What is this medicine?
TRAMADOL (TRA ma dole) is a pain reliever. It is used to treat moderate to severe pain in adults.
This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
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What is the price of this medication and similar alternatives?
This pricing information is subject to change at the sole discretion of DS Pharmacy. This pricing information was updated 09/2009. For the most current and up-to-date pricing information, please visit www.drugstore.com. Actual costs to patients will vary depending on the use of specific retail or mail-order locations and health insurance copays.
| Ryzolt 100MG 24-hr Tablets | PURDUE PHARMA L.P. | 30/$119.99 or 90/$335.95 |
| Ryzolt 200MG 24-hr Tablets | PURDUE PHARMA L.P. | 30/$199.97 or 90/$559.93 |
| Ryzolt 300MG 24-hr Tablets | PURDUE PHARMA L.P. | 30/$279.98 or 90/$789.92 |
| TraMADol HCl 50MG Tablets | MYLAN | 30/$16.99 or 90/$47.97 |
| Tramadol-Acetaminophen 37.5-325MG Tablets | TEVA PHARMACEUTICALS USA | 30/$27.99 or 90/$80.97 |
| Ultracet 37.5-325MG Tablets | MCNEIL | 30/$54.32 or 90/$135.78 |
| Ultram 50MG Tablets | MCNEIL | 30/$70.37 or 100/$204.93 |
| Ultram ER 100MG 24-hr Tablets | ORTHO-MCNEIL PHARMACEUTICAL | 30/$118.79 or 90/$344.52 |
| Ultram ER 200MG 24-hr Tablets | ORTHO-MCNEIL PHARMACEUTICAL | 30/$200.02 or 90/$532.16 |
| Ultram ER 300MG 24-hr Tablets | ORTHO-MCNEIL PHARMACEUTICAL | 30/$246.57 or 90/$732.2 |
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What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
- breathing difficulties, wheezing
- confusion
- itching
- light headedness or fainting spells
- redness, blistering, peeling or loosening of the skin, including inside the mouth
- seizures
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
- constipation
- dizziness
- drowsiness
- headache
- nausea, vomiting
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How should I use this medicine?
Take the tablets by mouth with a full glass of water. Follow the directions on the prescription label. If the medicine upsets your stomach, take it with food or milk. Do not take more medicine than you are told to take.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
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What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
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What may interact with this medicine?
Do not take this medicine with any of the following medications:
- MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
This medicine may also interact with the following medications:
- alcohol or medicines that contain alcohol
- antidepressants
- antihistamines
- benzodiazepines
- bupropion
- carbamazepine or oxcarbazepine
- clozapine
- cyclobenzaprine
- digoxin
- furazolidone
- linezolid
- medicines for pain like pentazocine, buprenorphine, butorphanol, meperidine, nalbuphine, and propoxyphene
- muscle relaxants
- naltrexone
- phenobarbital
- phenothiazines like perphenazine, thioridazine, chlorpromazine, mesoridazine, fluphenazine, prochlorperazine, promazine, and trifluoperazine
- procarbazine
- warfarin
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Who should NOT use this medication?
- Known hypersensitivity to tramadol, opiate agonists, or any ingredient in the formulation.
- Acute intoxication with other CNS depressants (e.g., alcohol, sedatives and hypnotics, other centrally acting analgesics, opiate agonists, or psychotropic drugs).
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What should I watch for while using this medicine?
Tell your doctor or health care professional if your pain does not go away, if it gets worse, or if you have new or a different type of pain. You may develop tolerance to the medicine. Tolerance means that you will need a higher dose of the medicine for pain relief. Tolerance is normal and is expected if you take this medicine for a long time.
Do not suddenly stop taking your medicine because you may develop a severe reaction. Your body becomes used to the medicine. This does NOT mean you are addicted. Addiction is a behavior related to getting and using a drug for a non-medical reason. If you have pain, you have a medical reason to take pain medicine. Your doctor will tell you how much medicine to take. If your doctor wants you to stop the medicine, the dose will be slowly lowered over time to avoid any side effects.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can increase or decrease the effects of this medicine. Avoid alcoholic drinks.
You may have constipation. Try to have a bowel movement at least every 2 to 3 days. If you do not have a bowel movement for 3 days, call your doctor or health care professional.
Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.
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What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
- brain tumor
- drink more than 3 alcohol-containing drinks per day
- drug abuse or addiction
- head injury
- kidney disease or problems going to the bathroom
- liver disease
- lung disease, asthma, or breathing problems
- seizures or epilepsy
- an unusual or allergic reaction to tramadol, codeine, other medicines, foods, dyes, or preservatives
- pregnant or trying to get pregnant
- breast-feeding
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Can I stop taking the medication if I feel better?
If you are taking an analgesic for pain and you are no longer experiencing the pain you may stop using the medication. In general, pain medications are to be used on an ?as needed? basis.
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I am on so many medications; do I have to take them all?
This is called polypharmacy—many different medications being used at the same time by one person. Sometimes, being on multiple medications is acceptable and appropriate but at other times it may be problematic. If you are receiving your medications from multiple physicians you need to ensure that they all know what medications you are taking. The best way to do this is to make a list of all the medications you are currently using, including all nutritional supplements, homeopathic remedies, vitamins and over-the-counter drugs (if possible, also include all the diseases you have been diagnosed with). Give a copy to every doctor who takes care of you so they have it on file, this way they can avoid duplicating medications and perhaps even try to consolidate some. After every doctor's visit remember to update the list accordingly. Also, as much as you possibly can, try to use the same pharmacy to fill all your prescriptions, this way any potential drug interactions can be caught and averted.
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Where can I get more information?
More Information
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