Tramadol
Also sold as: Tramal, Ultram
Prescription neededStrong painkillers (opioids)
Comes as:CapsuleTabletInjection
Usual adult dose
Dose is set by your doctor. Usual adult dose: 50 to 100 mg every 4 to 6 hours when needed; no more than 400 mg in 24 hours. Use for the shortest time possible.
Your doctor may give you a different dose. Children's doses depend on weight.
Side effects
Common
- nausea
- dizziness
- drowsiness
- constipation
- sweating
Serious — get help
Stop taking it and see a doctor straight away if you notice:
- slow or shallow breathing
- seizures
- extreme sleepiness
Do not take it, or take care, if
- Children under 12
- Epilepsy or history of seizures
- Severe breathing problems
- Taking antidepressants or other strong sedatives (use with caution)
- Pregnancy and breastfeeding (only if your doctor advises)
- History of drug or alcohol addiction
Interactions
Medicines that can react with this one.
Serious11 medicinesDo not take these together unless your doctor says so.
- Alprazolam
Together they can cause deep sedation and slowed breathing.
- Amitriptyline