Always consult your doctor or pharmacist before taking tramadol. If your condition does not improve or becomes worse, then call your doctor.
Driving or operating machinery should be avoided, as it may cause impairment. The person using tramadol should be aware of that.
You should not take tramadol if you are allergic to it, or if you have:
- severe asthma or breathing problems;
- a blockage in your stomach or intestines;
- if you have recently used alcohol, sedatives, tranquilizers, or narcotic medications;
- an MAO inhibitor in the past 14 days (such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine).
Tramadol should not be given to a child younger than 12 years old. Ultram ER should not be given to anyone younger than 18 years old. Do not give tramadol to anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids.
Seizures have occurred in some people taking tramadol. Talk with your doctor about your seizure risk, which may be higher if you have ever had:
- a head injury, epilepsy or other seizure disorder;
- drug or alcohol addiction;
- a metabolic disorder;
- If you also use certain antibiotics, antifungal medications, heart or blood pressure medications, or medicines to treat HIV or AIDS.
If you use tramadol while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant.
Do not breast-feed while taking tramadol. This medicine can pass into breast milk and cause drowsiness, breathing problems, or death in a nursing baby. To make sure tramadol is safe for you, tell your doctor if you have ever had:
- liver or kidney disease;
- a stomach disorder;
- mental illness, or suicide attempt;
- If you use a sedative like Valium (diazepam, alprazolam, lorazepam, Ativan, Klonopin, Restoril, Tranxene, Versed, Xanax, and others).
Refer to your doctor or pharmacist for guidelines on dosage. Do not exceed what they advise.
Usual dose for adults is: 50 to 100mg orally every 4 to 6 hours as needed for pain. The maximum dose per day is limited to 400mg.
A total of 744 drugs are known to interact with tramadol. Please consult with your doctor about any medications you are taking, before your treatment with tramadol.