Before taking tramadol,tell your doctor and pharmacist if you’re allergic to tramadol, other opiate pain medications, the other medications, or any of the ingredients in tramadol tablets, extended-release tablets, or extended-release capsules. Ask your pharmacist for an inventory of the ingredients.
tell your doctor or pharmacist if you’re taking or receiving the subsequent MAO (MAO) inhibitors or if you’ve got stopped taking them within the past 2 weeks: isocarboxazid (Marplan), linezolid (Zyvox), methylthionine chloride , phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate). Your doctor will probably tell you to not take tramadol if you’re taking one or more of those medications, or have taken them within the past 2 weeks.
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make certain to say any of the following: anticoagulants (‘blood thinners’) like warfarin (Coumadin, Jantoven); bupropion (Aplenzin, Wellbutrin, Zyban); cyclobenzaprine (Amrix); dextromethorphan (found in many cough medications; in Nuedexta); digoxin (Lanoxin); diuretics (‘water pills’); lithium (Lithobid); certain medications for migraine headaches like almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, in Treximet), and zolmitriptan (Zomig); mirtazapine (Remeron); promethazine; 5-HT3 receptor antagonists like alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), or palonosetron (Aloxi); selective serotonin reuptake inhibitors (SSRIs) like citalopram (Celexa), fluoxetine (Prozac, Sarafem, like desvenlafaxine (Pristiq, Khedezla), duloxetine (Cymbalta), milnacipran (Savella), and venlafaxine (Effexor); trazodone (Oleptro); and tricyclic antidepressants Many other medications can also interact with overnight tramadol, so make certain to inform your doctor about all the medications you’re taking, even people who don’t appear on this list. Your doctor may have to vary the doses of your medications or monitor you carefully for side effects.
tell your doctor what herbal products you’re taking, especially St. John’s wort and tryptophan.
tell your doctor if you’ve got any of the conditions mentioned within the IMPORTANT WARNING section, a blockage or narrowing of your stomach or intestines, or paralytic ileus (condition during which digested food doesn’t move through the intestines). Your doctor may tell you to not take tramadol if you’ve got any of those conditions.
tell your doctor if you’ve got or have ever had seizures; an infection in your brain or spine; difficulty urinating; thoughts about harming or killing yourself or planning or trying to try to do so; or kidney or disease .
tell your doctor if you’re breastfeeding. you ought to not breastfeed while taking tramadol. Tramadol can cause shallow breathing, difficulty or noisy breathing, confusion, quite usual sleepiness, trouble breastfeeding, or limpness in breastfed infants.
you should know that this medication may decrease fertility in men and ladies . ask your doctor about the risks of taking tramadol.
If you’re having surgery, including dentistry , tell the doctor or dentist that you simply are taking tramadol.
you should know that this medication may cause you to drowsy and should affect your coordination. don’t drive a car or operate machinery until you recognize how this medication affects you.
you should know that aspadol may cause dizziness, lightheadedness, and fainting once you rise up from a lying position. To avoid this, get out of bed slowly, resting your feet on the ground for a couple of minutes before standing up.
a source of phenylalanine.
you should know that tramadol may cause constipation. ask your doctor about changing your diet and using other medications to treat or prevent constipation.
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If your doctor has told you to require tramadol regularly, take the missed dose as soon as you commit it to memory . However, if it’s almost time for the subsequent dose, skip the missed dose and continue your regular dosing schedule. don’t take a double dose to form up for a missed one.
What side effects can this medication cause?
Tramadol may cause side effects. Tell your doctor if any of those symptoms are severe or don’t go away:
sleepiness
difficulty falling asleep or staying asleep
headache
nervousness
uncontrollable shaking of a neighborhood of the body
muscle tightness
changes in mood
heartburn or indigestion
dry mouth