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If you think you or someone else may have taken an overdose of tramadol, get emergency help at once. Signs of an overdose include convulsions (seizures); difficult or troubled breathing; irregular, fast or slow, or shallow breathing; pale or blue lips, fingernails, or skin; pinpoint pupils of the eyes, or shortness of breath.
Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; medicine for seizures or barbiturates; muscle relaxants; or anesthetics, including some dental anesthetics. Do not drink alcoholic beverages, and check with your doctor or dentist before taking any of these medicines while you are using this medicine. This medicine will add to the effects of alcohol and other CNS depressants (medicine that makes you drowsy or less alert).
It is very important that your doctor check your progress at regular visits to make sure the medicine is working properly and to check for any unwanted effects.
Make sure your doctor knows if you are pregnant, may be pregnant, or planning to become pregnant.
This medicine can increase thoughts of suicide. l your doctor if you have any sudden or strong feelings, such as feeling nervous, angry, restless, violent, or scared. Report any unusual thoughts or behaviors that trouble you, especially if they are new or get worse quickly. Make sure your caregiver knows if you have trouble sleeping, get upset easily, have a big increase in energy, or start to act reckless. Let your doctor know if you or anyone in your family has bipolar disorder (manic-depressive disorder) or has tried to commit suicide. l your doctor right away if you start to feel more depressed or have thoughts about hurting yourself.
However, if nausea or vomiting continues, check with your doctor. Lying down for a while may also help relieve some other side effects, such as dizziness or lightheadedness that may occur. This effect may go away if you lie down for awhile. Nausea or vomiting may occur, especially after the first couple of doses.
Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor right away if you have a rash; itching; hoarseness; trouble breathing; trouble swallowing; swelling of your hands, face, or mouth; or chest pain while you are using this medicine. This medicine may cause serious allergic reactions, including anaphylaxis.
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Dizziness, lightheadedness, or fainting may occur, especially when you get up suddenly from a lying or sitting position. Getting up slowly may help lessen this problem.
This medicine may cause some people to become drowsy, dizzy, lightheaded, or less alert than they are normally. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or not alert.
This medicine may increase your risk for seizures. Make sure your doctor knows about all the other medicines you are using. (convulsions) and may cause a serious condition called serotonin syndrome.
Do not stop suddenly taking this medicine without first checking with your doctor. Your doctor may want you to gradually reduce the amount you are using before stopping it compley. This may help prevent a possible worsening of your condition and reduce the possibility of withdrawal symptoms such as anxiety, diarrhea, headache, nausea, shivering, sweating, tremors, or trouble with sleeping.
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Taking tramadol together with medicines that are used during surgery or dental or emergency treatments may cause increased side effects. Before having any kind of surgery (including dental surgery) or emergency treatment, l the doctor or dentist in charge that you are taking this medicine.Tramadol oral surgery