Tramadol for pain relief

About tramadol

What is tramadol used for?

Tramadol is a strong opioid painkiller that is used to treat severe pain. It works on your nervous system and brain to reduce the amount of pain you feel.

Types of tramadol

Tramadol comes in different forms, strengths, and brands. Some types work quickly to relieve pain. Others release the medicine slowly over several hours to give more even, long-lasting pain relief.

Slow-release tramadol is often called modified-release and may have 'XL', 'SR', or '24-hour' in the name.

Side effects of tramadol

Common side effects of tramadol include:

• Feeling dizzy.

• Feeling tired or sleepy.

• Feeling sick.

• Being sick (vomiting).

• Constipation.

• Dry mouth.

Less common side effects of include:

• Headache.

• Diarrhoea.

• Itchy rash.

• Sweating.

You will find a full list in the manufacturer's information leaflet supplied with your medicine.

The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any side effects continue or become troublesome.

How to manage tramadol side effects

If you experience any other symptoms which you think may be due to this medicine, speak with your doctor or pharmacist.

Who should not take tramadol?

Some medicines are not suitable for people with certain conditions. Before taking tramadol it is important that your doctor knows:

• If you are pregnant, trying for a baby or breastfeeding.

• If you have liver or kidney problems.

• If you have prostate problems or any difficulties passing urine.

• If you have any breathing problems, such as asthma or chronic obstructive pulmonary disease (COPD), or a sleep-related breathing problem.

• If you have been told you have low blood pressure (hypotension).

• If you have any problems with your thyroid or adrenal glands.

• If you have epilepsy.

• If you have a problem with your bile duct.

• If you have been constipated for more than a week or have an inflammatory bowel problem.

• If you have a condition causing muscle weakness, called myasthenia gravis.

• If you have recently had a severe head injury.

• If you have ever been dependent on drugs or alcohol.

• If you have ever had an allergic reaction to a medicine.

• If you are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, as well as herbal and complementary medicines.

How to take tramadol

• Take tramadol exactly as prescribed by your doctor. You may be told to take it regularly or only when needed.

  • Quick-acting tablets or capsules are usually taken every 4-6 hours.

  • Modified-release tramadol is taken once daily or twice daily (12 hours apart), depending on the product.

  • Do not take more than 400 mg in 24 hours.

• Swallow modified-release tablets or capsules whole with water. Do not break, crush, or chew them unless the label says otherwise.

• You can take tramadol with or without food.

• If you miss a dose, check the leaflet for advice. Do not take two doses together to make up for a missed dose.

Getting the most from your treatment

• Ask your doctor about alcohol. You may be advised not to drink while taking tramadol, as alcohol can increase side effects like dizziness and sleepiness.

• Tramadol can affect driving. Do not drive if you feel drowsy, dizzy, or your reactions are slowed. It is an offence to drive if your ability is impaired.

• If you do drive, carry proof that tramadol has been prescribed for you, such as a prescription slip or patient leaflet.

• Tramadol comes in different brands and strengths. Check each prescription to make sure it is what you expect, and ask your pharmacist if you are unsure.

• Tell healthcare professionals, including dentists, that you are taking tramadol before any treatment or surgery.

• Check with a pharmacist before taking any other medicines, including those bought without a prescription. Some medicines can increase tramadol’s side effects.

• If travelling abroad, carry a letter from your doctor, as tramadol is a controlled medicine and may be restricted in some countries.

• Only take tramadol for as long as prescribed. Taking it for longer can lead to dependence.

• Stopping tramadol suddenly can cause withdrawal symptoms, such as restlessness or irritability. Speak to your doctor or pharmacist if you have concerns.

How to store tramadol

• Keep all medicines out of the reach and sight of children.

• Store in a cool, dry place, away from direct heat and light.

Important information about all medicines

Frequently asked questions

How long does it take for tramadol to work?

Quick-acting tramadol usually starts to work within 30 to 60 minutes, with pain relief typically lasting 4-6 hours. Modified-release tramadol may take 1-2 days to work but provides longer-lasting pain relief when taken regularly.

Can you drink alcohol with tramadol?

No, you should not drink alcohol while taking tramadol. Alcohol increases the risk of side effects such as drowsiness, dizziness, slowed breathing, and reduced alertness, which can be dangerous.

Is it safe to take tramadol during pregnancy?

Tramadol is not usually recommended during pregnancy as regular use may affect the baby and can cause withdrawal symptoms after birth.

Always let your doctor or midwife know if you are pregnant or planning a pregnancy before taking tramadol.

Can you take tramadol with paracetamol?

Yes, tramadol can be taken with paracetamol. They are often prescribed together to improve pain relief. Always follow dosing instructions and do not exceed the recommended dose of either medicine.

Is tramadol addictive?

Yes, tramadol can be addictive if taken regularly or for long periods. Your body can become dependent on it, and stopping suddenly may cause withdrawal symptoms such as restlessness or irritability.

For this reason, tramadol is usually prescribed at the lowest effective dose for the shortest time possible.