Your doctor will decide the right dose for you, depending on how sensitive you are to pain and how bad your pain is. Your dose may need to be changed several times to find what works best for you.
In general, you will be prescribed the lowest dose that relieves your pain. Dosages vary from person to person. Your dose will depend on how bad your pain is, how you've responded to previous painkillers and if you get any side effects. Fast-acting tramadol comes as capsules, drops and 2 different tablets — soluble and dissolve-in-the-mouth tablets:.
Slow-release tramadol comes as tablets and capsules. It's important to swallow slow-release tramadol tablets and capsules whole with a drink of water. Do not break, crush, chew or suck slow-release tablets and capsules. If you do, the slow-release system will not work and the whole dose might get into your body in one go.
This could cause a potentially fatal overdose. When to take it depends on the type of tramadol that you have been prescribed:. If you're 65 and over, or you have liver or kidney problems, you may be asked by your doctor to take tramadol less often. You can take your tramadol at any time of day but try to take it at the same time every day and space your doses evenly.
For example, if you take tramadol twice a day and have your first dose at 8am, take your second dose at 8pm. If you forget to take a dose, check the information on the patient information leaflet inside the packaging or ask your pharmacist or doctor for advice on what to do. If you forget doses often, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.
If you need to take tramadol for a long time your body can become tolerant to it. This is not usually a problem but you could get unpleasant withdrawal symptoms if you stop taking it suddenly. If you want to stop taking tramadol, talk to your doctor first. Your dose will usually be reduced gradually so you do not get unpleasant withdrawal effects. Tramadol can cause unpleasant withdrawal symptoms if you come off it suddenly, such as:.
If you have been taking tramadol for more than a few weeks do not stop taking it without speaking to your doctor first. It's important not to take more than your prescribed dose, even if you think it's not enough to relieve your pain. Speak to your doctor first, if you think you need a different dose. If you've taken an accidental overdose you may feel very sleepy, sick or dizzy.
You may also find it difficult to breathe. In serious cases you can become unconscious and may need emergency treatment in hospital. The amount of tramadol that can lead to an overdose varies from person to person.
If you've taken 1 extra dose by mistake, check the information that comes with the medicine packaging or ask your pharmacist or doctor for advice. Generally, you are unlikely to get any symptoms and you can take your next dose as usual.
Get someone else to drive you or call for an ambulance. Take the tramadol box or leaflet inside the packet plus any remaining medicine with you. It's safe to take tramadol with paracetamol , ibuprofen or aspirin aspirin is suitable for most people aged 16 years and over. Do not take tramadol with codeine-containing painkillers you can buy from a pharmacy.
You'll be more likely to get side effects. Some everyday painkillers that you can buy from pharmacies contain codeine, which is a similar medicine to tramadol. Codeine-containing painkillers that you can buy from pharmacies include co-codamol , Nurofen Plus and Solpadeine. Like all medicines, tramadol can cause side effects although not everyone gets them.
Talk to your doctor or pharmacist if the side effects listed below bother you or don't go away. Very common side effects of tramadol happen in more than 1 in 10 people and include:. Common side effects of tramadol happen in more than 1 in people. They include:. In rare cases, it's possible to have a serious allergic reaction anaphylaxis to tramadol. These are not all the side effects of tramadol.
For a full list see the leaflet inside your medicines packet. In early pregnancy, it's been linked to some problems for your unborn baby. If you take tramadol at the end of pregnancy there's a risk that your newborn baby may get withdrawal symptoms. Keep from freezing. Drop off any unused narcotic medicine at a drug take-back location right away. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet.
Check your local drug store and clinics for take-back locations. You can also check the DEA web site for locations. Here is the link to the FDA safe disposal of medicines website: www. There is a problem with information submitted for this request. Sign up for free, and stay up-to-date on research advancements, health tips and current health topics, like COVID, plus expert advice on managing your health. Error Email field is required. Error Include a valid email address.
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Vertava Health provide medical detoxification and addiction treatment for people who suffer from opioid addiction, including tramadol. Like other opioids, tramadol can result in a feeling of relaxation and well-being. This may lead some people to take too much of the drug. It is not common to overdose on tramadol when the drug is taken as prescribed.
People who overdose on tramadol are often abusing the drug, or taking it more frequently than directed. We are here to help you through every aspect of recovery. Let us call you to learn more about our treatment options. Tramadol comes in an extended-release tablet, which means the medication has a potent amount in each dose. If a person abuses tramadol by crushing and snorting the pill , they are at a heightened chance of overdose.
Large amounts of opioids like tramadol can decrease the amount of oxygen available to the brain. This can result in coma, permanent brain damage, or death. Tramadol overdose is a medical emergency. If you suspect a person is suffering an overdose, call immediately and try to keep the person awake until help arrives. People who take tramadol may wonder how much tramadol can lead to an overdose.
The answer depends on a number of personal and behavioral factors, including how a person ingests the drug. This drug also raises your risk of seizures. If you have an allergic reaction, call your doctor or local poison control center right away. If your symptoms are severe, call or go to the nearest emergency room. Taking it again could be fatal cause death.
The use of drinks that contain alcohol can increase your risk of certain side effects from tramadol. These include slowed breathing, decreased heart rate, decreased blood pressure, or confusion. You should not drink alcohol while taking tramadol. For people with seizures: If you have seizures or a history of seizures, tramadol can cause or worsen seizures.
Talk with your doctor about whether tramadol is safe for you. For people with mental health problems: If you have thoughts about intentionally hurting yourself, or have hurt yourself, do not take tramadol. For people with addiction problems: If you have problems with addiction, such as addiction to alcohol or drugs, do not take tramadol. Also avoid this drug if you have a history of addiction. For people with head injuries: Tramadol can increase the pressure inside your head.
This can worsen your condition or make it harder for doctors to diagnose or find the cause of problems in your brain.
For people with stomach problems: Tramadol can make certain stomach problems worse. It can also make it harder for doctors to diagnose or find the cause of problems. For people with breathing problems: Tramadol may slow your breathing and cause shallow breathing. Shallow breathing means you take small, short breaths. If you already have a breathing problem, such as asthma, talk with your doctor about whether this drug is safe for you. For pregnant women: Tramadol is a category C pregnancy drug.
That means two things:. This drug should only be used if the potential benefit justifies the potential risk to the fetus. Call your doctor right away if you become pregnant while taking this drug. For women who are breastfeeding: Tramadol may pass into breast milk and cause serious effects in a child who is breastfed. These effects can include slowed breathing and death. Talk to your doctor if you breastfeed your child. For seniors: The kidneys or liver of older adults may not work as well as they used to.
This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This raises your risk of side effects. Seniors 65 years of age and older are at higher risk of side effects from the extended-release forms of this drug. Tramadol oral tablet is used for short-term or long-term treatment.
Your length of treatment depends on how severe your pain is. If you stop taking the drug suddenly, you may have symptoms of withdrawal, which can include:. For this drug to work well, a certain amount needs to be in your body at all times. If you take too much: You could have dangerous levels of the drug in your body.
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