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TRAMADOL (Ralivia ER., Ralivia. Flashdose®, Ultram®) is used to treat pain in adults. The medicine is for pain that lasts for more than a few days. The medicine is not for use on an as needed basis

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What is Tramadol?

Tramadol is an atypical opioid. It is used to relieve moderate to moderately severe pain following surgery such as hysterectomy, cesarean section, dental surgery, and hip replacement or other bone. It is also used to relive chronic pain associated with low-back pain, cancer, or nerve pain.

Alert your doctor if any of these apply to you:

  • pregnant, planning to become pregnant, or are breast-feeding
  • an alcohol or drug abuse problem
  • an unusual or allergic reaction to Tramadol, other medicines, foods, dyes, preservatives, or other substances
  • breathing difficulty
  • kidney or liver disease
  • stomach or intestinal problems
  • had injury or brain tumor
  • seizures (convulsions) or seizure disorder (epilepsy)

How to use:

  • Strictly follow your doctor's instructions
  • Follow the directions on the prescription label
  • Take your doses at regular intervals
  • Do not stop taking Tramadol until you are told so by your doctor
  • If you miss a dose, take it as soon as you can
  • Avoid taking double or extra doses

Safety issues:

  • Visit your doctor regularly for checks on your progress.
  • Tramadol may cause dizzines or drowsiness. Avoid driving, operating machinery, or performing other tasks that require mental alertness until you know how Tramadol affects you.
  • Tell your doctor if you are going to have surgery

What drug(s) may interact with Tramadol?

  • warfarin
  • alcohol
  • St. John's wort
  • antihistamines
  • stimulants such as amphetamine or dextroamphetamine
  • bupropion
  • seizure medicines
  • cocaine
  • ritonavir
  • digoxin
  • droperidol
  • rifampin
  • drugs to regulate heart rhythm
  • procarbazine
  • furazolidone
  • other medicines for pain
  • imatinib
  • isoniazid, IHN
  • naloxone
  • linezolid
  • muscle relaxants
  • MAO inhibitors
  • medicines for mental problems
  • medicines for anxiety, depression, or sleeping problems
  • medicines for Parkinson's disease
  • medicines for nausea or vomiting

Possible side effects:

If you experience these side effects, you should contact your doctor immediately:
  • vomiting
  • chages in vision
  • nausea
  • difficulty breathing, shortness of breath
  • anxiety, agitation
  • fast or irregular heartbeat
  • seizures (convulsions)
  • hallucinations
  • skin rash, itching
  • passing urine more frequent than ususal, or not passing urine as often as usual
  • redness, blistering, peeling or loosening of the skin, inclufing inside mouth
These side effects usually don't require medical attention (but you should contact your doctor if they continue or are bothersome):
  • itching
  • constipation or diarrhea
  • indigestion
  • difficulty sleeping
  • headache
  • dizziness, drowsiness
  • false sense of well being, feeling of unreality, mood changes
  • dry mouth

What is the shelf life of the pills?

  • The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

What is a generic pill?

Generic drug (pl. generic drugs, short: generics) is a drug which is produced and distributed without a brand name. A generic must contain the same active ingredients as the original formulation. In most cases, it is considered bioequivalent to the brand name counterpart with respect to pharmacokinetic and pharmacodynamic properties.

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