Tramadol tablet is a prescription drug, it is used to relieve severe pain immediately. Tramadol comes in 3 forms - tablet, liquid, and capsule. Along with immediate relief of severe pain, this drug is also used to eliminate long-lasting pain. This medicine should never be taken without a doctor's advice as it becomes addictive, especially when the medicine has been in operation for a long time.



What is in this leaflet

1. What Tramadol oral drops are and what they are used for
2. What you need to know before you take Tramadol oral drops
3. How to take Tramadol oral drops
4. Possible side effects
5. How to store Tramadol oral drops
6. Contents of the pack and other information



1. WHAT TRAMADOL ORAL DROPS ARE AND WHAT THEY ARE USED FOR

Tramadol (tramadol hydrochloride) – the active substance in Tramadol oral drops - is a painkiller belonging to the class of opioids that acts on the central nervous system. It relieves pain by acting on specific nerve cells of the spinal cord and brain. Tramadol oral drops are used for the treatment of moderate to severe pain.



2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE TRAMADOL ORAL DROPS

      Do not take Tramadol oral drops:        If you are allergic to tramadol or any of the other ingredients of this medicine (listed in section 6)      In acute poisoning with alcohol, sleeping pills, pain relievers or other psychotropic medicines (medicines that affect  mood and emotions)      If you are also taking MAO inhibitors (certain medicines used for the treatment of depression) or have taken them in    the last 14 days (see “Taking other medicines”)      If you are an epileptic and your fits are not adequately controlled by treatment      as a substitute for drug withdrawal.


   
Warnings and precautions

Talk to your doctor, pharmacist or nurse before taking Tramadol oral drops: if you think that you are addicted to other pain relievers (opioids) if you suffer from consciousness disorders (if you feel that you are going to faint) if you are in a state of shock (cold sweat may be a sign of this)

if you suffer from increased pressure in the brain (possibly after a head injury or brain disease) if you have difficulty breathing if you have a tendency towards epilepsy or fits because the risk of a fit may increase if you suffer from a liver or kidney disease. In such cases please consult your doctor before taking the medicine.


Epileptic fits have been reported in patients taking tramadol at the recommended dose level. The risk may be higher when doses of tramadol exceed the recommended upper daily dose limit (400mg). Tramadol is transformed into the liver by an enzyme. Some people have a variation of this enzyme and this can affect people in different ways. In some people, they may not get enough pain relief but other people are more likely to get serious side effects. If you notice any of the following side effects, you must stop taking this medicine and seek immediate medical advice: slow or shallow breathing, confusion, sleepiness, small pupils, feeling or being sick, constipation, lack of appetite.

Please note that Tramadol oral drops may lead to physical and psychological addiction. When Tramadol oral drops are taken for a long time, its effect may decrease, so that higher doses have to be taken (tolerance development).





Your doctor will tell you whether you should take Tramadol oral drops and which dose. The risk of side effects increases if you take tranquillizers, sleeping pills, other pain relievers such as morphine and codeine (also as cough medicine), and alcohol while you are taking Tramadol oral drops. You may feel drowsier or feel that you might faint. 



Tramadol oral drops with food, drink and alcohol. Do not drink alcohol during treatment with Tramadol oral drops as its effect may be intensified. Food does not influence the effect of Tramadol oral drops.

Pregnancy and breastfeeding, If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.



Talk to your doctor or pharmacist if you are not sure whether it is safe for you to drive while taking this medicine. Tramadol oral drops contain sodium and sucrose. This medicine contains less than 1 mmol sodium(23 mg) per 100mg/ml, that is to say essentially ‘sodium-free’. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.


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