What is this medicine?

TRAMADOL (TRA ma dole) is a pain reliever. It is used to treat moderate to severe pain in adults.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• brain tumor
• drink more than 3 alcohol-containing drinks per day
• drug abuse or addiction
• head injury
• kidney disease or problems going to the bathroom
• liver disease
• lung disease, asthma, or breathing problems
• seizures or epilepsy
• an unusual or allergic reaction to tramadol, codeine, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

Take the tablets by mouth with a full glass of water. Follow the directions on the prescription label. If the medicine upsets your stomach, take it with food or milk. Do not take more medicine than you are told to take.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate

This medicine may also interact with the following medications:

• alcohol or medicines that contain alcohol
• antidepressants
• antihistamines
• benzodiazepines
• bupropion
• carbamazepine or oxcarbazepine
• clozapine
• cyclobenzaprine
• digoxin
• furazolidone
• linezolid
• medicines for pain like pentazocine, buprenorphine, butorphanol, meperidine, nalbuphine, and propoxyphene
• muscle relaxants
• naltrexone
• phenobarbital
• phenothiazines like perphenazine, thioridazine, chlorpromazine, mesoridazine, fluphenazine, prochlorperazine, promazine, and trifluoperazine
• procarbazine
• warfarin