TRAMADOL IS ONLY AVAILABLE TO EU RESIDENTS (outside the UK) REGISTERED PRIOR TO 01/01/2018.
UK RESIDENTS CANNOT BUY TRAMADOL. NO TRAMADOL IS SHIPPED TO UK ADDRESSES. TRAMADOL AND ANY PRODUCT CONTAINING TRAMADOL IS NOT SENT FROM A UK PHARMACY.
Important Information about Tramadol
Tramadol is a strong painkiller that is well tolerated by many patients. However, it should not be taken by anyone who has been addicted to drugs or alcohol, or attempted suicide.
Before you buy Tramadol online, you need to consider if it is right for you and disclose your current health conditions and the medications you take via our doctor’s questionnaire.
Tramadol should not be taken together with alcohol, recreational drugs, narcotic pain medicine, sedatives, or tranquilizers. Tramadol is for oral use only. Do not crush the tablet and sniff the powder or mix it with liquid to inject it. Inhaling (snorting) or injecting tramadol can cause life-threatening side effects and death.
Tramadol must not be taken during pregnancy. Tramadol can cause fatal side effects in a newborn. Tramadol can also pass into breast milk so do not breast-feed if you are taking tramadol.
Tramadol Dosing Information
Take tramadol exactly as prescribed by the doctor.
The dosing information below is provided by the manufacturers and is reproduced here for information only.
Usual Adult Tramadol Dose for Pain:
For mild to moderate severe chronic pain not requiring rapid onset of analgesic effect:
Initial dose: 25 mg every morning
Titration: increase in 25 mg increments as separate doses every 3 days to reach 100 mg per day taken as 25 mg 4 times per day. Then the total daily dose may be increased by 50 mg as tolerated every 3 days to reach 200 mg per day taken as 50 mg 4 times per day.
Maintenance: After titration, tramadol 50 mg to 100 mg can be administered as needed for pain relief every 4 to 6 hours not to exceed 400 mg per day.
For patients over 65 years:
Dose selection should be cautious, starting at the lower end of the dosing range.
For patients over 75 years:
Maximum dose of regular oral tablets: 300 mg per day in divided doses
Tramadol side effects
Get emergency medical help if you have any of these signs of an allergic reaction to tramadol: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using tramadol and call your doctor at once if you have any of these serious side effects:
- agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting;
- seizure (convulsions);
- a red, blistering, peeling skin rash; or
- shallow breathing, weak pulse.
Less serious tramadol side effects may include:
- dizziness, spinning sensation;
- constipation, upset stomach;
- drowsiness; or
- feeling nervous or anxious.
What other drugs will affect tramadol?
Do not take tramadol without telling your doctor if you also use any of the following medications: an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam); or an antidepressant such as amitriptyline (Elavil, Vanatrip), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor), paroxetine (Paxil), or sertraline (Zoloft).
Cold or allergy medicine, sleeping pills, muscle relaxers, and medicine for seizures or anxiety can add to sleepiness caused by tramadol. Tell your doctor if you regularly use any of these medicines, or any other pain medication.
Tell your doctor about all other medicines you use, especially:
- carbamazepine (Carbatrol, Equetro, Tegretol);
- lithium (Eskalith, LithoBid);
- ADHD medications (Adderall, Ritalin, Strattera);
- an antibiotic such as clarithromycin (Biaxin), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin, Pediazole), linezolid (Zyvox), rifampin (Rifadin, Rimactane, Rifater); or telithromycin (Ketek);
- antifungal medication such as clotrimazole (Mycelex Troche), itraconazole (Sporanox), ketoconazole (Nizoral), miconazole (Oravig), or voriconazole (Vfend);
- cancer medications such as gefitinib (Iressa), imatinib (Gleevec), or nilotinib (Tasigna);
- a heart rhythm medication such as amiodarone (Cordarone, Pacerone), flecainide (Tambocor), propafenone (Rythmol), or quinidine (Quin-G);
- heart or blood pressure medication such as diltiazem (Cartia, Cardizem), felodipine (Plendil), nifedipine (Nifedical, Procardia), verapamil (Calan, Covera, Isoptin, Verelan), and others;
- HIV/AIDS medicine such as atazanavir (Reyataz), delavirdine (Rescriptor), fosamprenavir (Lexiva), indinavir (Crixivan), nelfinavir (Viracept), saquinavir (Invirase), or ritonavir (Norvir, Kaletra); or
- migraine headache medicine such as sumatriptan (Imitrex, Treximet)
What happens if I miss a dose?
Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention. A tramadol overdose can be fatal. Overdose symptoms may include extreme drowsiness, shallow breathing, muscle weakness, slow heartbeat, cold or clammy skin, fainting, or seizure.
What should I avoid while taking tramadol?
Do not drink alcohol. It may cause a dangerous decrease in your breathing when used together with this medicine. Tramadol may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.