Tramadol Mylan (Tramadol) 200 mg

Tramadol is a pain reliever that is used to treat moderate to severe pain. Tramadol extended-release pills and capsules are only prescribed for those who are likely to require pain relief 24 hours a day.
Tramadol belongs to the opiate (narcotic) analgesics class of drugs. It works by altering the brain’s and nervous system’s responses to pain.

Tramadol is available in three forms: tablet, extended-release (long-acting) tablet, and extended-release (long-acting) capsule. The standard tablet is taken every four to six hours, with or without food, as needed. Once a day, take the extended-release pill or extended-release capsule. Every day, take the extended-release tablet and extended-release capsule at roughly the same time. You can take the extended-release pill with or without food if you choose. If you’re taking an extended-release tablet, you should either take it with food or without food every time. Tramadol should be taken exactly as prescribed. Do not take more medication in a single dose or in more doses per day than your doctor has prescribed

Tramadol medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

Before taking tramadol,

• If you are allergic to tramadol, other opiate pain drugs, other medications, or any of the substances in tramadol tablets, extended-release tablets, or extended-release capsules, notify your doctor and pharmacist. Request a list of the components from your pharmacist.
• If you are taking or have recently discontinued taking any of the following monoamine oxidase (MAO) inhibitors, notify your doctor or pharmacist: isocarboxazid (Marplan), linezolid (Zyvox), methylene blue, phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate). If you are taking one or more of these medications, or if you have taken them within the last two weeks, your doctor may probably advise you not to take tramadol.
• tell your doctor and pharmacist what other prescription and nonprescription medications, vitamins, and nutritional supplements you are taking or plan to take. Be sure to mention any of the following: anticoagulants (‘blood thinners’) such as warfarin (Coumadin, Jantoven); bupropion (Aplenzin, Wellbutrin, Zyban); cyclobenzaprine (Amrix); dextromethorphan (found in many cough medications; in Nuedexta); digoxin (Lanoxin); diuretics (‘water pills’); lithium (Lithobid); certain medications for migraine headaches such as almotriptan (Axert), eletriptan (Relpax), frovatriptan (Frova), naratriptan (Amerge), rizatriptan (Maxalt), sumatriptan (Imitrex, in Treximet), and zolmitriptan (Zomig); mirtazapine (Remeron); promethazine; 5-HT₃ receptor antagonists such as alosetron (Lotronex), dolasetron (Anzemet), granisetron (Kytril), ondansetron (Zofran, Zuplenz), or palonosetron (Aloxi); selective serotonin reuptake inhibitors (SSRIs) such as citalopram (Celexa), fluoxetine (Prozac, Sarafem, Selfemra), fluvoxamine (Luvox), paroxetine (Paxil, Pexeva), and sertraline (Zoloft); serotonin norepinephrine reuptake inhibitors (SNRIs) such as desvenlafaxine (Pristiq, Khedezla), duloxetine (Cymbalta), milnacipran (Savella), and venlafaxine (Effexor); trazodone (Oleptro); and tricyclic antidepressants such as amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor, Zonalon), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), and trimipramine (Surmontil). Many other medications may also interact with tramadol, so be sure to tell your doctor about all the medications you are taking, even those that do not appear on this list. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
• Tell your doctor if you’re taking any herbal supplements, especially St. John’s wort and tryptophan.
• If you have any of the disorders listed in the IMPORTANT WARNING section, or if you have a blockage or constriction of your stomach or intestines, or if you have paralytic ileus, tell your doctor (condition in which digested food does not move through the intestines). If you have any of these conditions, your doctor may advise you not to use tramadol.
• If you have or have ever had seizures, a brain or spine infection, problems urinating, ideas of injuring or killing yourself, or planning or attempting to do so, or kidney or liver disease, notify your doctor.
• If you’re breastfeeding, let your doctor know. Tramadol should not be taken when breastfeeding. In breastfed newborns, tramadol might cause shallow breathing, difficulties or noisy breathing, disorientation, greater than normal tiredness, difficulty nursing, or limpness.
• You should be aware that this drug has the potential to reduce fertility in both men and women.
• Tell your doctor or dentist that you are taking tramadol if you are having surgery, including dental surgery.
• You should be aware that this medication may cause drowsiness and may impair your coordination. Do not drive or operate machinery until you have determined how this medication affects you.
• When you get up from a lying position, tramadol can cause dizziness, lightheadedness, and fainting. To avoid this, get out of bed slowly, resting your feet on the floor for a few minutes before standing up.
• if you have phenylketonuria (PKU; an inherited condition in which a special diet must be followed to prevent mental retardation, you should know that the orally disintegrating tablets contain aspartame, a source of phenylalanine.
• It is important to understand that tramadol can cause constipation. Consult your doctor about changing your diet or taking other medications to treat or prevent constipation.

Tramadol can have negative side effects. Inform your doctor if any of the following symptoms are severe or persistent:

• sleepiness
• difficulty falling asleep or staying asleep
• headache
• nervousness
• uncontrollable shaking of a part of the body
• muscle tightness
• mood swings
• heartburn or indigestion
• dry mouth

Some of the side effects can be severe. If you experience any of the following symptoms, contact your doctor immediately or seek emergency medical attention:

• seizures
• hives
• rash
• blisters
• difficulty swallowing or breathing
• swelling of the eyes, face, throat, tongue, lips, hands, feet, ankles, or lower legs
• hoarseness
• agitation, hallucinations (seeing things or hearing voices that do not exist), fever, sweating, confusion, fast heartbeat, shivering, severe muscle stiffness or twitching, loss of coordination, nausea, vomiting, or diarrhea
• nausea, vomiting, loss of appetite, weakness, or dizziness
• inability to get or keep an erection
• irregular menstruation
• decreased sexual desire
• changes in heartbeat
• loss of consciousness

If you have a serious side effect, you or your doctor should report it to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting program, which can be accessed online (http://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088). Tramadol may have additional side effects. If you experience any unusual side effects while taking this medication, notify your doctor.

Keep this medication in its original container, tightly closed, and out of the reach of children. Keep it at room temperature and away from sources of extreme heat and moisture (not in the bathroom). It is critical to keep all medication out of children’s sight and reach because many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are easily opened by young children. To keep young children safe from poisoning, always lock the safety caps and immediately place the medication in a safe location – one that is up and away from them and out of their sight and reach. http://www.upandaway.org Unwanted medications should be disposed of in a specific manner so that pets, children, and other people cannot consume them.
You should not, however, flush this medication down the toilet. Instead, a medicine take-back program is the best way to dispose of your medication. Learn about take-back programs in your community by speaking with your pharmacist or contacting your local garbage/recycling department. If you do not have access to a take-back program, visit the FDA’s Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information.

Where to Buy Tramadol Online

You can buy tramadol online for your pain relief here at PharmaOffshore

In the event of an overdose, contact the Poison Control Center at 1-800-222-1222. There is also information available online at https://www.poisonhelp.org/help. If the victim has collapsed, had a seizure, is having difficulty breathing, or cannot be awakened, dial 911 immediately. While taking tramadol, you may be advised to keep a rescue medication known as naloxone on hand at all times (e.g., home, office). Naloxone is used to reverse the potentially fatal effects of an overdose. It relieves dangerous symptoms caused by high levels of opiates in the blood by blocking the effects of opiates. If you overdose on opiates, you will most likely be unable to treat yourself.

Symptoms of overdose may include the following:

• decreased size of the pupil (the black circle in the center of the eye)
• difficulty breathing
• extreme drowsiness
• unconsciousness
• coma (loss of consciousness for a period of time)
• slowed heartbeat
• muscle weakness
• cold, clammy skin

Keep all appointments with your doctor and laboratory. Your doctor may order certain lab tests to check your body’s response to tramadol. Before having any laboratory test (especially those that involve methylene blue), tell your doctor and the laboratory personnel that you are taking tramadol. Do not let anyone else take your medication. Tramadol is a controlled substance. Prescriptions may be refilled only a limited number of times; ask your pharmacist if you have any questions. It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies. Read more about Tramadol and Tapentadol