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.
TRAMADOL (Ultram®) is an analgesic that can relieve moderate to moderately severe pain following surgery such as cesarean section, hysterectomy, hip replacement or other bone surgery, and dental surgery. This drug also helps relieve chronic pain associated with cancer, nerve pain, or low-back pain. Generic tramadol tablets are available.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
an alcohol or drug abuse problem
breathing difficulty
head injury or brain tumor
kidney disease
liver disease
seizures (convulsions) or seizure disorder (epilepsy)
stomach or intestinal problems
an unusual or allergic reaction to tramadol, codeine, other pain medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding
How should I take this medicine?
Take tramadol tablets by mouth. Follow the directions on the prescription label. Swallow the tablets with a drink of water. If tramadol upsets your stomach, take it with food or milk. Do not take more than 100 mg of tramadol at one time or more than 400 mg of tramadol per day. Older patients (more than 75 years of age) should not take more than 300 mg of tramadol per day. Higher doses may cause severe side effects, do not take more medication than your prescriber has instructed.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What drug(s) may interact with tramadol?
alcohol
antihistamines (commonly found in allergy or cold products)
bupropion
cocaine
digoxin
droperidol
drugs to regulate heart rhythm such as amiodarone, propafenone, quinidine
furazolidone
imatinib
isoniazid, INH
linezolid
medicines called MAO inhibitors-phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®), selegiline (Eldepryl®)
medicines for anxiety, depression, or sleeping problems
medicines for nausea or vomiting
medicines for Parkinson's disease such as entacapone, pramipexole, ropinirole or tolcapone
medicines for mental problems like schizophrenia
muscle relaxants
naloxone
other medicines for pain such as codeine, morphine, nalbuphine, pentazocine, or propoxyphene
procarbazine
rifampin
ritonavir
seizure medicines
stimulants such as amphetamine or dextroamphetamine
St. John's wort
warfarin
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
What side effects may I notice from taking tramadol?
Side effects that you should report to your prescriber or health care professional as soon as possible: Rare or uncommon:
changes in vision
difficulty breathing, shortness of breath
fast or irregular heartbeat
hallucinations (seeing and hearing things that are not really there)
passing urine more frequently than usual, or not passing urine as often as usual
redness, blistering, peeling or loosening of the skin, including inside the mouth
skin rash, itching
seizures (convulsions) More common:
anxiety, agitation
nausea
vomiting
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
constipation or diarrhea
difficulty sleeping
dizziness, drowsiness
dry mouth
false sense of well being, feeling of unreality, mood changes
headache
indigestion
itching
What should I watch for while taking tramadol?
Tell your prescriber or health care professional if your pain does not go away. Visit your prescriber or health care professional for regular checks on your progress if you are taking tramadol regularly.
Do not drive, use machinery, or do anything that needs mental alertness until you know how tramadol affects you. Be careful taking other medicines which may also make you tired. This effect may be worse when taking these medicines with tramadol. Alcohol can increase possible drowsiness, dizziness, confusion and affect your breathing. Avoid alcohol while taking tramadol.
Your mouth may get dry. Chewing sugarless gum, sucking hard candy and drinking plenty of water will help.
If you are going to have surgery, tell your prescriber or health care professional that you are taking tramadol.
Where can I keep my medicine?
Keep out of reach of children in a container that small children cannot open.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.
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.
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What is a generic drug?
A generic drug (pl. generic drugs, short: generics) is a drug which is produced and distributed without patent protection. 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. By extension, therefore, generics are assumed to be identical in dose, strength, route of administration, safety, efficacy, and intended use.
Facts about generic drugs
It is the chemical compound that makes up drug.
It is manufactured in strict compliance within th FDA guidelines.
It costs less because they don't have to spend R&D advertising.
It works identical to brand name Drugs to treat a medical condition.
Generic drugs generally cost 30-50% less then the equivalent.
Half of all prescription drugs have generic equivalents.
By asking your pharmacist for generics, you may save a lot.
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