{"id":12705,"date":"2026-10-18T06:42:16","date_gmt":"2026-10-18T06:42:16","guid":{"rendered":"https:\/\/www.medkart.in\/blog\/?p=12705"},"modified":"2026-10-21T11:26:09","modified_gmt":"2026-10-21T11:26:09","slug":"tramadol-uses-dosage-side-effects","status":"publish","type":"post","link":"https:\/\/www.medkart.in\/blog\/tramadol-uses-dosage-side-effects\/","title":{"rendered":"Tramadol: Uses, Dosage, Side Effects, Precautions &#038; Interactions"},"content":{"rendered":"<style>\n.entry-content a:not([href*=\"medkart.in\"]) > span {\n    vertical-align: super !important;\n    font-size: 85% !important;\n    line-height: 0 !important;\n}\n<\/style>\n<style>\n.entry-content h2,\n.entry-content h3,\n.entry-content h4 {\n    white-space: nowrap !important;\n}\n<\/style>\n<p><span style=\"font-weight: 400;\">Tramadol is the generic name of a prescription painkiller from the opioid group. It is used for pain that is moderate to severe.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In India it is sold under several brand names, on its own and combined with paracetamol. Forms and strengths differ between products, and its sale is controlled by narcotics law.<\/span><\/p>\n<h2><b>What Is Tramadol?\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Tramadol is an opioid painkiller. MedlinePlus<\/span><span style=\"font-weight: 400;\">[<\/span><a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a695011.html\"><span style=\"font-weight: 400;\">1<\/span><\/a><span style=\"font-weight: 400;\">]<\/span><span style=\"font-weight: 400;\"> places it among the opiate, or narcotic, analgesics and explains that it changes the way the brain and nervous system respond to pain.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The NHS<\/span><span style=\"font-weight: 400;\">[<\/span><a href=\"https:\/\/www.nhs.uk\/medicines\/tramadol\/about-tramadol\/\"><span style=\"font-weight: 400;\">2<\/span><\/a><span style=\"font-weight: 400;\">]<\/span><span style=\"font-weight: 400;\"> describes it as a strong painkiller that reduces how much pain is felt rather than removing it completely.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">MedlinePlus lists tablets, an oral solution and extended-release forms. The NHS adds that injections are mostly given in hospital.<\/span><\/p>\n<h2><b>What Are the Main Tramadol Uses?\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">It is prescribed for moderate to severe pain. The NHS states that doctors usually choose it when weaker painkillers have not worked.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Among tramadol uses, MedlinePlus lists certain kinds of pain and notes that it is sometimes prescribed for other purposes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The US prescribing information for the brand Ultram<\/span><span style=\"font-weight: 400;\">[<\/span><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2023\/020281s040lbl.pdf\"><span style=\"font-weight: 400;\">3<\/span><\/a><span style=\"font-weight: 400;\">]<\/span><span style=\"font-weight: 400;\"> describes its use in adults. That is a United States label, and it does not describe the approved indications of any Indian product.<\/span><\/p>\n<h2><b>Popular Brands Containing Tramadol\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Several brands are listed on Medkart, some with tramadol alone and some combined with paracetamol. Company names are those shown on each listing.<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><b>Brand Name<\/b><\/td>\n<td><b>Active Ingredient<\/b><\/td>\n<td><b>Available Strengths \/ Forms*<\/b><\/td>\n<td><b>Manufacturer \/ Company<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Contramal DT<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Tramadol<\/span><\/td>\n<td><a href=\"https:\/\/www.medkart.in\/order-medicine\/contramal-dt-50mg-tablet-10s\"><span style=\"font-weight: 400;\">50 mg tablets<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">Abbott Health Care Private Limited<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Tramazac<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Tramadol<\/span><\/td>\n<td><a href=\"https:\/\/www.medkart.in\/order-medicine\/tramazac-50mg-capsule-10s\"><span style=\"font-weight: 400;\">50 mg capsules<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">Zydus Lifesciences Limited<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Moredol<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Tramadol<\/span><\/td>\n<td><a href=\"https:\/\/www.medkart.in\/order-medicine\/moredol-tablet-10s\"><span style=\"font-weight: 400;\">50 mg tablets<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">Morepen Laboratories Limited<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Centra DT<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Tramadol<\/span><\/td>\n<td><a href=\"https:\/\/www.medkart.in\/order-medicine\/centra-dt-50mg-tablet-10s\"><span style=\"font-weight: 400;\">50 mg tablets<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">Medimarck Biotech Pvt Ltd<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Tramadin Plus<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Tramadol and paracetamol<\/span><\/td>\n<td><a href=\"https:\/\/www.medkart.in\/order-medicine\/tramadin-plus-tablet-10s\"><span style=\"font-weight: 400;\">37.5 mg tramadol with 325 mg paracetamol tablets<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">Mankind Pharma Limited<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Tramacad P<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Tramadol and paracetamol<\/span><\/td>\n<td><a href=\"https:\/\/www.medkart.in\/order-medicine\/tramacad-p-tablet-15s\"><span style=\"font-weight: 400;\">37.5 mg tramadol with 325 mg paracetamol tablets<\/span><\/a><\/td>\n<td><span style=\"font-weight: 400;\">Cadila Pharmaceuticals Private Limited<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><i><span style=\"font-weight: 400;\">Examples of listed strengths and forms, not a complete catalogue. Product ranges can change.<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">Medkart lists tablets, capsules and injections under <\/span><a href=\"https:\/\/www.medkart.in\/composition\/tramadol-50-mg\"><span style=\"font-weight: 400;\">tramadol 50 mg<\/span><\/a><span style=\"font-weight: 400;\">, injections under <\/span><a href=\"https:\/\/www.medkart.in\/composition\/tramadol-100-mg\"><span style=\"font-weight: 400;\">tramadol 100 mg<\/span><\/a><span style=\"font-weight: 400;\">, and combination tablets under <\/span><a href=\"https:\/\/www.medkart.in\/composition\/paracetamol-acetaminophen-325-mgtramadol-37.5-mg\"><span style=\"font-weight: 400;\">paracetamol 325 mg with tramadol 37.5 mg<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A strength such as tramadol 50 mg describes the amount of active ingredient in that product. It is product information, not a dosing instruction.<\/span><\/p>\n<h2><b>How Is Tramadol Dosage Decided?\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">There is no single tramadol dosage for every prescription. NHS guidance on how and when to take tramadol<\/span><span style=\"font-weight: 400;\">[<\/span><a href=\"https:\/\/www.nhs.uk\/medicines\/tramadol\/how-and-when-to-take-tramadol\/\"><span style=\"font-weight: 400;\">4<\/span><\/a><span style=\"font-weight: 400;\">]<\/span><span style=\"font-weight: 400;\"> says the doctor weighs pain sensitivity, how bad the pain is, the response to earlier painkillers and any side effects.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Standard tablets, capsules and drops are usually taken three or four times a day for short-term pain. Slow-release forms work over 12 to 24 hours and are taken once or twice a day for severe long-term pain.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The US Ultram label gives a maximum of 400 mg a day, or 300 mg for patients over 75. It sets a 200 mg daily limit for severe kidney impairment and does not recommend Ultram in severe liver impairment. These limits are written for prescribers, not for any individual.<\/span><\/p>\n<h2><b>What Are the Common Tramadol Side Effects?\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Headaches, drowsiness, dizziness, nausea or vomiting, constipation, a dry mouth, sweating and low energy are the common tramadol side effects. NHS guidance on tramadol side effects<\/span><span style=\"font-weight: 400;\">[<\/span><a href=\"https:\/\/www.nhs.uk\/medicines\/tramadol\/side-effects-of-tramadol\/\"><span style=\"font-weight: 400;\">5<\/span><\/a><span style=\"font-weight: 400;\">]<\/span><span style=\"font-weight: 400;\"> reports them in more than 1 in 100 people.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">MedlinePlus also lists nervousness, shaking, mood changes and heartburn.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The NHS lists rarer serious effects, including low blood pressure, hallucinations, confusion, extreme sleepiness and difficulty passing urine. It advises emergency help for:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A seizure or fit<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Breathing difficulties or short, shallow breathing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Swelling of the lips, mouth, throat or tongue<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Skin, lips or tongue that look blue, grey or pale<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Severe confusion or loss of consciousness<\/span><\/li>\n<\/ul>\n<h3><b>Does Tramadol Make You Sleepy?\u00a0<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Yes, it can. MedlinePlus warns that it may cause drowsiness and affect coordination.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">NHS guidance on common questions about tramadol<\/span><span style=\"font-weight: 400;\">[<\/span><a href=\"https:\/\/www.nhs.uk\/medicines\/tramadol\/common-questions-about-tramadol\/\"><span style=\"font-weight: 400;\">6<\/span><\/a><span style=\"font-weight: 400;\">]<\/span><span style=\"font-weight: 400;\"> says alcohol can add to the sleepiness and raise the risk of serious side effects. Cannabis can also increase sleepiness and dizziness.<\/span><\/p>\n<h2><b>Why Do Dependence and Withdrawal Matter?\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Tramadol can be habit-forming. MedlinePlus warns about dependence, and the NHS says addiction is possible, so doctors monitor the dose.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The NHS lists tolerance and increased sensitivity to pain as possible results of long-term use. It says anyone who has taken the medicine for more than a few weeks should speak to a doctor before stopping.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Withdrawal symptoms listed by the NHS include agitation, anxiety, panic attacks, palpitations, poor sleep, shaking and sweating.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In India it is covered by narcotics law. A notice from Goa&#8217;s Directorate of Food and Drugs Administration<\/span><span style=\"font-weight: 400;\">[<\/span><a href=\"https:\/\/dfda.goa.gov.in\/?p=4935\"><span style=\"font-weight: 400;\">7<\/span><\/a><span style=\"font-weight: 400;\">]<\/span><span style=\"font-weight: 400;\"> records notification S.O. 1761, dated 26 April 2018, adding tramadol to the psychotropic substances listed under the Narcotic Drugs and Psychotropic Substances Act, 1985.<\/span><\/p>\n<h2><b>What Are the Main Tramadol Interactions?\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Several groups of medicines interact with tramadol. NHS guidance on taking it with other medicines<\/span><span style=\"font-weight: 400;\">[<\/span><a href=\"https:\/\/www.nhs.uk\/medicines\/tramadol\/taking-tramadol-with-other-medicines-and-herbal-supplements\/\"><span style=\"font-weight: 400;\">8<\/span><\/a><span style=\"font-weight: 400;\">]<\/span><span style=\"font-weight: 400;\"> lists antidepressants, other painkillers, sleeping tablets, anxiety medicines, allergy medicines, warfarin and medicines for infections.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The NHS warns against monoamine oxidase inhibitors, or MAOIs. The US Ultram label rules out use with an MAOI or within 14 days of stopping one.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Carbamazepine, buprenorphine, ondansetron and rifampicin can make it less effective, according to the NHS.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The US label warns of serotonin syndrome with other serotonergic medicines, and of serious effects with benzodiazepines or other central nervous system depressants.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tramadol interactions can involve supplements too. MedlinePlus names St John&#8217;s wort and tryptophan, and the NHS says there is very little information on herbal remedies.<\/span><\/p>\n<h2><b>Who Should Not Take Tramadol, and What Precautions Apply?\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">NHS guidance on who can and cannot take tramadol<\/span><span style=\"font-weight: 400;\">[<\/span><a href=\"https:\/\/www.nhs.uk\/medicines\/tramadol\/who-can-and-cannot-take-tramadol\/\"><span style=\"font-weight: 400;\">9<\/span><\/a><span style=\"font-weight: 400;\">]<\/span><span style=\"font-weight: 400;\"> says most adults and children aged 12 and over can take it, and lists situations to raise first.<\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><b>Situation<\/b><\/td>\n<td><b>What to do<\/b><\/td>\n<\/tr>\n<tr>\n<td><b>A previous allergic reaction<\/b><\/td>\n<td><span style=\"font-weight: 400;\">The NHS says to mention any earlier allergic reaction to tramadol or another medicine, or a bad reaction to a strong painkiller.<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Fits or a head injury<\/b><\/td>\n<td><span style=\"font-weight: 400;\">The NHS lists both among the reasons for advice before starting. The US Ultram label warns of a seizure risk with tramadol.<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Breathing problems<\/b><\/td>\n<td><span style=\"font-weight: 400;\">The NHS lists breathing problems among the conditions to raise. The US label rules out use in acute breathing depression and severe asthma.<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Kidney or liver problems<\/b><\/td>\n<td><span style=\"font-weight: 400;\">The NHS lists both conditions. The US label sets lower limits for severe kidney impairment and does not recommend use in severe liver impairment.<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Past alcohol or drug problems<\/b><\/td>\n<td><span style=\"font-weight: 400;\">The NHS lists problems with alcohol, strong painkillers or illegal drugs as reasons to speak to a doctor first.<\/span><\/td>\n<\/tr>\n<tr>\n<td><b>Children<\/b><\/td>\n<td><span style=\"font-weight: 400;\">The US label rules out use under 12, and under 18 after removal of the tonsils or adenoids.<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">The NHS also lists pregnancy and breastfeeding. Its guidance on pregnancy and breastfeeding<\/span><span style=\"font-weight: 400;\">[<\/span><a href=\"https:\/\/www.nhs.uk\/medicines\/tramadol\/pregnancy-breastfeeding-and-fertility-while-taking-tramadol\/\"><span style=\"font-weight: 400;\">10<\/span><\/a><span style=\"font-weight: 400;\">]<\/span><span style=\"font-weight: 400;\"> says tramadol during pregnancy is not known to harm the baby&#8217;s development, though more research is needed and short-term use is preferred.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The NHS says only small amounts pass into breast milk. The US Ultram label and MedlinePlus advise against breastfeeding during treatment, so this decision should be made with a doctor.<\/span><\/p>\n<h2><b>Generic Tramadol Vs Brand-Name Tramadol\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Generic and branded versions contain the same active ingredient. The US FDA<\/span><span style=\"font-weight: 400;\">[<\/span><a href=\"https:\/\/www.fda.gov\/drugs\/generic-drugs\/generic-drug-facts\"><span style=\"font-weight: 400;\">11<\/span><\/a><span style=\"font-weight: 400;\">]<\/span><span style=\"font-weight: 400;\"> states that a generic matches the brand on active ingredient, strength, dosage form and route, and is bioequivalent to it.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The FDA adds that approved generics give the same clinical benefit and risks. That is the U.S. FDA standard, and an India-specific regulatory source is needed before making the same claim about an Indian product.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A tramadol alternative from another company can still differ in manufacturer, inactive ingredients, appearance and price. The same ingredient and strength alone do not prove two products are interchangeable, so a doctor or pharmacist should confirm any switch.<\/span><\/p>\n<h2><b>Buy or Compare These Medicines on Medkart\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Medkart lists tramadol tablets, capsules, injections and paracetamol combinations, all marked as prescription items and not for online sale. They are bought at a <\/span><a href=\"https:\/\/www.medkart.in\/store-locator\"><span style=\"font-weight: 400;\">Medkart store<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><a href=\"https:\/\/www.medkart.in\/\"><span style=\"font-weight: 400;\">Medkart<\/span><\/a><span style=\"font-weight: 400;\"> states that its medicines are sourced from WHO-GMP certified manufacturers.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/www.medkart.in\/order-medicine\"><span style=\"font-weight: 400;\">medicines<\/span><\/a><span style=\"font-weight: 400;\"> index shows what is listed. Details a reader can compare on <\/span><a href=\"https:\/\/www.medkart.in\/compare-medicines\"><span style=\"font-weight: 400;\">Medkart&#8217;s medicine comparison tool<\/span><\/a><span style=\"font-weight: 400;\"> include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Active ingredient<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strength<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dosage form<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Manufacturer<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pack size<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Current price<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Availability and pack size differ between products. Any suggested alternative should be discussed with a doctor or pharmacist before changing a prescribed medicine.<\/span><\/p>\n<h2><b>Key takeaways\u00a0<\/b><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tramadol is an opioid painkiller that changes how the brain and nervous system respond to pain.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Doctors prescribe tramadol for pain that is moderate to severe, usually when weaker painkillers have not worked.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A strength such as tramadol 50 mg is product information, not an instruction about how much to take.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Common tramadol side effects include drowsiness, dizziness, nausea, constipation, headaches and sweating.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tramadol can be habit-forming, and in India it is listed as a psychotropic substance under the NDPS Act, 1985.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">MAOIs should not be taken with tramadol, and antidepressants, sleeping tablets and other painkillers need checking first.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pregnancy, breastfeeding, fits, breathing problems and kidney or liver disease are reasons to seek advice before starting.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Generic and branded tramadol share the same active ingredient, but two individual products are not automatically interchangeable.<\/span><\/li>\n<\/ul>\n<h2><b>FAQs: Common Questions About Tramadol\u00a0<\/b><\/h2>\n<h3><b>Q. How quickly does tramadol for pain start to work?\u00a0<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Usually within an hour. The NHS says standard tramadol starts to relieve pain within 30 to 60 minutes, and the effect lasts about four to six hours. Slow-release products can take up to 24 hours to work fully, but their relief lasts longer.<\/span><\/p>\n<h3><b>Q. What happens if a dose of tramadol is missed?\u00a0<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">It depends on how near the next dose is. MedlinePlus says a missed dose is taken once remembered, unless the next one is almost due, when it is skipped. The NHS says a double dose should never be taken to make up for a forgotten one.<\/span><\/p>\n<h3><b>Q. Can slow-release tramadol tablets be crushed or chewed?\u00a0<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">No. The NHS says slow-release tablets should not be broken, crushed, chewed or sucked, and warns this could lead to a dangerous overdose. Standard tablets and capsules are swallowed whole with water, and drops are mixed with water first.<\/span><\/p>\n<h3><b>Q. Does tramadol make you sleepy enough to affect driving?\u00a0<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Yes, it can. The NHS says a person should not drive, cycle or use machinery if the medicine causes sleepiness, blurred vision, dizziness or poor concentration, at any point in treatment rather than only at the start. MedlinePlus advises against driving until the effect is known.<\/span><\/p>\n<h3><b>Q. Can tramadol be taken with paracetamol or ibuprofen?\u00a0<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Yes, in most cases. The NHS says it can be taken with paracetamol, ibuprofen or aspirin, with aspirin limited to people aged 16 and over, but not with codeine painkillers such as co-codamol. Combination tablets already contain paracetamol, so a pharmacist should check before any extra is added.<\/span><\/p>\n<h3><b>Q. Can tramadol during pregnancy affect a newborn baby?\u00a0<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Yes, if it is taken close to the birth. The NHS says use near delivery may cause feeding or breathing difficulties in the newborn, which may need hospital monitoring. The US Ultram label also warns of neonatal opioid withdrawal syndrome after exposure in the womb.<\/span><\/p>\n<h3><b>Q. Is there a tramadol alternative if it does not control the pain?\u00a0<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">It depends on the pain. The NHS says the right painkiller depends on the type of pain and its cause, and advises talking to a doctor if tramadol is not working. Any change of painkiller should be arranged with the prescriber.<\/span><\/p>\n<h2><b>References\u00a0<\/b><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a695011.html\"><span style=\"font-weight: 400;\">https:\/\/medlineplus.gov\/druginfo\/meds\/a695011.html<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.nhs.uk\/medicines\/tramadol\/about-tramadol\/\"><span style=\"font-weight: 400;\">https:\/\/www.nhs.uk\/medicines\/tramadol\/about-tramadol\/<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2023\/020281s040lbl.pdf\"><span style=\"font-weight: 400;\">https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2023\/020281s040lbl.pdf<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.nhs.uk\/medicines\/tramadol\/how-and-when-to-take-tramadol\/\"><span style=\"font-weight: 400;\">https:\/\/www.nhs.uk\/medicines\/tramadol\/how-and-when-to-take-tramadol\/<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.nhs.uk\/medicines\/tramadol\/side-effects-of-tramadol\/\"><span style=\"font-weight: 400;\">https:\/\/www.nhs.uk\/medicines\/tramadol\/side-effects-of-tramadol\/<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.nhs.uk\/medicines\/tramadol\/common-questions-about-tramadol\/\"><span style=\"font-weight: 400;\">https:\/\/www.nhs.uk\/medicines\/tramadol\/common-questions-about-tramadol\/<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/dfda.goa.gov.in\/?p=4935\"><span style=\"font-weight: 400;\">https:\/\/dfda.goa.gov.in\/?p=4935<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.nhs.uk\/medicines\/tramadol\/taking-tramadol-with-other-medicines-and-herbal-supplements\/\"><span style=\"font-weight: 400;\">https:\/\/www.nhs.uk\/medicines\/tramadol\/taking-tramadol-with-other-medicines-and-herbal-supplements\/<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.nhs.uk\/medicines\/tramadol\/who-can-and-cannot-take-tramadol\/\"><span style=\"font-weight: 400;\">https:\/\/www.nhs.uk\/medicines\/tramadol\/who-can-and-cannot-take-tramadol\/<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.nhs.uk\/medicines\/tramadol\/pregnancy-breastfeeding-and-fertility-while-taking-tramadol\/\"><span style=\"font-weight: 400;\">https:\/\/www.nhs.uk\/medicines\/tramadol\/pregnancy-breastfeeding-and-fertility-while-taking-tramadol\/<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.fda.gov\/drugs\/generic-drugs\/generic-drug-facts\"><span style=\"font-weight: 400;\">https:\/\/www.fda.gov\/drugs\/generic-drugs\/generic-drug-facts<\/span><\/a><\/li>\n<\/ul>\n<p><b>Medical disclaimer:<\/b><span style=\"font-weight: 400;\"> This article provides general information and does not replace advice from a doctor or pharmacist. Tramadol is a prescription opioid painkiller, and in India it is listed as a psychotropic substance under the Narcotic Drugs and Psychotropic Substances Act, 1985. Brands with the same composition should only be substituted under the guidance of a healthcare professional or pharmacist because product details and approved indications can differ.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tramadol is the generic name of a prescription painkiller from the opioid group. It is used for pain that is moderate to severe. In India it is sold under several brand names, on its own and combined with paracetamol. Forms and strengths differ between products, and its sale is controlled by narcotics law. What Is [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":12706,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-12705","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-generic-medicine"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tramadol: Uses, Dosage, Side Effects &amp; Precautions | Medkart<\/title>\n<meta name=\"description\" content=\"Tramadol is a prescription opioid painkiller for moderate to severe pain. 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