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Tramadol is a narcotic-like pain reliever.  Tramadol is used to treat moderate to severe pain. Tramadol extended-release is used to treat moderate to severe chronic pain when treatment is needed around the clock. 

Tramadol belongs to the class of drugs known as opiate agonists. Primarily, tramadol works by changing the way the body senses pain. Tramadol may be prescribed as an immediate release tablet (50 mg.) or as an extended release tablet (100, 200, or 300 mg.). The extended release tablets are usually reserved for patients with chronic pain who require continuous, long-term treatment. Your doctor will determine the appropriate dosage schedule for you.  Tramadol extended release tablets must be taken whole, not split, chewed or crushed. Tramadol, when combined with certain other substances, can increase central nervous system and respiratory depression. 

You should not take tramadol if you have ever been addicted to drugs or alcohol. 

Seizures (convulsions) have occurred in some people taking tramadol. You may be more likely to have a seizure while taking tramadol if you have a history of seizures or head injury, a metabolic disorder, or if you are taking certain medicines such as antidepressants, muscle relaxers, or medicine for nausea and vomiting. 

Take tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Do not take more than 300 milligrams of tramadol in one day. 

Seek emergency medical attention if you think you have used too much of this medicine. A tramadol overdose can be fatal. Overdose symptoms of a tramadol overdose may include drowsiness, shallow breathing, slow heartbeat, extreme weakness, cold or clammy skin, feeling light-headed, fainting, or coma. 

Tramadol may be habit-forming and should be used only by the person it was prescribed for. Tramadol should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. Tramadol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Do not stop using tramadol suddenly, or you could have unpleasant withdrawal symptoms such as anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. 

Do not crush the tramadol tablet. This medicine is for oral (by mouth) use only. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhalation or injection can cause life-threatening side effects, overdose, or death. 

 Tramadol is usually well-tolerated. Any side effects are usually temporary. 

Some of the common side effects associated with tramadol include: 

• nausea
• constipation
• dizziness
• headache
• drowsiness
• vomiting

Less common side effects include: itching, sweating, diarrhea, rash, dry mouth, and vertigo. There have been patients who developed seizures after taking tramadol. 

Tramadol side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using tramadol and call your doctor at once if you have any of these serious side effects: 

• agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting; 
• seizure (convulsions); 
• a red, blistering, peeling skin rash; or 
• shallow breathing, weak pulse. 

Less serious side effects may include: 

• dizziness, drowsiness, weakness; 
• nausea, vomiting, constipation, loss of appetite; 
• blurred vision; 
• flushing (redness, warmth, or tingly feeling); or 
• sleep problems (insomnia). 

Tramadol Bluebook helps customers compare prices of Tramadol drugs. The drug Tramadol is being tried as an off label use for Pain. This site presents the best online pharmasi so you can choose and buy the drug Tramadol in accordance with your ability. 

There is a lot of talk on the streets about Tramadol being the next new party drug. Tramadol Pain Reliever Tramadol is one of the most effective pain relievers that are used for treating slight to moderately severe pain. 

This powerful painkiller is an analgesic which can be used to treat moderate or even severe pain. Better it be you than someone else. If you often have lower back pain then it is important to receive an effective pain treatment and one of the best ways is to use Tramadol. At least they will have the tools to deal with their crisis of faith properly. 

What other drugs will affect tramadol?

You may be more likely to have a seizure (convulsions) if you take tramadol while you are using certain other medicines. Do not take tramadol without telling your doctor if you also use any of the following medications: 

• an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam); or 
• an antidepressant such as amitriptyline (Elavil), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor); paroxetine (Paxil), or sertraline (Zoloft). 

Before taking tramadol, tell your doctor if you also use: 

• carbamazepine (Tegretol); 
• warfarin (Coumadin); 
• digoxin (Lanoxin, Lanoxicaps); 
• ketoconazole (Nizoral); 
• erythromycin (E-Mycin, E.E.S., Ery-Tab); 
• rifampin (Rifadin, Rimactane, Rifater); 
• St. John’s wort; 
• quinidine (Quinaglute, Quinadex, Cardioquin, Quinora); or 
• drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety). 

This list is not complete and there may be other drugs that can interact with tramadol. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. 

Tramadol Pregnancy Warnings

Tramadol has been assigned to pregnancy category C by the FDA. Animal studies have revealed evidence of embryotoxicity and fetotoxicity. There are no controlled data in human pregnancy. Tramadol should only be given during pregnancy when benefit outweighs risk. 

Tramadol has been shown to cross the placental barrier, with an umbilical vein to maternal vein serum concentration ratio of 0.83. A case of tramadol withdrawal in a neonate has been reported following long-term analgesic treatment of the mother. At 35 hours of age, the infant showed signs of a severe withdrawal syndrome with high-pitched crying, trembling, and shortened sleeping hours. 

Tramadol Breastfeeding Warnings

Tramadol is excreted into human milk in small amounts. The manufacturer suggests that tramadol should not be administered to nursing women.

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