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What special precautions should I follow?
Before taking tramadol,
- tell your doctor and pharmacist if you are allergic to tramadol, codeine, or any other drugs.
- tell your doctor and pharmacist what prescription and nonprescri
ption medications you are taking, especially other pain relievers; carbamazepine (Tegretol); MAO inhibitors [phenelzine (Nardil) or tranylcypromine (Parnate)]; medications for depression; quinidine; s
leeping pills; tranquilizers; and vitamins.
- tell your doctor if you have or have ever had kidney or liver disease, a history of seizures, or a history of alcohol or drug abuse.
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Precautions Before Using This Medicine
The presence of other medical problems may affect the use of tramadol. Make sure you tell your doctor if you have any other medical problems, especially:
- Abdominal or stomach conditions (severe
)¡XTramadol may hide signs of other medical conditions
- Alcohol or drug abuse, or history of¡XMay increase the serious side effects of tramadol
- Head injury¡XTramadol can hide signs of oth
medical conditions
- Kidney disease or
- Liver disease¡XThe chance of side effects may be increased. Your doctor will consider this when deciding on your doses.
- Seizures¡XThe chance o
convulsions (seizures) may be increased
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How should this medicine be used?
Tramadol comes as a tablet to take by mouth. It usually is taken every 4-6 hours as needed. It may be taken with or without food. Follow the directions on your prescription label carefully, and ask yo
ur doctor or pharmacist to explain any part you do not understand. Take tramadol exactly as directed.
Tramadol can be habit-forming. Do not take a larger dose, take it more often, or for a lo
nger period than your doctor tells you to.
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Precautions while Using this Medicine
Before having any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in charge that you are taking this medicine. Taking tramadol together with medic
ines that are used during surgery or dental or emergency treatments may cause increased side effects.
If you think you or someone else may have taken an overdose of tramadol, get emergency h
elp at once. Signs of an overdose include convulsions (seizures) and pinpoint pupils of the eyes.
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Possible Side Effect
Get emergency help immediately if any of the following symptoms of overdose occur:
- Convulsions (seizures); difficulty in breathing; pinpointed pupils of the eyes
Also, check wi
th your doctor as soon as possible if any of the following side effects occur:
- Blisters under the skin; blurred vision ; change in walking and balance; convulsions (seizures); difficult
urination; dizziness or lightheadedness when getting up from a lying or sitting position; fainting; fast heartbeat; frequent urge to urinate; loss of memory; numbness, tingling, pain, or weakne
ss in hands or feet; seeing, hearing, or feeling things that are not there; severe redness, swelling, and itching of the skin; shortness of breath ;
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