• Tramadol is used to treat moderate to severe pain. It works on certain nerves in the brain that control how you experience pain.

How should you take this medication?

• Take Tramadol by mouth with or without food, take each dose with a full glass of water.
   
• If you miss a dose of tramadol , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.
   
• Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body.

General Precautions with Tramadol

• Nausea or vomiting may occur, especially after the first couple of doses. This effect may go away if you lie down for awhile. However, if nausea or vomiting continues, check with your medical doctor.
   
• This medicine may cause some people to become drowsy, dizzy, or lightheaded. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert .
   
• Do not drink alcohol while you are taking tramadol. Alcohol may cause a dangerous decrease in your breathing when used together with tramadol.
   
• Tell your doctor if you have ever had any unusual or allergic reaction to tramadol or narcotic analgesics.
   
• Although studies on birth defects have not been done in pregnant women, tramadol has not been reported to cause birth defects. Before taking this medicine, make sure your doctor knows if you are pregnant or if you may become pregnant.

What are the possible side effects of Tramadol?

• Continue taking tramadol and talk to your doctor if you have any of these less serious side effects: blurred vision, dizziness, drowsiness, increased sweating; loss of appetite, nausea, vomiting, or constipation.
   
• Seek medical attention right away if any of these side effects occur: rash; hives; difficulty breathing; swelling of your face, lips, tongue, or throat.