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Tramadol is a prescription medication used to treat moderate to moderately severe pain in adults.

If you are a consumer or patient please visit this version. Dosage and Administration 2. Warnings and Precautions 5. Tramadol hydrochloride tablets are an opioid agonist indicated in adults for the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate 1. Limitations of Use 1.

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Digestion of food in the small intestine is delayed and propulsive contractions are decreased, white oval pill with 377. Emphasize the importance of doing this before an opioid emergency happens, so the patient and caregiver will know what to do. Addiction, Abuse, and Misuse Inform patients that the use of tramadol hydrochloride tablets, even when taken as recommended, can result in addiction, abuse, and misuse, which can lead to overdose and death [see Warnings and Precautions 5.

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The white elliptical pill with the imprint has been identified as Tramadol Hydrochloride 50 mg supplied by Sun Pharmaceutical Industries Inc.. The tramadol pill is a prescription drug and belongs to the drug class narcotic analgesics. This pill is a controlled substance. The company was founded in and has been continuously family-owned. The pill is used to relieve moderate to moderately severe pain works by changing how your brain senses pain. Endorphins bind to receptors parts of cells that receive a certain substance. The receptors then decrease the pain messages that your body sends to your brain.

White oval pill with 377

Dizziness, Headache and Sleepiness are the most common side effects of pill. Other similar pills — TV 58 Pill. However, People with following conditions should take certain precautions before consuming pill. For dosage information, It is advised to follow all the instruction and dose given by the doctor rather than using information from the internet.

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When taking tramadol hydrochloride tablets: Do not change your dose. However, the presence of risk factors for overdose should not prevent the proper management of pain in any given patient. Initiate treatment at the lowest dose necessary to achieve adequate analgesia. Deaths due to overdose have been reported with abuse and misuse of tramadol [ see Warnings and Precautions 5. However, the most significant events are listed below as alerting information to the physician. Concomitant therapy with inhibitors of CYP2D6 such as fluoxetine, paroxetine and quinidine could result in significant drug interactions. Dosage Modification in Patients with Hepatic Impairment The recommended dose for adult patients with severe hepatic impairment is 50 mg every 12 hours. There is no evidence of self-induction see Figure 1 and Table 3 below. Reserve titration to higher doses of tramadol hydrochloride tablets for patients in whom lower doses are insufficiently effective and in whom the expected benefits of using a higher dose opioid clearly outweigh the substantial risks. It also has weak antidepressant effects. Patients who have been taking opioids for briefer periods of time may tolerate a more rapid taper. Good clinical practice dictates a patient-specific plan to taper the dose of the opioid gradually. Not recommended; it may harm your baby. Warn patients of the symptoms of serotonin syndrome, and to seek medical attention right away if symptoms develop. Because of the risks of addiction, abuse, and misuse with opioids, which can occur at any dosage or duration [see Warnings and Precautions 5.

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These are not all the possible side effects of tramadol hydrochloride tablets. Medicines can interact with certain foods. Intervention: Avoid concomitant use. Discuss the availability of naloxone for the emergency treatment of opioid overdose with the patient and caregiver and assess the potential need for access to naloxone, both when initiating and renewing treatment with tramadol hydrochloride tablets. Healthcare providers are strongly encouraged to complete a REMS compliant education program and to counsel patients and caregivers on serious risks, safe use, and the importance of reading the Medication Guide with each prescription [ see Warnings and Precautions 5. A dose of mg tramadol hydrochloride tablets tended to provide analgesia superior to codeine sulfate 60 mg, but it was not as effective as the combination of aspirin mg with codeine phosphate 60 mg. When these events do occur it is often following the first dose. Driving or Operating Heavy Machinery Inform patients that tramadol hydrochloride tablets may impair the ability to perform potentially hazardous activities such as driving a car or operating heavy machinery. Discontinue tramadol hydrochloride tablets immediately if serotonin syndrome is suspected. Tramadol hydrochloride tablets -treated patients with significant chronic obstructive pulmonary disease or cor pulmonale, and those with a substantially decreased respiratory reserve, hypoxia, hypercapnia, or pre-existing respiratory depression are at increased risk of decreased respiratory drive including apnea, even at recommended dosage of tramadol hydrochloride tablets [see Warnings and Precautions 5. To reduce the risk of respiratory depression, proper dosing and titration of tramadol hydrochloride tablets are essential [see Dosage and Administration 2 ]. For the subset of patients for whom rapid onset of analgesic effect is required and for whom the benefits outweigh the risk of discontinuation due to adverse events associated with higher initial doses, tramadol hydrochloride tablets 50 mg to mg can be administered as needed for pain relief every four to six hours, not to exceed mg per day. Life-Threatening Respiratory Depression Inform patients of the risk of life-threatening respiratory depression, including information that the risk is greatest when starting tramadol hydrochloride tablets or when the dosage is increased, and that it can occur even at recommended dosages. Do not take more than mg in a hour period. However, this effect is not consistent and may be offset by an increased rate of cervical dilation, which tends to shorten labor.