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What is Tramadol for?
Your health care professional may recommend using Tramadol for moderate to moderately severe pain resulting from injuries or other conditions you may have. Your health care provider may prescribe Tramadol for round-the-clock treatment of pain. You will need to take the exact dose of Tramadol prescribed - but no more than 300 mg daily to make sure this drug works well for you and is not expected to cause any harmful effects. You will need to let your doctor know if you think the dose you have been prescribed is not working properly for you. Make sure you tell your doctor about any allergies you have, as well as a history of allergic reaction to any of the following medicines: Hydrocodone, oxycodone, morphine, propoxyphene, hydromorphone, codeine, or meperidine. There are a number of conditions that you may need to take into consideration, as in some rare cases they may contribute to the risk of developing seizures. The following ones are known to do that: a history of head injury, a history of drug or alcohol addiction, any metabolic disorder, a history of epilepsy or other seizure disorder, taking antidepressants, muscle relaxers, or medicine for nausea and vomiting, and a history of seizures.
What you need to discuss before taking Tramadol
It's very important that you notify your doctor of any other medical conditions you have that may affect the success of your treatment in any way. The following ones will need to be reported to your health care provider: stomach disorder, a history of depression, mental illness, or suicide attempt, diabetes, breathing problems, stroke, thoughts about harming yourself, kidney or liver disease, infection in your brain or spine, suicidal thoughts, brain tumor, seizures, lung disease, a head injury, depression. The conditions mentioned do not include all the possible health issues you will need to report. In case you have any other medical conditions, your health care provider will need to be notified of them a well. You may need to be started on a lower dose of Tramadol or you will be monitored carefully for any side effects. Do not take Tramadol if you are pregnant as that may affect the health of your baby.
Is an overdose of Tramadol dangerous?
You will need to make sure you take Tramadol as prescribed and never take too much of it. Taking too much of Tramadol can affect your wellbeing, and ever live your life unless you seek emergency medical help. The following are possible symptoms of an overdose that will have you seek emergency medical help: cold or clammy skin, difficulty breathing, extreme weakness, seizure, fainting, coma, light-headedness, decreased size of the pupil, extreme drowsiness, slow heartbeat, shallow breathing, unconsciousness, or a heart attack.
Drugs you should not combine Tramadol with
Your doctor will need to be notified of your plans to start taking any other medications, or in case you are already using any. The following drugs will be important to report, as they may affect the success of your treatment or cause worsened side effects: fluvoxamine, nortriptyline, ketoconazole, citalopram, digoxin, amitriptyline, erythromycin, warfarin, sertraline, carbamazepine, desipramine, rifampin, quinidine, imipramine, tranylcypromine, fluoxetine, phenelzine, isocarboxazid, clomipramine, St. John's wort, escitalopram, selegiline, and paroxetine. This list of drugs known to cause interactions is not complete- there are other medications that have been reported to cause interactions with Tramadol and therefore may affect the success of your treatment. You will need to report those medicines as well. For instance, if you are taking cold or allergy medicine, muscle relaxers, sleeping pills, medicine for seizures, narcotic pain medicine, as well as depression or anxiety medications, you may experience drowsiness that can be more intense because of the interaction. Make sure you talk to your doctor about that before starting the treatment.
Should I report any side effects?
You will need to keep your health care provider informed of your progress and tell him about any side effects that need to be mentioned. Make sure you always tell your health care provider if you get any of the following serious side effects that mean your treatment is not going quite as planned: hoarseness, swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs, flu-like symptoms, shallow breathing, hallucinations, weak pulse, seizures, sores on the inside of your mouth, nose, eyes, or throat, difficulty swallowing or breathing, rash, blistering, peeling skin rash, or hives. In most cases, you will get just a few mild side effects that do not need to be reported to your health care provider and can be ignored as long as they go away. The following are mild side effects of Tramadol: nausea, diarrhea, heartburn, uncontrollable shaking of a part of the body, muscle tightness, dry mouth, sleepiness, chills, agitation, nervousness, constipation, sweating, weakness, difficulty falling asleep or staying asleep, vomiting, dizziness, indigestion, itching, changes in mood, headache, and drowsiness.
Tramadol and withdrawal effects
Gradual withdrawal is recommended if you want to avoid such symptoms as runny nose, tremors, difficulty staying asleep, nervousness, cough, numbness, diarrhea, hair standing on end, hallucinations, sneezing, pain burning, or tingling in your hands or feet, anxiety, chills, difficulty falling asleep, sweating, panic, nausea, and uncontrollable shaking. The withdrawal symptoms mentioned are likely to appear if you stop taking Tramadol suddenly after using it for a long time or at high doses. Always inform your health care provider of your plans to stop the treatment and discuss the gradual withdrawal plan.