Drug Uses

Tramadol is used to relieve moderate to moderately severe pain. It also may be used to treat pain caused by surgery and chronic conditions such as cancer or joint pain. Tramadol works by decreasing the brain's perception and response to pain. It also reduces the size or magnitude of the pain signal passed from one nerve to another. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

How Taken

Tramadol comes as a tablet to take it orally. 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 your 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 longer period than your doctor tells you to.

Warnings/Precautions

Before taking Tramadol, tell your doctor if you have kidney disease; liver disease; or a history of alcohol or drug dependence. You may not be able to take Tramadol, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Tramadol is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant. It is also not known whether Tramadol passes into breast milk. Do not take Tramadol without first talking to your doctor if you are breast-feeding a baby. If you are over 75 years of age, you may be more likely to experience side effects from Tramadol. The maximum daily dose of Tramadol for people over 75 years of age is 300 mg. Tramadol is not approved by the FDA for use by children younger than 16 years of age.

Missed Dose

Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Possible Side Effects

Although side effects from Tramadol are not common, they can occur. The most frequently reported events were in the central nervous system (Migraine, Speech disorders) and gastrointestinal system (Gastrointestinal bleeding, Hepatitis, Stomatitis, Liver failure). Tell your doctor if any of these symptoms are severe or do not go away: dizziness, headache, drowsiness, blurred vision, upset stomach, vomiting, and diarrhea. If you experience any of the following symptoms, call your doctor immediately: fast heartbeat, redness, swelling, and itching of the face, numbness or tingling of the hands and feet, difficulty breathing, changes in urination, seizures.

Storage

Dispense in a tight container. Store at 25°C (77°F); excursions permitted to 15 - 30°C (59 - 86°F).

Overdose

Seek emergency medical attention. Symptoms of a Tramadol overdose include difficulty breathing; shallow, weak breathing; and seizures.

More Information

Do not drink alcohol while taking Tramadol. Alcohol may cause a dangerous decrease in breathing and/ or liver problems when used during treatment with Tramadol. Use caution when driving, operating machinery, or performing other hazardous activities. Tramadol may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Avoid sleeping pills, tranquilizers, sedatives, and antihistamines except under the supervision of your doctor. These drugs may increase drowsiness caused by Tramadol.

Disclaimer

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

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What is the first thing you do when you sense an impending headache? Probably rush to your medicines cabinet and pop a painkiller without a second thought. Sometimes you may even be taking a pain relief product in advance or even daily, perhaps, in order to fend off recurrent headaches or because you are anticipating a stressful situation ahead.
Whatever the case, pause for a moment and analyze the pattern of your headaches. Do they seem to have become more frequent and more intense with time, requiring medication more often than before? If yes, then most lokely you are suffering from what are called rebound headaches, which are nothing but medication overuse headaches.
What happens is that when you start taking pain relief products indiscriminately, much more often than what the doctor prescribed or the label recommends, your body kind of adapts to the medication with the result that each successive time you need a higher dose to combat headaches. And if you don’t do that, the frequency and intensity of your headaches increases, so much so that headaches become a daily phenomenon. You may even wake up with a dull headache that continues throughout the day.
The effect is similar to what happens when at the slightest hint of a headache, you reach for your cup of coffee because coffee seems to cure your headache. You then become a more frequent coffee drinker, till one day, the situation reaches a point where, if you don’t get your coffee in time, you start getting a headache. With time, the frequency of the headaches increases and so does your requirement for coffee. And the whole vicious cycle continues. It is the caffeine in your coffee that is the culprit here.
Rebound headaches are usually accompanied by restlessness and irritability. Although any pain relief product can trigger rebound headaches, some are more likely to fuel them than others. Common over-the-counter medications that contribute to rebound headaches are aspirin, ibuprofen, acetaminophen, more so if they come in combination with caffeine. Prescription drugs containing the sedative butalbital, such as Fiorinal, Fioricet and Esgic, migraine medicines and opium-derived medications are also the culprits.
Most people don’t realize that over-the-counter pain relief products are meant to give quick relief from occasional headaches. They must not to be taken indiscriminately on a regular basis for recurrent headaches because medication overdosing can set off a vicious cycle of rebound headaches. And the only way to break this cycle is to withdraw the medication that is fuelling it. Period. But that is a task easier said than done and requires professional help.
Consult your doctor for further rebound headaches information and do seek medical help if you are having a headache more than thrice a week, are regularly on pain relief products and your headaches seem to be getting worse despite medication and rest. The doctor will recommend whether to stop the medication right away or to withdraw it gradually. Your headaches may become worse before they get better because of medication withdrawal symptoms, but if you cooperate with your doctor, you can successfully break the rebound cycle within a month or two.
Most importantly, preventing any kind of headache from occurring too often is the best solution. This requires a conscious effort on your part and can be achieved by identifying and avoiding things that trigger headaches for you. Alternative therapies like yoga and meditation teach you to relax and develop a positive attitude towards life. Also, making small lifestyle changes like getting sufficient sleep, eating meals in time, exercising regularly and quitting smoking can go a long way in preventing nagging headaches.

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