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    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;
    headache;
    drowsiness; or
    feeling nervous or anxious.
    This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
    Tramadol Dosing Information

    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.

















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