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How
should this medicine be used?
Tramadol 50 mg comes as a tablet to take by mouth. It may be taken
with or without food. Your doctor may start you on a low dose of
tramadol 50 mg and gradually increase your dose not more often than
every 3 days. Tramadol 50 mg may be taken every 4–6 hours as needed.
If you take too much tramadol, you may experience serious side effects.
Ask your doctor about the maximum number of tablets that you may
take for each dose or for a 24-hour period. Follow the directions
on your prescription label carefully, and ask your doctor or pharmacist
to explain any part you do not understand. Take tramadol 50 mg exactly
as directed.
Tramadol 50 mg can be habit-forming. Do not take a larger dose,
take it more often, or take it for a longer period of time than
prescribed by your doctor. Call your doctor if you find that you
want to take extra medication or notice any other unusual changes
in your behavior or mood.
Do not stop taking tramadol 50 mg suddenly without talking to your
doctor. If you suddenly stop taking tramadol, you may experience
side effects. Your doctor will probably decrease your dose gradually.If
you suddenly stop taking tramadol 50 mg you may experience withdrawal
symptoms such as nervousness; panic; sweating; difficulty falling
asleep or staying asleep; runny nose, sneezing, or cough; numbness,
pain, burning, or tingling in your hands or feet; hair standing
on end; or rarely, hallucinations (seeing things or hearing voices
that do not exist).
What special precautions should I follow?
Before taking tramadol 50 mg:
- tell your doctor and pharmacist if you are allergic to tramadol
50 mg or other narcotic pain medications such as meperidine (Demerol),
morphine, codeine (or medications that contain codeine such as Tylenol
with Codeine), hydrocodone (e.g., Vicodin), hydromorphone (e.g.,
Dilaudid), oxycodone (e.g., Percocet), propoxyphene (e.g., Darvon,
Darvon N), any other medications, or corn.
- tell your doctor and pharmacist what other prescription and nonprescription
medications, vitamins, nutritional supplements, and herbal products
you are taking. Be sure to mention any of the following: amiodarone
(Cordarone, Pacerone); antihistamines; bupropion (Wellbutrin);celecoxib
(Celebrex); cimetidine (Tagamet);cyclobenzaprine (Flexeril); digoxin
(lanoxin); doxorubincin (Adriamycin);haloperidol (Haldol); imipenem
and cilastatin (Primaxin); methadone (Dolophine, Methadose); monoamine
oxidase (MAO) inhibitors, including isocarboxazid (Marplan), phenelzine
(Nardil), selegiline (Eldepryl), and tranylcypromine (Parnate);
medications for anxiety, mental illness, nausea, pain; medications
for seizures, such as carbamazepine (Tegretol); metoclopramide (Reglan);
nefazodone; promethazine (Phenergan); quinidine (Quinaglute; Quinidex);
ranitidine (Zantac); ritonavir (Norvir, in Kaletra); sedatives;
sleeping pills; selective serotonin reuptake inhibitors (SSRIs)
such as citalopram (Celexa), fluoxetine (Prozac, Sarafem), fluvoxamine
(Luvox), paroxetine (Paxil), and sertraline (Zoloft); ticlopidine
(Ticlid); tranquilizers; tricylic antidepressants such as amitriptyline
(Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine
(Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil),
nortriptyline (Aventyl, Pamelor), protriptyline (Vivactil), and
trimipramine (Surmontil);venlafaxine (Effexor);warfarin (Coumadin).
Many other medications may also interact with tramadol 50 mg, so
be sure to tell your doctor about all the medications you are taking,
even those that do not appear on this list. Your doctor may need
to change the doses of your medications or monitor you carefully
for side effects.
- tell your doctor if you have or have ever had seizures, head injury,
infection in your brain or nervous system, increased intracranial
pressure (increased pressure within the skull), diabetes, breathing
problems or lung disease, or kidney or liver disease. Also tell
your doctor if you drink or have ever drunk large amounts of alcohol,
use or have ever used street drugs, or have overused prescription
medications.
- tell your doctor if you are pregnant, plan to become pregnant,
or are breast-feeding. If you become pregnant while taking tramadol
50 mg, call your doctor.
- if you are having surgery, including dental surgery, tell the
doctor or dentist that you are taking tramadol 50 mg.
- you should know that this drug may make you drowsy and may affect
your coordination. Do not drive a car or operate machinery until
you know how this drug affects you.
- remember that alcohol can add to the drowsiness caused by this
drug. The manufacturer states that tramadol 50 mg should not be
taken with alcohol containing beverages.
- you should know that tramadol 50 mg may cause dizziness, lightheadedness,
and fainting when you get up from a lying position. To avoid this,
get out of bed slowly, resting your feet on the floor for a few
minutes before standing up.
What should I do if I forget a dose?
Take the missed dose as soon as you remember it. However, if it
is almost time for the next dose, skip the missed dose and continue
your regular dosing schedule. Do not take a double dose to make
up for a missed one.
What side effects can this medication cause?
Tramadol 50 mg may cause side effects. Tell your doctor if any of
these symptoms are severe or do not go away:
- dizziness
- weakness
- headache
- nervousness or anxiety
- agitation
- shaking hands that you cannot control
- increased muscle tightness
- changes in mood
- drowsiness
- blurred vision
- heartburn or indigestion
- upset stomach
- vomiting
- diarrhea
- constipation
- itching
- sweating
- flushing
- dry mouth
Some side effects can be serious. If you experience any of these
symptoms, call your doctor immediately:
- hives
- rash
- sores on the inside of your mouth, nose, eyes, or throat
- flu-like symptoms
- itching
- difficulty swallowing or breathing
- swelling of the face, throat, tongue, lips, eyes, hands, feet,
ankles, or lower legs
- fast heartbeat
- hoarseness
- difficulty swallowing or breathing
- changes in urination
- seeing things or hearing voices that do not exist (hallucinating)
- seizures
What storage conditions are needed for this medicine?
Keep this medication in the container it came in, tightly closed,
and out of reach of children. Store it at room temperature and away
from excess heat and moisture (not in the bathroom). Throw away
any medication that is outdated or no longer needed. Talk to your
pharmacist about the proper disposal of your medication.
In case of emergency/overdose
In case of overdose, call your local poison control center at 1-800-222-1222.
If the victim has collapsed or is not breathing, call local emergency
services at 911.
Symptoms of overdose may include:
- confusion
- vomiting
- decreased size of the pupil (the black circle in the center of
the eye)
- difficulty breathing
- extreme drowsiness
- unconciousness
- coma
- seizure
- heart attack
What other information should I know?
Keep
all appointments with your doctor. Do not let anyone else take your
medication. Ask your pharmacist any questions you have about refilling
your prescription.
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