Tramadol is a narcotic-like pain reliever.
Tramadol is used to treat moderate to severe pain. Tramadol extended-release is used to treat moderate to severe chronic pain when treatment is needed around the clock.
Tramadol may also be used for other purposes not listed in this medication guide.
Before taking tramadol
You should not take this medication if you are allergic to tramadol, if you have ever been addicted to drugs or alcohol, or if you have ever attempted suicide.
Do not take tramadol while you are intoxicated (drunk) or taking any of the following:
- alcohol or street drugs;
- narcotic pain medicine;
- sedatives or tranquilizers (such as Valium);
- medicine for depression or anxiety; or
- medicine for mental illness (such as bipolar disorder, schizophrenia).
Seizures have occurred in some people taking tramadol. Talk with your doctor about your seizure risk, which may be higher if you have:
- a history of drug or alcohol addiction;
- a history of epilepsy or other seizure disorder;
- a history of head injury;
- a metabolic disorder; or
- if you are also taking an antidepressant, muscle relaxer, narcotic, antipsychotic, or medicine for nausea and vomiting.
To make sure you can safely take tramadol, tell your doctor if you have any of these other conditions:
- kidney disease (or if you are on dialysis);
- cirrhosis or other liver disease;
- a stomach disorder; or
- a history of depression, mental illness, or thoughts of suicide.
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