| Chemical
name: Tramadol hydrochloride
Common uses:
Tramadol hcl
50mg/100mg is an analgesic used to treat moderate to
moderately severe chronic pain in certain patients.
Before using:
Some medicines or
medical conditions may interact with tramadol hcl 50mg/100mg.
Inform your doctor or pharmacist of all prescription and
over-the-counter medicine that you are taking. Do not take
tramadol hcl 50mg/100mg if you are taking carbamazepine,
nefazodone, sodium oxybate (ghb), a thioxanthene (eg,
thiothixene), or another product that contains tramadol.
Additional monitoring of your dose or condition may be needed
if you are taking alpha-2 receptor blockers (eg, yohimbine),
azole antifungals (eg, ketoconazole), linezolid, lithium,
macrolide antibiotics (eg, erythromycin), quinidine, serotonin-norepinephrine
reuptake inhibitors (snris) (eg, duloxetine), selective
serotonin reuptake inhibitors (ssris) (eg, fluoxetine,
paroxetine), st. John's wort, tricyclic antidepressants (eg,
amitriptyline), "triptans" (eg, sumatriptan),
anorexiants (eg, phentermine), butyrophenones (eg, haloperidol),
cyclobenzaprine, furazolidone, loxapine, certain medicines for
mental or mood disorders (eg, olanzapine), molindone,
monoamine oxidase inhibitors (maois) (eg, phenelzine,
selegiline), opioid pain medicine (eg, codeine, hydrocodone),
phenothiazines (eg, promethazine), sleeping medicines (eg,
zolpidem), tiagabine, rifampin, anticoagulants (eg, warfarin),
or digoxin. Do not start or stop any medicine without doctor
or pharmacist approval. Inform your doctor of any other
medical conditions, including liver, kidney, or thyroid
problems; blockage in the bladder; diabetes; heart problems (eg,
cor pulmonale); high blood pressure; pancreas problems;
prostate problems; metabolism problems; allergies; pregnancy;
or breast-feeding. Tell your doctor if you have or recently
have had any head injury, brain injury or tumor, increased
pressure in the brain, or infection of the brain or nervous
system. Tell your doctor if you have a history of lung or
breathing problems (eg, asthma, chronic obstructive pulmonary
disease [copd]); seizures (eg, epilepsy); recent stomach or
bowel surgery; other stomach or bowel problems (eg, pain,
inflammation, ulcers); alcohol or other substance abuse; mood
or mental problems (eg, depression); or suicidal thoughts or
actions. Tell your doctor if you drink alcohol or if you are
going through withdrawal from alcohol or other substances. Use
of tramadol hcl 50mg/100mg is not recommended if you have
severe or persistent diarrhea caused by antibiotic use; severe
liver or kidney problems; suicidal thoughts or actions; or a
history of alcohol or other substance abuse or addiction. Use
of tramadol hcl 50mg/100mg is not recommended if you are
intoxicated with alcohol, opioids or narcotics (eg, codeine,
morphine), or sedatives or sleeping medicines (eg, temazepam,
zolpidem). Tramadol hcl 50mg
/ 100mg should not be used in children younger than 16
years; safety and effectiveness in these children have not
been confirmed. Contact your doctor or pharmacist if you have
any questions or concerns about using tramadol hcl 50mg/100mg.
Directions:
Follow the directions
for taking tramadol hcl 50mg/100mg provided by your doctor.
Swallow tramadol hcl 50mg/100mg whole. Do not break, crush, or
chew before swallowing. Take tramadol hcl 50mg/100mg with or
without food. Try to take it the same way (either with food or
without food) each time you take your dose. Check with your
doctor or pharmacist if you have questions about taking
tramadol hcl 50mg/100mg with food. Store tramadol hcl
50mg/100mg at 77 degrees f (25 degrees c) away from heat,
moisture, and light. Do not store in the bathroom. Brief
storage at temperatures between 59 and 86 degrees f (15 and 30
degrees c) is permitted. Keep tramadol hcl 50mg/100mg out of
the reach of children and away from pets. If you miss a dose
of tramadol hcl 50mg/100mg and you are taking it regularly,
take it as soon as possible. If it is almost time for your
next dose, skip the missed dose and go back to your regular
dosing schedule. Do not take 2 doses at once.
Cautions:
Do not take tramadol
hcl 50mg/100mg if you have had an allergic reaction to it or
if you are allergic to any ingredient in this product. Do not
take tramadol hcl 50mg/100mg if you have had a severe allergic
reaction to codeine or another opioid (eg, morphine). Do not
exceed the recommended dose or take tramadol hcl 50mg/100mg
for longer than prescribed without checking with your doctor.
Exceeding the recommended dose or taking tramadol hcl
50mg/100mg for longer than prescribed may be habit-forming or
may increase the risk of seizures or breathing problems. If
using tramadol hcl 50mg/100mg for an extended period of time,
do not suddenly stop taking tramadol hcl 50mg/100mg without
your doctor's approval. Your dose may need to be slowly
lowered to avoid side effects. When used for an extended
period of time, tramadol hcl 50mg
/ 100mg may not work as well and may require different
dosing. Talk with your doctor if tramadol hcl 50mg/100mg stops
working well. Do not take more than prescribed. Before you
have any medical or dental treatments, emergency care, or
surgery, tell the doctor or dentist that you are using
tramadol hcl 50mg/100mg. Do not drink alcohol while you are
using tramadol hcl 50mg /
100mg. Check with your doctor before you use medicines that
may cause drowsiness (eg, sleep aids, muscle relaxers,
narcotic pain medicines) while you are using tramadol hcl
50mg/100mg; it may add to their effects. Ask your pharmacist
if you have questions about which medicines may cause
drowsiness. Tramadol hcl 50mg/100mg may cause drowsiness or
dizziness. Do not drive, operate machinery, or do anything
else that could be dangerous until you know how you react to
tramadol hcl 50mg/100mg. Using tramadol hcl 50mg/100mg alone,
with other medicines, or with alcohol may lessen your ability
to drive or to perform other potentially dangerous tasks.
Alcohol, hot weather, exercise, or fever may increase
dizziness. If dizziness occurs, sit up or stand slowly,
especially in the morning. Sit or lie down at the first sign
of this effect. Tramadol hcl 50mg
/ 100mg may increase your risk of seizures. Your risk
may be greater if you also have certain medical conditions,
use certain medicines, or if you use a lot of alcohol. Talk to
your doctor to see if you may have a greater risk of seizures
while taking tramadol hcl 50mg/100mg. Serotonin syndrome is a
possibly fatal syndrome that can be caused by tramadol hcl
50mg/100mg. Your risk may be greater if you take tramadol hcl
50mg/100mg with certain other medicines (eg, "triptans,"
maois, antidepressants). Symptoms may include agitation;
confusion; hallucinations; coma; fever; fast or irregular
heartbeat; tremor; excessive sweating; and nausea, vomiting,
or diarrhea. Contact your doctor at once if you have any of
these symptoms. Before you begin taking any new medicines,
either prescription or over-the-counter, check with your
doctor or pharmacist. Caution is advised when using tramadol
hcl 50mg/100mg in the elderly because they may be more
sensitive to the effects of tramadol hcl 50mg/100mg. For
women: tramadol hcl 50mg/100mg has been shown to cause harm to
the fetus. If you plan on becoming pregnant, discuss with your
doctor the benefits and risks of using tramadol hcl 50mg/100mg
during pregnancy. Tramadol hcl 50mg
/ 100mg is excreted in breast milk. Do not breast-feed
while taking tramadol hcl 50mg/100mg.
Possible side
effects:
Side effects that may
occur while taking tramadol hcl 50mg/100mg include:
constipation; diarrhea; dizziness; drowsiness; dry mouth;
headache; increased sweating; indigestion; mild itching;
nausea; trouble sleeping; vomiting; weakness. If they continue
or are bothersome, check with your doctor. Seek medical
attention right away if any of these severe side effects
occur: agitation; chest pain; confusion; difficult or painful
urination; disorientation; excessive sweating; fainting; fast
or irregular heartbeat; fever; hallucinations; loss of
coordination; mood or mental changes (eg, depression); red,
blistered, swollen, or peeling skin; seizures; severe
dizziness or lightheadedness; severe nausea, vomiting, or
diarrhea; severe or persistent headache; slow or shallow
breathing; suicidal thoughts or behaviors; tremor; or vision
problems. An allergic reaction to tramadol hcl 50mg/100mg is
unlikely, but seek immediate medical attention if it occurs.
Symptoms of an allergic reaction include rash; hives; itching;
difficulty breathing; tightness in the chest; swelling of the
mouth, face, lips, or tongue; unusual hoarseness. This is not
a complete list of all side effects that may occur. If you
have questions about side effects, contact your health care
provider. Call your doctor for medical advice about side
effects. You may report side effects to fda at 1-800-fda-1088.
Drug interactions:
Drug interactions can
result in unwanted side effects or prevent a medicine from
doing its job. Use our drug interaction checker to find out if
your medicines interact with each other. Check drug
interactions.
If you take too
much:
If overdose is
suspected, contact your local poison control center or
emergency room immediately. Symptoms may include bluish skin;
cold, clammy skin; difficult, shallow, or slow breathing;
drowsiness leading to unresponsiveness or coma; excessive
sweating; limp muscles; pinpoint pupils; seizures; slow or
irregular heartbeat.
Additional
information:
Do not share tramadol
hcl 50mg/100mg with others for whom it was not prescribed. Do
not use tramadol hcl 50mg/100mg for other health conditions.
If you will be using tramadol hcl 50mg / 100mg for an extended period of time, be sure to obtain
necessary refills before your supply runs out. Check with your
pharmacist about how to dispose of unused medicine. |