Earlier than taking tramadol,
- inform your physician and pharmacist if you're allergic to tramadol or other opiate ache or cough medicines comparable to meperidine (Demerol), morphine (Avinza, Kadian, MS Contin), codeine (in some ache medications and cough syrups), hydrocodone (in Vicodin), hydromorphone (Dilaudid), oxycodone (OxyContin, in Percocet), propoxyphene (Darvon, Darvon N, in Darvocet), every other medicines, or any of the components in tramadol tablets or extended-release tablets. Ask your pharmacist for a listing of substances in tramadol tablets or prolonged launch tablets.
- tell your doctor and pharmacist what different prescription and nonprescription medicines, vitamins, and dietary supplements you're taking. You'll want to point out any of the next: antifungal medications resembling ketoconazole (Nizoral); digoxin (Lanoxin); erythromycin (E.E.S., E-Mycin, Erythrocin); monoamine oxidase (MAO) inhibitors, together with isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate); medications for nervousness, mental illness, nausea, and pain; drugs for seizures, equivalent to carbamazepine (Tegretol); muscle relaxants corresponding to cyclobenzaprine (Flexeril); promethazine (Phenergan); quinidine; rifampin (Rifadin, Rifamate, Rimactane, others); sedatives; sleeping pills; selective serotonin reuptake inhibitors (SSRIs) resembling citalopram (Celexa), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), and sertraline (Zoloft); tranquilizers; tricyclic antidepressants reminiscent of amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Adapin, Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactil), and trimipramine (Surmontil);and warfarin (Coumadin). Many other drugs can also interact with tramadol, so you should definitely tell your physician about all the medicines you take, even those that don't seem on this list. Your physician may need to change the doses of your medications or monitor you carefully for aspect effects.
- inform your physician what natural products you are taking, particularly St. John's wort.
- tell your physician when you've got or have ever had seizures; an infection in your brain or backbone; a head injury, a brain tumor, a stroke, or any other situation that brought on excessive strain inside your cranium; melancholy or thoughts about harming or killing yourself or planning or trying to take action; diabetes; breathing issues or lung disease; or kidney or liver disease. Also tell your doctor if you happen to drink or have ever drunk large amounts of alcohol, use or have ever used avenue medication, or have overused prescription medications.
- tell your doctor if you are pregnant, plan to turn out to be pregnant, or are breast-feeding. In case you develop into pregnant while taking tramadol, name your doctor.
- if you're having surgical procedure, including dental surgery, inform the doctor or dentist that you're taking tramadol.
- you need to know that this treatment might make you drowsy and may affect your coordination. Don't drive a automobile or function machinery till you know the way this treatment affects you.
- talk to your doctor in regards to the protected use of alcohol when you are taking this medication. Alcohol can make the unwanted effects from tramadol worse.
- you must know that tramadol could cause dizziness, lightheadedness, and fainting when you get up from a lying position. To keep away from this, get out of bed slowly, resting your ft on the ground for a couple of minutes earlier than standing up.
What special dietary directions ought to I comply with?
Discuss to your doctor about consuming grapefruit juice while you are taking this medication.
What ought to I do if I overlook a dose?
If your doctor has instructed you to take tramadol regularly, take the missed dose as quickly as you remember it. Nevertheless, if it is virtually time for the following dose, skip the missed dose and continue your common dosing schedule. Don't take a double dose to make up for a missed one.
Posted in: 
