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What kind of drug is Tramadol?
Tramadol is an opiate agonist drug that can be prescribed for the treatment of moderate to moderately severe pain. You will need to be taking Tramadol regularly and avoid skipping doses or missing them. Your treatment will only then be successful when you follow all the instructions of your health care provider and take Tramadol exactly as prescribed. Make sure you tell your doctor if you think you need to be taking a higher dose of Tramadol - in that case, the increase is supposed to be gradual and your dose can only be increased slightly every 3-4 days (5 days for the extended-release tablets of Tramadol). You may get an allergic reaction unless you take Tramadol as recommended and use it after you already had such a reaction to any of the following medications: hydromorphone, oxycodone, meperidine, propoxyphene, codeine, morphine, or Hydrocodone. In that case, you may not be able to use Tramadol at all. There are a number of risk factors you may have for developing seizures in the course of the treatment - you will need to report any of those risk factors to your health care provider before starting to use Tramadol. The following are important to report: a history of drug or alcohol addiction, taking antidepressants, muscle relaxers, or medicine for nausea and vomiting, a history of seizures, a history of head injury, a history of epilepsy or other seizure disorder, any metabolic disorder.
Aspects to be discussed before Tramadol treatment
Your doctor will need to know if you have any of the following medical conditions that have been reported to interfere with the success of your Tramadol treatment: thoughts about harming yourself, lung disease, kidney or liver disease, infection in your brain or spine, stroke, breathing problems, seizures, a head injury, a history of depression, mental illness, or suicide attempt, suicidal thoughts, diabetes, brain tumor, depression, or stomach disorder. Some of the conditions mentioned can make it impossible for you to take Tramadol, while other ones will just require a dose adjustment. Your doctor may also want to monitor you for any side effects you may develop - so make sure you do tell your doctor about any medical problems you also have. Do not take this medicine if you are pregnant or breastfeeding, as the health of your baby may be affected. Tramadol can also pass into breast milk and affect the health of your nursing infant.
The danger of using more of Tramadol
You are never supposed to take too much of this medicine, as a number of symptoms are possible that can be dangerous and even lethal. The following are most probably symptoms of an overdose you will need to report to your local emergency center: heart attack, coma, slow heartbeat, decreased size of the pupil, shallow breathing, fainting, cold or clammy skin, seizure, light-headedness, difficulty breathing, extreme drowsiness, unconsciousness, and extreme weakness. Seek emergency medical help as soon as you get them, as the symptoms mentioned are unlikely to go away on their own.
Are there drug interactions with Tramadol?
Tramadol is supposed to be taken alone - you must not combine it with other medications you may be taking at the moment unless you have discussed that with your health care provider. Make sure you always tell your doctor if at the moment of getting a prescription you are already taking any other drugs, such as digoxin, rifampin, St. John's wort, tranylcypromine, sertraline, clomipramine, erythromycin, carbamazepine, phenelzine, escitalopram, selegiline, desipramine, isocarboxazid, paroxetine, imipramine, fluoxetine, amitriptyline, ketoconazole, warfarin, quinidine, nortriptyline, citalopram, fluvoxamine, or any other ones. Some drugs can cause interactions more serious than other ones. Tell your doctor if you are taking any muscle relaxers, medicine for seizures, sleeping pills, depression or anxiety medications, cold or allergy medicine, or narcotic pain medicine, as those can add to the drowsiness you may experience. If you are not sure about the name of the medicine you are taking at the moment, make sure you tell your doctor about that to determine whether your drug is likely to cause any interactions.
Tramadol side effects
You will need to understand the difference between mild and more serious side effects of Tramadol that are sometimes possible, reporting the ones that seem bothersome to your health care provider to see what can be done. The following are mild side effects of Tramadol that are not expected to get more serious, and you are therefore not supposed to report them right away: uncontrollable shaking of a part of the body, sweating, constipation, headache, nausea, muscle tightness, weakness, dizziness, vomiting, itching, chills, diarrhea, heartburn, indigestion, difficulty falling asleep or staying asleep, agitation, drowsiness, changes in mood, dry mouth, nervousness, and sleepiness. More serious side effects are also possible although unlikely and include hoarseness, weak pulse, rash, sores on the inside of your mouth, nose, eyes, or throat, swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs, shallow breathing, difficulty swallowing or breathing, flu-like symptoms, hallucinations, blistering, peeling skin rash, hives, and seizures. If you get any of the serious side effects mentioned - make sure you talk to your doctor right away.
Does Tramadol cause any withdrawal effects?
Withdrawal symptoms are possible if you stop taking Tramadol suddenly without first discussing it with your health care provider. Your doctor will need to be notified if you are going to stop taking Tramadol as he will most probably recommend stopping the treatment gradually and taking less and less of this medicine every several days. The following symptoms can be avoided if you take less of Tramadol gradually: hair standing on end, uncontrollable shaking, chills, nausea, diarrhea, difficulty falling asleep, difficulty staying asleep, sneezing, nervousness, pain burning, or tingling in your hands or feet, cough, numbness, hallucinations, sweating, panic, anxiety, runny nose, and tremors.