General English name: Tramadol

Brand: Mabron, Marol, Maxitram, Tilodol, Tradorec, Tramquel, Tramulief, Zamadol, Zeridame, Zydol, Tramacet

Application: Pain relief in adults and children over 12 years





Tramadol Drug Information

Contraindications to tramadol

Tips to consider before taking tramadol

Possible side effects of tramadol

How to store tramadol






Tramadol Drug Information

Medication Information: Strong opioids are used to relieve severe pain. Tramadol is a potent type of opioid. This drug reduces pain by affecting the brain and central nervous system.

Different brands and types of this drug are available. Some types of this drug are rapidly released into the body and have immediate action; But others enter the bloodstream slowly and within a few hours and can exert their effect for several hours. These brands are indicated by XL and SR or 24h symbols. Tramacet under the brand name Tramacet is a combination with paracetamol analgesic.


Contraindications to tramadol

Note the expiration date of the tramadol and do not take it if it has expired.

Never give tramadol to anyone else, even if you have the same symptoms.

Do not take more than the dose prescribed by your doctor.

Check for drug interactions with tramadol and be sure to tell your doctor what other medication you are taking.

Drug interactions may alter drug performance and increase the risk of serious side effects. Make a list of all the medicines (including prescription / over-the-counter and herbal medicines) you use and share them with your doctor and pharmacist. Do not change the dose of your medicine without consulting your doctor or stop taking the medicine.

Some medications that may interact with tramadol include certain painkillers (mixed agonist / antagonist analgesics such as pentazocine, nalbuphine, butorphanol), and naltrexone.

If you take other serotonin-boosting drugs with tramadol, your risk of developing serotonin syndrome or toxicity increases. Examples of these drugs include MDMA or "ecstasy", St. John's wort, certain antidepressants (including SSRIs such as fluoxetine / paroxetine, SNRIs such as duloxetine). / Venlafaxine).

Some medications can affect the removal of tramadol from the body and their function, including quinidine, azole antifungals (such as itraconazole), HIV medications (such as ritonavir), macrolide antibiotics (such as erythromycin), and rifamycins (such as rifampin). , Drugs used to treat seizures (such as carbamazepine) and so on.

Tramadol can cause serious drug interactions with MAO inhibitors. This interaction may even lead to death. Avoid procarbazine, rasagiline, selegiline, tranylcypromine with this medicine. Most MAO inhibitors should not be used until 2 weeks before you start taking tramadol, consult your doctor to start or stop taking the drug.

If tramadol is taken with other medicines that may affect your breathing or cause drowsiness, it may cause serious side effects (such as slow, shallow breathing, drowsiness, and severe dizziness). So if you are taking other medications such as alcohol, allergy medications, colds or coughs, anticonvulsants (such as phenobarbital), sleeping pills or anxiety medications (such as alprazolam, diazepam, zolpidem), muscle relaxants, pain relievers (such as codeine, Tell your doctor or pharmacist if you are taking hydrocodone and psychotropic drugs (such as risperidone, amitriptyline, trazodone).

Check the labels on all your medicines (such as cold medicines, supplements and coughs), as their ingredients may cause drowsiness. Ask your pharmacist how to use them so that you can use them safely.

Tramadol may interfere with certain laboratory tests (including amylase / lipase levels) and cause erroneous results. Inform laboratory personnel before use that you have used this medicine.


Tips to consider before taking tramadol

Some medications cannot be prescribed under certain conditions, and some medications may be prescribed if additional treatment is needed; Therefore, it is best for your doctor to be aware of the following before taking tramadol:

  • If you are pregnant or planning to become pregnant, or if you are breast-feeding.
  • If you have any liver or kidney problems.
  • If you have prostate problems or any urinary problems.
  • If you have any respiratory problems such as asthma or chronic obstructive pulmonary disease (COPD).
  • If you have been told that you have low blood pressure.
  • If you have any thyroid or adrenal problems.
  • If you have epilepsy.
  • If you have a bile duct problem.
  • If you have severe diarrhea or have had constipation or inflammatory bowel disease for more than a week.
  • If you have a muscle weakness called myasthenia gravis.
  • If you have recently had a severe head injury.
  • If you have ever had a mental health problem called psychosis.
  • If you are addicted to drugs or alcohol.
  • If you are taking certain medications. These medicines include all the medicines available, whether you are prescribed them or taking them without a doctor's prescription, such as herbal medicines and complementary medicines.
  • If you have a history of an allergic reaction to another medicine.


Possible side effects of tramadol

All medications can cause side effects. But many consumers also do not experience any side effects. Some side effects go away shortly after taking tramadol. In case of persistent side effects, the doctor should be informed:

  • Weakness and fatigue: In this situation, avoid driving and working with tools.
  • Feeling bored: Eat simple foods and avoid spicy and high-fat foods.
  • Constipation: Eat a balanced diet and drink several glasses of water daily.
  • Dry mouth: Use sugar-free gum.
  • Headache, diarrhea, urticaria, edema: Consult your doctor if any of these are bothersome.
  • Talk to your doctor if you experience any symptoms that you feel may be due to taking tramadol.


How to store tramadol

Keep the medicine out of the reach of children.

Keep the medicine in a cool, dry place away from heat and direct sunlight.

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