About tramadol hydrochlo ride
Opioid pain reliever
Used for
- Moderate to severe pain when other pain medicines are unsuitable or insufficient
Usual adult dose
Usually 50–100 mg every 4–6 hours; maximum 400 mg daily. Injection dosing depends on the clinical situation.
Usual dose in children
For children aged 1 year and older, usually 1–2 mg/kg every 4–6 hours; maximum 8 mg/kg daily or 400 mg, whichever is lower.
Common side effects
- Nausea and vomiting
- Dizziness or sleepiness
- Constipation
- Sweating
Important warnings
- Can cause dependence, misuse, and potentially fatal breathing problems.
- Avoid alcohol and other sedatives; they can increase severe sleepiness and breathing risk.
- Seizures and serotonin syndrome can occur, especially with certain medicines.
- 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
Small amounts enter breast milk; avoid during breastfeeding because exposed infants may develop excessive sleepiness or breathing problems.
Interactions
- Alcohol, opioids, sleeping medicines, and sedatives increase breathing and sedation risks.
- Antidepressants and other serotonin-affecting medicines can increase serotonin syndrome or seizure risk.
- Some medicines, including carbamazepine and rifampicin, can alter tramadol effects.
- 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 It may be incomplete or out of date.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.