If an individual has a history of drug or alcohol abuse, then the risk of addiction increases. To reduce the risk of addiction, take the medication as prescribed by the doctor. If you are allergic to tramadol or allergic to any other drug or food, then inform the doctor before starting the medication. Inactive ingredients in the food may cause an allergic reaction. Inform your doctor if you have a history of the following medical conditions:.
Tramadol may make an individual feel dizzy or drowsy. Thus, avoid doing tasks or activities that require mental alertness such as driving or operating heavy machinery. Inform your doctor of all the prescription or nonprescription drugs, vitamins, or herbal products that you are taking. You should also avoid the excessive consumption of alcohol.
Women of childbearing age should discuss with the doctor about the risks associated with the medicine before they start the medicine. Inform your doctor if you are pregnant or planning on becoming pregnant. Tramadol should be taken only when needed during pregnancy since the risk of birth defects may increase by taking this medication. It may harm the unborn baby if it is taken for a very long time. Inform the doctor if your baby experiences the following symptoms:. This medication passes into breast milk.
If the following symptoms are seen in a breastfed baby or infant, then inform your doctor:. The excretion of tramadol and its metabolites in the breast milk is low. Studies have found no adverse effects on a breastfed newborn. Still, the FDA does not recommend its use during lactation. Even if it is used, the infant should be monitored for difficulty breathing, limpness, or increased sleepiness. The prolactin level in the mother may increase, but it does not affect her ability to breastfeed.
Consult your doctor before you breastfeed. There have been reported cases of seizures in patients receiving tramadol in recommended dosages. Above the recommended dose, the risk of seizure increases. In patients taking the medication, concomitant use may also increase the risk of seizures.
However, these symptoms tend to decrease after some days or weeks. Inform your doctor if such symptoms persist. Drink plenty of water, eat food rich in fiber, and do regular exercises to prevent constipation. From a sitting or lying position, get up slowly to reduce the risk of dizziness or lightheadedness.
However, most people who take the medicine do not experience any side effects. The serotonin level may increase and cause serotonin syndrome , which is a very serious condition.
If you are taking other drugs that increase serotonin levels, then the risk increases even more. There may also be rare allergic reactions to the drug. The symptoms include itching, rash, swelling of the tongue, face, and throat. Trouble breathing and severe dizziness may also be experienced. In patients receiving therapy with tramadol, serious and rare fatal anaphylactic reaction may occur.
Such reactions often occur after the first dose. Other allergic reactions include:. Patients may be at an increased risk of anaphylactic reactions if they have a history of anaphylactic reaction to opioids such as codeine.
People with such medical history must completely avoid tramadol. If tramadol is taken with other medications that cause drowsiness or breathing difficulties, then it may increase the risk of serious side effects. Inform your doctor if you are:. Tramadol may also interfere with certain blood tests such as amylase or lipase tests. It potentially causes false laboratory results. The symptoms of tramadol overdose include slow breathing, irregular heartbeat , seizure, and loss of consciousness.
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Boosting mental wellbeing with exercise Exercise has many benefits on physical and mental health wellbeing. All opioids carry the risks of addiction, abuse, and misuse, even at recommended doses.
But compared to immediate-release opioids, there is an increased risk of overdose and death with extended-release opioid drugs such as ConZip, due to the larger amounts of tramadol they contain. Slow-release capsules are gradually absorbed, reaching lower peak blood concentrations than the slow-release generic tablets, so sometimes ConZip or generic capsules might be preferred to tablets. As with all Schedule IV controlled substances in the U. After you hit that limit or reach the six-month mark regardless of the number refills , a new prescription is required from your healthcare provider.
Talk to your healthcare provider about all medications, supplements, and vitamins that you currently take. While some drugs pose minor interaction risks, others contraindicate use or prompt careful consideration.
ConZip can have severe and life-threatening side effects, including respiratory depression impaired breathing , so your healthcare provider will do a full medical and mental health history and physical examination before prescribing it to you.
Be sure to tell your healthcare provider about any respiratory conditions or personal or family history of alcohol or drug addiction. Tramadol should not be used if any of the following apply:. There are additional medical circumstances that can make taking ConZip risky or prohibit its use, including:. Tramadol's active form is O-desmethyltramadol M1 , which partially acts on opioid receptors.
Other partial opioid agonists include:. Full opioid agonists, such as morphine, codeine codeine is metabolized into morphine , and OxyContin oxycodone , bind more firmly to opioid receptors for stronger effects.
Due to ConZip's risks of addiction, it is important to use the lowest effective dosage for the shortest duration possible, as recommended by your healthcare provider. ConZip comes in , , and milligram mg capsules.
Generic tramadol may also be prescribed as an immediate-release mg tablet or as an extended-release , , or mg tablet. The topical cream starts as a powder that is mixed into a base for application; the mixing is typically done by a healthcare provider or pharmacist. The starting dose for extended-release tramadol is mg. It may be increased in mg increments every five days up to a maximum daily dose of mg.
The half-life of tramadol in the blood is typically between five and nine hours, and even longer for people who have been taking multiple doses. This is the time it takes half of a dose to be inactivated by the body. Complete elimination takes about five to six times as long as the half-life. If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose.
Do not take two doses or you will be at risk of overdose. If you take too much tramadol, seek urgent medical care. Symptoms of a Tramadol overdose include decreased pupil size, difficulty breathing, problems staying awake, unconsciousness, coma, heart attack , or seizure. Call for emergency help, even if you are unsure whether you should.
Tramadol overdoses can be treated with Narcan if detected early enough. All listed dosages are according to the drug manufacturer.
Check your prescription and talk to your healthcare provider to make sure you are taking the right dose for you. Respiratory depression is more likely in elderly, frail, or debilitated patients because they may not clear the drug as quickly as younger, healthier people.
There is also the dangerous risk of drug interactions for older people who take other medications. The risks of sedation and respiratory depression are also increased in anyone with head injuries, brain tumors, or increased intracranial pressure. If you have these risks, you may need to take lower doses of ConZip and will need to be monitored more closely when using it.
Both poor and rapid metabolizers of tramadol may need dosage adjustments or to stop taking the drug completely. Take your medication exactly as directed.
Take ConZip with a glass of water at scheduled times. You can take it with or without food. Swallow your tramadol pills whole and do not split, chew, crush, dissolve, snort, or inject extended-release tablets. Breaking the pill may cause too much of the drug to be released into your system at one time, which could lead to overdose or death.
Store the medication at room temperature between 68 to 77 degrees F. Keep it separate from other medications and out of reach of children.
Accidental ingestion of even one dose of ConZip can result in a fatal overdose. Tramadol is usually well-tolerated when taken properly. Side effects are usually temporary, but there is a risk of very serious adverse effects that can be deadly.
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