What is tramadol? Tramadol is a narcotic-like pain reliever. Tramadol is used to treat moderate to severe pain. The extended-release form of tramadol is for around-the-clock treatment of pain. This form of tramadol is not for use on an as-needed basis for pain. Tramadol may also be used for purposes not listed in this.
Keep track of the amount of medicine used from each new bottle. Tramadol is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.
Stop taking all other around-the-clock narcotic pain medications when you start taking tramadol.
Tramadol may be habit-forming, even at regular doses.
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Immediate-release : 50 to 100 mg orally every 4 to 6 hours as needed for pain Maximum dose: 400 mg per day Usual Adult Dose for Chronic Pain.
Liver Dose Adjustments. Immediate-release : -CrCl less than 30 mL/min: Dosing interval should be increased to every 12 hours; maximum dose should not exceed 200 mg per day Extended-release : -CrCl less than 30 mL/min: Use is not recommended.
Do not drink alcohol. Dangerous side effects or death can occur when alcohol is combined with tramadol.
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seizure (convulsions); weak or shallow breathing; high levels of serotonin in the body - agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting; or severe skin reaction - fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.
Do not take extra medicine to make up the missed dose.
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