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Tramadol

Tramadol is a pain reliever medication. Tramadol affects chemicals and receptors in the body that are associated with pain.

Tramadol is used to relieve moderate to moderately severe pain.
Tramadol may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking tramadol?

Seizures have been reported as a rare side effect of treatment with tramadol. The risk of seizures may be increased in patients who have any of the conditions or are taking any of the medications listed below: Do not take tramadol without first talking to your doctor if you
• have a history of seizures or epilepsy;
• have a head injury;
• have a metabolic disorder;
• have a central nervous system infection;
• are experiencing alcohol or drug withdrawal;
• are taking a tricyclic antidepressant such as amitriptyline (Elavil), nortriptyline (Pamelor), doxepin (Sinequan), imipramine (Tofranil), clomipramine (Anafranil), and others;
• are taking a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate);
• are taking a psychiatric medication such as chlorpromazine (Thorazine), fluphenazine (Prolixin), haloperidol (Haldol), loxapine (Loxitane), mesoridazine (Serentil), perphenazine (Trilafon), thioridazine (Mellaril), thiothixene (Navane), and others;
• are taking a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or citalopram (Celexa);
• are taking a narcotic pain reliever such as codeine, fentanyl (Duragesic), hydromorphone (Dilaudid), meperidine (Demerol), hydrocodone (Vicodin, Lorcet, Lortab, others), morphine (MS Contin, MSIR, RMS, Roxanol, others), oxycodone (Roxicodone, Percocet, Percodan, others), propoxyphene (Darvon, Darvocet, others), and others;
• are taking promethazine (Phenergan) or prochlorperazine (Compazine);
• are taking sibutramine (Meridia);
• are taking bupropion (Wellbutrin, Zyban); or
• are taking cyclobenzaprine (Flexeril).

Before taking tramadol, tell your doctor if you have

• kidney disease;
• liver disease; or
• a history of alcohol or drug dependence.

You may not be able to take tramadol, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

Tramadol is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant.

It is also not known whether tramadol passes into breast milk. Do not take tramadol without first talking to your doctor if you are breast-feeding a baby.
If you are over 75 years of age, you may be more likely to experience side effects from tramadol. The maximum daily dose of tramadol for people over 75 years of age is 300 mg.

Tramadol is not approved by the FDA for use by children younger than 16 years of age.