Tramadol

• Helps relieve pain when prescribed by a healthcare professional.
• Can reduce pain intensity and improve comfort.
• May be used when other pain-relief options are not sufficiently effective.

Take Tramadol 200 mg exactly as prescribed by your doctor. Follow the dosing instructions for the specific formulation. If it is an extended-release tablet, swallow it whole with water and do not crush, chew, split, or dissolve it. Do not take more than prescribed or change the dosing schedule without medical advice.

• Nausea or vomiting
• Dizziness or drowsiness
• Constipation
• Headache
• Dry mouth
• Fatigue or weakness

Seek urgent medical attention for slow or difficult breathing, extreme sleepiness, loss of consciousness, seizures, severe allergic reactions, or symptoms such as agitation, fever, sweating, confusion, or muscle rigidity.

• Tramadol can cause misuse, addiction, physical dependence, overdose, and potentially life-threatening respiratory depression.
• Avoid alcohol because it can increase sedation and breathing-related risks.
• Combining tramadol with benzodiazepines, other opioids, sedatives, or other central nervous system depressants can increase the risk of profound sedation and respiratory depression.
• Tramadol can increase the risk of seizures, particularly at higher doses or when combined with certain medicines.
• Do not drive or operate machinery if you experience dizziness, drowsiness, or impaired alertness.
• Do not stop regular or prolonged treatment suddenly without medical guidance because withdrawal symptoms may occur.
• Keep the medicine securely stored and away from children and anyone for whom it was not prescribed.

Tramadol may interact with antidepressants such as SSRIs, SNRIs, tricyclic antidepressants, and MAO inhibitors, potentially increasing the risk of serotonin syndrome or seizures. It may also interact with benzodiazepines, other opioids, alcohol, sedatives, and medicines that affect tramadol metabolism. Tell your doctor or pharmacist about all prescription medicines, over-the-counter medicines, vitamins, and supplements you use.

Active ingredient: The active ingredient is tramadol. The exact inactive ingredients and formulation may vary by manufacturer. For extended-release products, the 200 mg strength refers to the amount of tramadol in the dosage unit.

Inactive ingredients vary by manufacturer and batch. Check the leaflet inside your pack if you have a known excipient allergy.

Store Tramadol 200 mg according to the manufacturer's instructions, generally at room temperature and away from excessive heat, moisture, and direct light. Keep the medicine securely stored and out of reach of children and unauthorized users. Dispose of unused or expired medication according to local medication-disposal guidance.