About tramadol hcl
Opioid pain reliever
Used for
- Moderate to severe pain when other treatments are unsuitable.
Usual adult dose
Usually 50–100 mg by injection every 4–6 hours; maximum 400 mg daily. Dose depends on age, health, and local product instructions.
Usual dose in children
Not routinely recommended under age 12; specialist guidance is needed for older children.
Common side effects
- Nausea, vomiting, constipation, dizziness, or drowsiness
- Sweating, headache, or dry mouth
- Breathing difficulties or seizures, especially with overdose or risk factors
Important warnings
- Can cause dependence, misuse, and potentially fatal breathing suppression.
- Avoid alcohol and other sedating medicines unless specifically directed.
- Risk of seizures and serotonin syndrome; seek urgent help for severe symptoms.
- Not suitable for some people with severe breathing problems or uncontrolled epilepsy.
Pregnancy
Use during pregnancy only when clearly needed; prolonged use can cause newborn withdrawal, and use near delivery may affect newborn breathing.
Breastfeeding
Generally avoid during breastfeeding because tramadol can cause serious breathing problems or unusual sleepiness in infants.
Interactions
- Alcohol, sedatives, benzodiazepines, and other opioids increase sedation and breathing risk.
- Some antidepressants and other serotonin-raising medicines increase serotonin syndrome risk.
- Certain medicines affecting tramadol metabolism can alter its effects and toxicity.
- Warfarin may have increased anticoagulant effects.
AI-generated from general medical knowledge, not from this product's official leaflet. It may be incomplete or out of date. Not medical advice — ask a pharmacist or doctor before making any decision.