Do not stop using this medicine suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine. Store at room temperature away from moisture and heat. Keep track of your medicine. Tramadol is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription. Do not keep leftover opioid medication. Just one dose can cause death in someone using this medicine accidentally or improperly. Ask your pharmacist where to locate a drug take-back disposal program.
If there is no take-back program, flush the unused medicine down the toilet. Dosage Information in more detail What happens if I miss a dose? Since tramadol is used for pain, you are not likely to miss a dose.
Skip any missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at A tramadol overdose can be fatal, especially in a child or other person using the medicine without a prescription. Overdose symptoms may include slow heart rate, severe drowsiness, cold and clammy skin, very slow breathing, or coma. What should I avoid while taking tramadol?
Do not drink alcohol. Dangerous side effects or death could occur. This medicine may impair your thinking or reactions. Avoid driving or operating machinery until you know how this medicine will affect you. Dizziness or severe drowsiness can cause falls or other accidents. Tramadol side effects Get emergency medical help if you have signs of an allergic reaction to tramadol 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.
How can i contact you? Do you sell generic pills or brand medicines? We sell Generic pills. What does Generic mean? Generic drugs are produced and distributed without patent protection. A generic contains the same active ingredients as the brand pills and is identified by its chemical name rather than its brand name.
Generics are considered bioequivalent to the brand name counterpart with respect to pharmacokinetic and pharmacodynamic properties. Therefore, generics are identical to brand pills in dose, strength, route of administration, safety, efficacy, and intended use. And why does the name printed on the pill differ from the branded one? In Mexico, Tramadol is freely available in a form where it is mixed with paracetamol.
In this form, no prescription is needed. What is the impact of Schedule IV placement? Schedule IV drugs have an accepted medical treatment use in the US and abuse of these drugs might lead to limited dependence or lower dependence compared to drugs listed in Schedule III. Schedule IV drugs are controlled and monitored and have limits on how many times their prescriptions can be refilled within a six-month period Currently, drugs under this schedule can be refilled a maximum of five times every six-month period.
Drug Interactions Considering the fact that Tramadol has demonstrated serotonin and norepinephrine reuptake inhibiting qualities, patients who are taking selective serotonin reuptake inhibitors like Zoloft, Prozac, and other compounds, selective norepinephrine reuptake inhibitors like Effexor, monoamine oxidase inhibitors like isocarboxazid, phenelzine, selegiline and other compounds, tricyclic antidepressants like amitriptyline, amitriptylinoxide, butriptyline, and others must consult with their physician about the dosage of tramadol to take.
In some of these situations, Tramadol might be ruled out completely due to strong drug interactions. Similarly, if the patient is taking strong opioid-based based compounds like morphine, fentanyl, methadone, and oxycodone, the patient's doctor needs to be advised to see if Tramadol is a feasible treatment option.
Finally, if a patient is over 75 years of age or is a minor or is suffering from reduced liver or kidney functions, the patient's physician must be advised.
What are the adverse effects of Tramadol? For the majority of patients taking Tramadol, there are no adverse effects. However, in small percentages of Tramadol users, the following side effects have been observed. The following list is in the order of severity with the most common side effects listed first. The most common side effects of Tramadol are drowsiness, nausea, dizziness, constipation, headache, vomiting, diarrhea, dry mouth, fatigue, indigestion, and, in a very small number of patients, seizures.
In addition to the side effects above, there is also a body of observed side effects for people taken off Tramadol too quickly. These range from nervous 'thrashing' in the patient's bed and uncontrolled tremors and muscle contractions. Other fairly rare side effects include electrical shock-like sensations, a 'buzzing' effect, and anxiety. Some observers note that these effects are somewhat similar to those of patients experiencing withdrawal from Effexor.
In terms of sexual performance, Tramadol has been observed to delay ejaculation in some instances as well as produce other sexual dysfunctions.
Patients who are taking SSRI medications require extra scrutiny since these medications might interact with Tramadol in such a way as to trigger potentially fatal serotonin toxicity.
The most severe side effect of Tramadol are seizures. Thankfully, this occurs only in very rare instances. Seizures have been reported in the cases of individuals who take very large doses mg oral or mg intravenous of Tramadol.
In very rare cases, persons who take much lower doses experience seizures. There is a growing body of research that indicates that Tramadol should not be prescribed for patients who have uncontrolled epilepsy. Who are most at risk of seizures? Tramadol takers who are between the gages of 25 and 54 years old, patients who exceed four tramadol prescriptions, and individuals who have a record of head trauma injury, stroke, or alcohol abuse.
Can patients become physically dependent on Tramadol? All in all, it is harder to become physically depend or addicted to Tramadol compared to other opiate-based medications. In fact, this drug's habit-forming potential is low enough for the US Drug Enforcement Agency to leave it off its list of controlled substances. With that said, addiction to Tramadol is still possible. Patients who take low dosages for Tramadol on a short-term basis are less likely to develop physical dependence than those who take the medication over a long period of time at high dosages.
These latter patients can exhibit withdrawal symptoms when taken off Tramadol. These withdrawal symptoms are like those of withdrawal symptoms for opiate-like or opioid-based pain relievers.
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