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Drug Class: Commonly Known As: Category:
Tramadol Hydrochloride Acugesic, Ultram

Tramadol - What is it for

​​Tramadol is used for the treatment of moderate to severe pain. Tramadol acts on the brain and spinal cord to reduce the amount of pain you experience.

Tramadol - Side Effects, Precautions, and Contraindications

What side effects can Tramadol cause?

Common side effects include:

  • Nausea
    • May occur when you start to take this medication but will become less as you continue to take the medication. Take the medication after food to reduce nausea.
  • Constipation
    • Drink more water if your doctor did not tell you to restrict fluid intake and take more food that contains fibre.
  • Dry mouth
  • Headache
  • Dizziness
    • Avoid driving or engaging in activities that require concentration. Get up slowly from a sitting or lying down position.
  • Drowsiness
    • Avoid driving or engaging in activities that require concentration.

Very rarely, a condition known as serotonin syndrome may happen when tramadol is taken with certain medications such as those used in treating depression. This can cause serious health problems that may sometimes be life-threatening. Consult a doctor immediately if you feel unusually unsettled, or experience hallucinations, muscle stiffness, very bad diarrhea or headaches.

The symptoms of a drug allergy include one or more of the following:

  • Swollen face/eyes/lips/tongue
  • Difficulty in breathing
  • Itchy skin rashes over your whole body

If you experience any of these symptoms, you should stop your medication and see your healthcare professional immediately.

Before taking Tramadol , what precautions must I follow?

​Inform your healthcare professional if:

  • You are allergic to this medication, any of the other ingredients of this medication or opioid pain medication such as Codeine, Morphine or Fentanyl.
  • You have a history of   
    • Kidney condition
    • Liver condition
    • Seizures (fits)
    • Heart condition
    • Lung condition
  • You are pregnant, planning to become pregnant, or breastfeeding.   
  • You are taking any other medications, including supplements, traditional medications and herbal remedies

What food or medicine must I avoid when I take Tramadol ?

  • ​Avoid taking alcohol with tramadol as it may cause excessive drowsiness. If you are taking Ultracet, which is a combination of tramadol and paracetamol, do not take more paracetamol-containing products.
  • Avoid taking tramadol with other medications that may cause drowsiness e.g. sleeping pills without checking with your doctor first.

Tramadol - Dosage and How to Use

How should Tramadol be used?

  • ​Your doctor will prescribe a suitable dose of tramadol for you according to the intensity of your pain.
  • Tramadol should be taken with or after food to prevent stomach upset.

What should I do if I miss a dose?

  • ​Tramadol is generally taken on an as needed basis. Take them regularly only when directed by the doctor.
  • If you forget to take a dose, take it as soon as you remember. Then, take your next dose at the usual time. Do not take two doses to make up for the missed dose.

What should I do if I overdose?

Tramadol - Handling

How should I handle Tramadol safely?

Tramadol - Storage

How should I store Tramadol ?

;#Keep away from children;#Keep in a cool, dry place, away from direct sunlight;#

How should I dispose of Tramadol safely?

Pack this medication into a black trash bag and seal it tightly before throwing into the rubbish chute or bin.

Tramadol - Additional Information

  • Updated on 9/30/2021 12:00:00 AM
  • Article contributed by PSS National Medication Information Workgroup PSS National Medication Information Workgroup
The information provided is not intended as medical advice. Terms of use. Information provided by SingHealth

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