It is very important that your doctor checks on you or your child’s progress at regular visits., especially during the first 24 to 72 hours of treatment, to make sure the medicine is working properly. Blood and urine tests may be needed to check for any side effects.
Do not use this medication if you are using or have used an MAO inhibitor (MAOI), such as isocarboxazid. [Marplan®]linezolid [Zyvox®]phenelzine [Nardil®]selegilin [Eldepryl®]or tranylcypromine [Parnate®] in the last 14 days.
Using this medication while you are pregnant may cause neonatal withdrawal syndrome in your newborn baby. See your doctor right away if your baby has an abnormal sleep pattern, diarrhea, high-pitched crying, irritability, shaking or shaking, weight loss, vomiting, or not gaining weight. Tell your doctor right away if you think you might be pregnant or plan to become pregnant while using this medication.
Tramadol is highly metabolized in the body. Some people replace tramadol with a stronger product ( O-desmethyltramadol) faster than others. These people are called “ultra-rapid tramadol metabolizers”. Contact your doctor immediately if you experience extreme drowsiness, confusion, or shallow breathing. These symptoms may indicate that you are an ‘ultra-rapid metaboliser of tramadol’. Consequently, there are too many O-desmethyltramadol in the body and more side effects from O-desmethyltramadol than usual. Children may be especially susceptible to this effect (eg, severe respiratory problems, death). Do not give this medicine to:
- Children under 12 years old.
- Children under 18 who have had their tonsils or adenoids surgically removed.
- Children 12 to 18 years old at high risk for respiratory problems (eg, obstructive sleep apnea, obesity, lung disease).
If a nursing mother is an ultra-rapid metabolizer of tramadol, this could lead to an overdose in the nursing baby and cause very serious side effects.
For nursing mothers using this medicine
- Talk to your doctor if you have any questions about taking tramadol or how this medicine may affect your baby.
- Call your doctor if you become extremely tired and have difficulty caring for your baby.
- Your baby should generally nurse every 2 to 3 hours and should not sleep for more than 4 hours at a time.
- Check with your doctor, hospital ER, or local emergency services immediately (e.g. “call 9-1-1”) if your baby shows signs of increased sleepiness (more than usual) , difficulty breastfeeding, difficulty breathing, or limpness. These may be symptoms of an overdose and require immediate medical attention.
See your doctor right away if you or your child have pain or tenderness in the upper part of the stomach, pale stools, dark urine, loss of appetite, nausea, vomiting, or yellow eyes or skin . These could be symptoms of a serious liver problem.
This drug can cause serious allergic reactions, including anaphylaxis, angioedema, or certain skin conditions (eg, Stevens-Johnson syndrome, toxic epidermal necrolysis). These reactions can be life-threatening and require immediate medical attention. Call your doctor right away if you or your child have a rash, itching, blistering, peeling or loose skin, fever or chills, cough, red itchy eyes, red skin lesions, often with a purple center, sore throat, sores, ulcers, or white patches in the mouth or on the lips, difficulty breathing or swallowing, unusual tiredness or weakness, or any swelling of the hands, face, mouth or throat while you are using this medicine.
Check the labels of all non-prescription (over-the-counter) medications. [OTC]) or prescription medications you are currently taking. If any contain acetaminophen or tramadol, consult your doctor. Taking them with this drug may cause an overdose.
Before having any surgery (including dental surgery) or emergency treatment, tell the doctor or dentist in charge that you or your child are taking this medicine. Serious side effects can occur if your doctor or dentist gives you certain medicines without knowing that you have taken this medicine.
If you think you or someone else has overdosed this medicine, get emergency help right away.. Your doctor may also give you naloxone and other medicines to treat an overdose. Signs of an overdose include: dark urine, difficulty in breathing, irregular, fast or slow or shallow breathing, nausea, vomiting, pain in the upper part of the stomach, pale or blue lips, nails or skin, pupils of the eyes or yellow eyes or skin.
Consult your doctor before using this drug with alcohol or other drugs that affect the central nervous system (CNS). Using alcohol or other drugs that affect the CNS with Ultracet® may make side effects of this drug worse, such as dizziness, lack of concentration, drowsiness, unusual dreams, and trouble sleeping. Some examples of medications that affect the central nervous system are antihistamines or allergy or cold medications, sedatives, tranquilizers or sleeping pills, depression medications, anxiety medications, pain relievers or narcotics prescription drugs for attention deficit and hyperactivity disorder, drugs for seizures. or barbiturates, muscle relaxants or anesthetics, including some dental anesthetics.
This medication may cause sleep-related breathing problems (eg, sleep apnea, sleep-related hypoxemia). Your doctor may lower your dose if you suffer from sleep apnea (stopping breathing for short periods during sleep) while you are using this medicine.
This medication can be habit-forming. If you feel the medicine is not working as well, do not use more than the prescribed dose. Call your doctor for instructions.
Prolonged use of narcotics can cause severe constipation. To avoid this, your doctor may tell you to take laxatives, drink plenty of fluids, or increase the amount of fiber in your diet. Be sure to follow the instructions carefully, as continued constipation can lead to more serious problems.
See your doctor right away if you or your child have anxiety, restlessness, fast heartbeat, fever, sweating, muscle spasms, twitching, nausea, vomiting, diarrhea, or if you see or hear things that are not there. These can be symptoms of a serious condition called serotonin syndrome. Your risk may be higher if you also take certain other medications that affect serotonin levels in your body.
This medication may make some people restless, irritable, or exhibit other abnormal behaviors. It can also cause some people to have suicidal thoughts and tendencies or to become more depressed. Make sure your doctor knows if you have trouble sleeping, get upset easily, have a big spike in energy, or start acting recklessly. Also tell your doctor if you experience any sudden or strong feelings, such as nervousness, anger, restlessness, violence or fear. Tell your doctor if you or a family member has attempted suicide.
This medication may cause some people to feel dizzy, drowsy, or have trouble thinking or controlling body movement, which may lead to falls, broken bones, or other injuries. Do not drive or do anything else that could be dangerous until you know how this drug affects you.
This medicine can cause adrenal gland problems. See your doctor right away if you experience darkening of the skin, diarrhea, dizziness, fainting, loss of appetite, mental depression, nausea, rash, unusual tiredness or weakness, or vomiting.
Dizziness, lightheadedness, or fainting may occur, especially when you get up suddenly from a lying or sitting position. Getting up slowly can help. Also, lying down for a while can relieve dizziness or lightheadedness. If this problem persists or worsens, consult your doctor immediately.
This medicine can cause hyponatremia (low sodium level in the blood). See your doctor right away if you experience coma, confusion, decreased urine flow, dizziness, fast or irregular heartbeat, headache, increased thirst, pain, or cramps muscle aches, nausea or vomiting, swelling of the face, ankles or hands, difficulty breathing, or unusual tiredness or weakness.
Consult your doctor immediately if you suffer from anxiety, blurred vision, chills, cold sweats, coma, confusion, cold and pale skin, depression, dizziness, rapid heartbeat, headache, increased hunger, nausea, nervousness, nightmares, seizures, tremors, slurred speech, or unusual tiredness or weakness. These may be symptoms of hypoglycaemia (low blood sugar).
Do not change the dose or suddenly stop taking this medicine without first consulting your doctor.. Your doctor may ask you to gradually reduce the amount you use before stopping it altogether. This can help prevent your condition from getting worse and reduce the possibility of withdrawal symptoms, such as anxiety, diarrhea, headache, nausea, chills, sweating, tremors, or trouble thinking. sleep.
Painkillers can cause dry mouth. For temporary relief, use sugar-free candies or gum, ice cubes melted in the mouth, or a saliva substitute. However, if dry mouth persists for more than 2 weeks, see your dentist. Persistent dry mouth can increase the risk of dental diseases, including tooth decay, gum disease, and fungal infections.
Using too much of this medicine can lead to infertility (inability to have children). Talk to your doctor before using this medicine if you plan to have children.
Do not take any other medicines unless they have been discussed with your doctor. This includes prescription or over-the-counter (OTC) medications [OTC]) herbal or vitamin medications and supplements.