Tramadol 225mg

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About tramadol
Tramadol is a strong painkiller. It’s used to treat moderate to severe pain, for example after an operation or a serious injury.

Tramadol is not suitable for some people. Tell your doctor or pharmacist before starting the medicine if you have:

had an allergic reaction to tramadol or any other medicines in the past
an illness which causes seizures
a head injury
an addiction to alcohol, strong painkillers or recreational drugs
breathing difficulties
kidney or liver problems
had a reaction to other strong painkillers in the past
4. How and when to take it
Follow your doctor’s instructions about how to use this medicine. This is particularly important because tramadol can be addictive.

The dose can vary but you should not normally take more than 400mg a day.

Tramadol does not usually upset your stomach, so you can take it with or without food.

Different types of tramadol
Tramadol comes as:

fast-acting tablets – these contain 50mg of tramadol
slow-acting tablets – these contain 50mg, 75mg, 100mg, 150mg, 200mg, 300mg or 400mg of tramadol
fast-acting capsules – these contain 50mg of tramadol
slow-acting capsules – these contain 50mg, 100mg, 150mg or 200mg of tramadol
drops that you swallow – these contain 100mg of tramadol in 1ml of liquid
an injection (usually given in hospital)
soluble tablets – these contain 50mg of tramadol
tablets that dissolve in the mouth – these contain 50mg of tramadol
an injection (usually given in hospital)
Tramadol drops, injections and some tablets and capsules are fast-acting. They start to work within 30 to 60 minutes. They’re used for pain that is expected to last for only a short time. You may be told to take fast-acting tramadol only when you need it for pain or on a regular basis. Always follow the instructions given to you by your doctor.

Some tramadol tablets and capsules are slow-release. This means the tramadol is gradually released into your body over either 12 or 24 hours. This type of tramadol takes longer to start working but lasts longer. It’s used for long-term pain.

Your doctor will decide the right dose for you, depending on how sensitive you are to pain and how bad your pain is. Your dose may need to be changed several times to find what works best for you. In general, you will be prescribed the lowest dose that relieves your pain.

How much to take
Dosages vary from person to person. Your dose will depend on how bad your pain is, how you’ve responded to previous painkillers and if you get any side effects.

How to take it
Fast-acting tramadol comes as capsules, drops and 2 different tablets – soluble and dissolve-in-the-mouth tablets:

capsules: swallow each capsule whole with plenty of water
drops: mix the drops into a glass of water then drink the whole contents of the glass
soluble tablets: dissolve each tablet in 50ml (1/2 cup) of water and drink
dissolve-in-the-mouth tablets: make sure your hands are dry before handling the tablet. Take the tablet out of the blister pack and put it on your tongue. Suck the tablet, do not chew it. After it has melted, swallow or have a drink of water. You can also dissolve the tablet in a glass of water if you prefer.
Slow-release tramadol comes as tablets and capsules. It’s important to swallow slow-release tramadol tablets and capsules whole with a drink of water.

Important
Do not break, crush, chew or suck slow-release tablets and capsules. If you do, the slow-release system will not work and the whole dose might get into your body in one go. This could cause a potentially fatal overdose.

fast-acting tablets and capsules – usually 3 to 4 times a day
drops – usually 3 to 4 times a day
slow-release tablets and capsules – usually 1 or 2 times a day
If you’re 65 and over, or you have liver or kidney problems, you may be asked by your doctor to take tramadol less often.

You can take your tramadol at any time of day but try to take it at the same time every day and space your doses evenly. For example, if you take tramadol twice a day and have your first dose at 8am, take your second dose at 8pm.

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