Tramadol

TRAMADOL®

Tramadol (Generic Ultram®) is a new type of non-narcotic oral pain medication that can be prescribed to treat low back pain. Tramadol acts centrally (in the brain) to modulate the sensation of pain and has no anti-inflammatory effect. It is a stronger pain reliever than acetaminophen, but probably not as strong as the narcotic agents. Tramadol is often a good option for treatment of low back pain because patients do not build up a tolerance with extended usage and there is a very low incidence of addiction. The regularly prescribed dose is one to two 50mg tablets every four to six hours, not to exceed eight pills a day. Exceeding the prescribed dose may lead to respiratory depression or seizures.

Important Note
The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

Uses
Tramadol is used for pain relief.

How to Use
Take this prescription by mouth as prescribed. It is usually taken every 4 to 6 hours as needed. Use this prescription 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, this prescription may not work as well and may require different dosing. Consult your doctor if the prescription stops working well.

Side Effects
This prescription 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 prescription: 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.

Precautions
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 prescription. Because this drug may make you dizzy/drowsy, use caution performing tasks requiring alertness such as driving. This prescription 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.

Drug Interactions
Tell your doctor of all prescription and nonprescription prescriptions 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.

Overdose
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include cold and clammy skin, low body temperature, slowed breathing, slowed heartbeat, drowsiness, dizziness, lightheadedness, deep sleep, loss of consciousness, or seizures.

Notes
Do not share this prescription with others.

Missed Dose
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.

Storage
Store this prescription 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 prescriptions out of the reach of children.

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