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Frequently Asked Questions

General questions

Tramadol contains tramadol as an active substance and is a painkiller that belongs to the so-called morphine-like painkillers or opioids. Tramadol has a strong analgesic effect. Pain management normally involves a step-by-step plan. First, painkillers from the first step are prescribed, such as paracetamol and ibuprofen. With many types of pain, these drugs are effective and they have relatively few side effects. When these do not work (anymore) sufficiently, the doctor prescribes stronger painkillers, so-called second-step drugs such as codeine and tramadol. Then follow the third-step means: the morphine-like painkillers, such as morphine. Tramadol can be prescribed in combination with paracetamol or an anti-inflammatory analgesic. Tramadol is available in tablets, effervescent tablets, sustained-release tablets, capsules, sustained-release capsules, drops, suppositories, and injections.
Tramadol ensures that the pain signal in the brain does not arrive or arrives less strongly so that you feel painless and you respond more calmly to it. With normal (effervescent) tablets and drops, the pain will decrease within one hour. The suppositories normally work within two to three hours. The action of the regular capsules and suppositories lasts six to eight hours. There are also modified-release tablets and capsules. These work for about 12 hours and the 'Once Daily' tablets work for about 24 hours.
Do not use tramadol in the following situations: • If you are hypersensitive to tramadol or to other morphine-like substances; • In case of sudden poisoning with alcohol, sleeping pills, painkillers or other substances with a devastating effect; • When you use MAO inhibitors or when you have used them less than two weeks ago.
Take extra care with tramadol when you- 1. have a head injury or increased pressure within the skull; 2. suffer from severely reduced liver or kidney function; 3. suffer from excessive mucus in the airways; 4. has an increased risk of seizures or shock; 5. have severely reduced breathing; 6. with simultaneous use of drugs with a deviant effect.
There is insufficient data on the use of Tramadol during pregnancy to assess the possible harmfulness. The use of Tramadol during the breastfeeding period is not recommended. Ask your (house) doctor or pharmacist for advice before taking medicine.
Limit the use of alcohol and preferably do not drink alcohol at all. By using tramadol, you react much more strongly to alcohol than you are used to. In addition, alcohol increases the side effects of this medication, such as drowsiness and fatigue, which may affect your ability to drive and use machines.
Just like with any other medicine, Tramadol also has a number of (possible) side effects. Of course, these are not all equally common. This is how we distinguish side effects that sometimes, rarely and very rarely occur. Here is a small list that is certainly not complete: Sometimes: • Nausea with vomiting. Usually after a few days, because you are used to this medicine. • Complaints about dizziness and drowsiness sometimes occur and it is also known that Tramadol can cause fatigue symptoms. Rare: • Constipation, where it can help to eat high-fiber foods to stimulate the intestines and move to action. • Itching, which may mean that you may be allergic to one of the ingredients. • Headache, which is not a very serious complaint, but a very bad one. Very rare: • It is very rare that talking is difficult and that you suffer a lot from the hiccups. • It also happens, fortunately very rarely, that you have trouble breathing. This may occur if you have been prescribed a high Tramadol dosage. • Depression is another side effect that occurs very rarely. If you notice that you experience this, always consult your doctor immediately.
The dose of tramadol is adjusted to the severity of the pain and to your personal sensitivity to pain. Normally the lowest dose that relieves the pain will be used. Follow the doctor's instructions carefully at all times. A guideline for the general dosage in adults and children from the age of 14 is as follows: 1. Adults and children from 14 years- 50 to 100 mg tramadol, three to four times a day. The maximum dose is 400 mg (8 capsules) per day. 2. Children younger than 14 years- Tramadol 50 mg is not suitable for children under 14 years. 3. Elderly Patients- The excretion of tramadol may be delayed in patients over 75 years of age. In that case, the doctor will advise increasing the time interval between the doses.
After prolonged use of each opioid, including tramadol, tolerance occurs, i.e. you need a higher dose over time to achieve the desired effect than in the beginning. When the withdrawal of the use of each opioid, including tramadol, withdrawal symptoms occur. After you are 'kicked off', the tolerance has disappeared. With possible renewed use, you can start again with the normal starting dose. Tramadol is slower and less effective than morphine, which means that tramadol is less attractive for drug users. It appears that psychological addiction to an opioid in pain patients is very rare. Nevertheless, ex-drug addicts (because of their addictive sensitivity) are advised against using tramadol.
Experiences of patients and research show that withdrawal symptoms can also occur at low or normal doses and also for short-term use. With withdrawal, the following symptoms may occur: 1. Irritability; 2. Fear; 3. Nervousness; 4. Insomnia; 5. Tremble; and 6. Gastrointestinal complaints. In order to limit the withdrawal symptoms, one can opt to slowly reduce tramadol over a period of 4-6 weeks.
For suitable tramadol dosage and usage, you should consult your doctor/health expert. Only your doctor can tell you if the drug is suitable for you or not as per your present health condition.
It is completely ideal to discuss with a doctor as overdosage can really cause a number of severe side effects on your health and fitness. Even if the pain is slight, it is essential for you to take the medication according to your physician's recommendation. This will help you to chuck out the illness without any difficulty and without creating any hurtful side effects.
For immediate action- 50 mg to 100 mg orally every 4 to 6 hours as needed for pain. Maximum dose: 400 mg per day for an adult.