Both tramadol oral tablets are also available as generic drugs. The immediate-release tablet is also available as the brand-name drug Ultram. Generic drugs usually cost less than the brand-name version. In some cases, they may not be available in all strengths or forms as the brand-name drug.
Tramadol is a controlled substance. Tramadol may be used as part of a combination therapy. This means you may need to take it with other medications. Tramadol belongs to a class of drugs called opioid agonists. A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions.
Tramadol works by changing how your brain senses pain. Tramadol is similar to substances in your brain called endorphins. Endorphins bind to receptors parts of cells that receive a certain substance. The receptors then decrease the pain messages that your body sends to your brain. Tramadol oral tablet may cause drowsiness. You should not drive, use heavy machinery, or perform any dangerous activities until you know how this drug affects you.
Tramadol may also cause other side effects. If these effects are mild, they may go away within a few days or a couple of weeks. Call your doctor right away if you have serious side effects.
Serious side effects and their symptoms can include the following:. Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this information includes all possible side effects. This information is not a substitute for medical advice. Always discuss possible side effects with a healthcare provider who knows your medical history.
Tramadol oral tablet can interact with other medications, vitamins, or herbs you may be taking. An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well. To help avoid interactions, your doctor should manage all of your medications carefully. Do not take these drugs with tramadol. Doing so can cause dangerous effects in the body. Examples of these drugs include:. Taking tramadol with certain medications raises your risk of side effects from those drugs.
This is because the amount of those drugs in your body may be increased. If you use tramadol with certain drugs, you may have more side effects.
This is because the amount of tramadol in your body may be increased. If you take one of these drugs with tramadol, your doctor may monitor you more often. They may also adjust your tramadol dosage as needed. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions.
Always speak with your healthcare provider about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking. This dosage information is for tramadol oral tablet. All possible dosages and drug forms may not be included here. Your dosage, drug form, and how often you take the drug will depend on:.
However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. Always speak with your doctor or pharmacist about dosages that are right for you. Tramadol can cause or worsen seizures. These drugs include other opioid pain drugs or certain medications for depression, other mood disorders, or psychosis.
If you take too much tramadol, you may be treated with a medication called naloxone. This drug also raises your risk of seizures. If you have an allergic reaction, call your doctor or local poison control center right away.
If your symptoms are severe, call or go to the nearest emergency room. Taking it again could be fatal cause death. The use of drinks that contain alcohol can increase your risk of certain side effects from tramadol. These include slowed breathing, decreased heart rate, decreased blood pressure, or confusion.
You should not drink alcohol while taking tramadol. For people with seizures: If you have seizures or a history of seizures, tramadol can cause or worsen seizures. Talk with your doctor about whether tramadol is safe for you. For people with mental health problems: If you have thoughts about intentionally hurting yourself, or have hurt yourself, do not take tramadol.
For people with addiction problems: If you have problems with addiction, such as addiction to alcohol or drugs, do not take tramadol. Also avoid this drug if you have a history of addiction. For people with head injuries: Tramadol can increase the pressure inside your head. This can worsen your condition or make it harder for doctors to diagnose or find the cause of problems in your brain. For people with stomach problems: Tramadol can make certain stomach problems worse.
It can also make it harder for doctors to diagnose or find the cause of problems. For people with breathing problems: Tramadol may slow your breathing and cause shallow breathing. Shallow breathing means you take small, short breaths. If you already have a breathing problem, such as asthma, talk with your doctor about whether this drug is safe for you. For pregnant women: Tramadol is a category C pregnancy drug. That means two things:.
This drug should only be used if the potential benefit justifies the potential risk to the fetus. Call your doctor right away if you become pregnant while taking this drug. For women who are breastfeeding: Tramadol may pass into breast milk and cause serious effects in a child who is breastfed. These effects can include slowed breathing and death.
Talk to your doctor if you breastfeed your child. For seniors: The kidneys or liver of older adults may not work as well as they used to. Get someone else to drive you or call for an ambulance.
Take the tramadol box or leaflet inside the packet plus any remaining medicine with you. It's safe to take tramadol with paracetamol , ibuprofen or aspirin aspirin is suitable for most people aged 16 years and over. Do not take tramadol with codeine-containing painkillers you can buy from a pharmacy. You'll be more likely to get side effects. Some everyday painkillers that you can buy from pharmacies contain codeine, which is a similar medicine to tramadol.
Codeine-containing painkillers that you can buy from pharmacies include co-codamol , Nurofen Plus and Solpadeine. Like all medicines, tramadol can cause side effects although not everyone gets them. Talk to your doctor or pharmacist if the side effects listed below bother you or don't go away.
Very common side effects of tramadol happen in more than 1 in 10 people and include:. Common side effects of tramadol happen in more than 1 in people.
They include:. In rare cases, it's possible to have a serious allergic reaction anaphylaxis to tramadol. These are not all the side effects of tramadol. For a full list see the leaflet inside your medicines packet. In early pregnancy, it's been linked to some problems for your unborn baby.
If you take tramadol at the end of pregnancy there's a risk that your newborn baby may get withdrawal symptoms. However, it's important to treat pain in pregnancy. For some pregnant women with severe pain, tramadol might be the best option. Your doctor is the best person to help you decide what's right for you and your baby. It's safe to breastfeed while taking tramadol. Tramadol passes into breast milk in small amounts but it's unlikely to harm your baby.
However, if your baby is premature, had a low birthweight or has an illness, talk to your doctor before breastfeeding. Some medicines and tramadol interfere with each other and increase the chances of you having side effects.
Tell your doctor if you're taking:. Do not take medicines called monoamine oxidase inhibitors or MAOIs which are used to treat depression with tramadol. It's not known if complementary medicines and herbal teas are safe to take with tramadol. They're not tested in the same way as pharmacy and prescription medicines. They're generally not tested for the effect they have on other medicines.
Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements. It acts on pain receptors in the central nervous system and the brain to block pain signals to the rest of the body. It also works in your brain to stop you feeling pain messages. Tramadol does not stop the pain from happening, but you will not be able to feel it as much.
You will feel less pain 30 to 60 minutes after taking fast-acting tramadol. The pain relief wears off after 4 to 6 hours. Slow-acting tramadol tablets and capsules can take a day or two to start working but the pain relief will last for longer. Depending on why you're taking tramadol, you may only need to take it for a short time.
For example, if you're in pain after an injury or operation, you may only need to take tramadol for a few days or weeks at most. Talk to your doctor if you're unsure how long you need to take tramadol for. Yes, tramadol is addictive. For this reason, your dose will be reviewed to make sure you are only taking the amount you need to control your pain.
Your treatment plan may include details of how and when you will stop taking tramadol. If you need to take it for a long time your body can become tolerant to it.
That means you need higher doses to control your pain over time. Some people can become more sensitive to pain hyperalgesia. If this happens, your doctor will reduce your dose gradually to help these symptoms. Speak to your doctor if you are worried about tolerance, hyperalgesia or becoming addicted.
If you're addicted to tramadol, you may find it difficult to stop taking it or feel you need to take it more often than necessary. And if you stop taking tramadol suddenly you may suffer from withdrawal reactions. These include agitation, anxiety, nervousness, panic attacks, difficulty sleeping, shaking, over-activity, pins and needles or ringing in the ears. Talk to your doctor if you're worried about addiction or if you want to know more about how to prevent withdrawal symptoms.
The type of painkiller that's best depends on what type of pain you have and the cause of your pain. If tramadol doesn't get rid of your pain or works less well, talk to your doctor. Tramadol doesn't affect any type of contraception including the combined pill and emergency contraception. There's no firm evidence to suggest that taking tramadol will reduce fertility in men.
Speak to a pharmacist or your doctor if you're trying to get pregnant. They may want to review your treatment. Drinking alcohol while you're taking tramadol can make you feel more sleepy or increase the risk of serious side effects.
Stop drinking alcohol during the first few days of treatment until you see how the medicine affects you. If you feel sleepy with tramadol, it may be best to stop drinking alcohol while you're taking it. Do not drive a car or ride a bike if tramadol makes you sleepy during the daytime, gives you blurred vision or makes you feel dizzy, clumsy or unable to concentrate or make decisions. This may be more likely when you first start taking tramadol but could happen at any time - for example when starting another medicine.
It's an offence to drive a car if your ability to drive safely is affected. It's your responsibility to decide if it's safe to drive. If you're in any doubt, do not drive. UK has more information on the law on drugs and driving. Talk to your doctor or pharmacist if you're unsure whether it's safe for you to drive while taking tramadol.
If you take recreational drugs, such as cannabis, cocaine and heroin, while you are taking tramadol, you're more likely to get serious side effects. These include breathing difficulties, heart problems, seizures fits and even going into a coma. Some recreational drugs, such as cannabis, will also increase tramadol side effects such as sleepiness and dizziness.
Serotonin syndrome occurs when the levels of a chemical in your brain called serotonin become too high. Tell your doctor if you think you may take recreational drugs while you're on tramadol. Page last reviewed: 26 November Next review due: 26 November Tramadol On this page About tramadol Key facts Who can and can't take tramadol How and when to take it Taking tramadol with other painkillers Side effects How to cope with side effects Pregnancy and breastfeeding Cautions with other medicines Common questions.
About tramadol Tramadol is a strong painkiller. Help us improve our website Can you answer a quick question about your visit today? The most common side effects of tramadol are feeling sick and dizzy. It's possible to become addicted to tramadol, but your doctor will explain how to reduce the risks of becoming addicted.
If you need to take tramadol for more than a few weeks, your treatment plan may include details of how and when to stop taking this medicine.
It's best not to drink alcohol with tramadol as you're more likely to get side effects like feeling sleepy. Tramadol can be taken by adults and children aged 12 and over. Tell your doctor or pharmacist before starting the medicine if you have: had an allergic reaction to tramadol or any other medicines in the past an illness which causes seizures a head injury an addiction to alcohol, strong painkillers or recreational drugs breathing difficulties kidney or liver problems had a reaction to other strong painkillers in the past.
The dose can vary but you should not normally take more than mg a day. Different types of tramadol Tramadol comes as: fast-acting tablets — these contain 50mg of tramadol slow-acting tablets — these contain 50mg, 75mg, mg, mg, mg, mg or mg of tramadol fast-acting capsules — these contain 50mg of tramadol slow-acting capsules — these contain 50mg, mg, mg or mg of tramadol drops that you swallow — these contain mg of tramadol in 1ml of liquid an injection usually given in hospital soluble tablets — these contain 50mg of tramadol tablets that dissolve in the mouth — these contain 50mg of tramadol an injection usually given in hospital Tramadol drops, injections and some tablets and capsules are fast-acting.
How much to take Dosages vary from person to person. Take the tablet out of the blister pack and put it on your tongue. Suck the tablet, do not chew it. After it has melted, swallow or have a drink of water. You can also dissolve the tablet in a glass of water if you prefer. Important Do not break, crush, chew or suck slow-release tablets and capsules. When to take it When to take it depends on the type of tramadol that you have been prescribed: fast-acting tablets and capsules — usually 3 to 4 times a day drops — usually 3 to 4 times a day slow-release tablets and capsules — usually 1 or 2 times a day If you're 65 and over, or you have liver or kidney problems, you may be asked by your doctor to take tramadol less often.
What if I forget to take it? This will vary depending on which type of tramadol you are taking. Never take 2 doses at the same time to make up for a forgotten one. What will happen if I stop taking it? Tramadol can cause unpleasant withdrawal symptoms if you come off it suddenly, such as: feeling agitated feeling anxious shaking sweating.
Important If you have been taking tramadol for more than a few weeks do not stop taking it without speaking to your doctor first. What if I take too much? Taking too much tramadol can be dangerous.
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