist approval. |
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| | If you miss a dose, take it
as soon as remembered; do not take it if it is near the time for the next dose,
instead, skip the missed dose and resume your usual dosing schedule. Do not double
the dose to catch up. |  |  |  |
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| | Store Tramadol
at room temperature between 59 and 86 degrees F (15 to 30 degrees C) away from
heat and light. Do not store in the bathroom. Keep this and all medications out
of the reach of children. |  |  |  |
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