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    Tramadol can be taken with or without food. When prescribed for chronic pain, doctors may gradually increase the patient’s dose. Pain medications work best if they are used as the first signs of pain occur. If you wait until the pain has worsened, the medication may not work as well.

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    This medication helps relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs opioid analgesics. It works in the brain to change how your body feels and responds to pain.
    Tramadol an opioid (narcotic) pain reliever used to treat moderate to severe pain. If you have ongoing pain (such as due to arthritis), your doctor may direct you to also take long-acting opioid medications. In that case, this medication might be used for sudden (breakthrough) pain only as needed. Ask your doctor or pharmacist about using tramadol safely with other drugs.
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    The dosage reflects on your medical condition and response to treatment. To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and gradually increase your dose. Follow your doctor’s instructions carefully. The maximum recommended dose is 400 milligrams per day. If you are older than 75 years, the maximum recommended dose is 300 milligrams per day. Do not increase your dose, take the medication more frequently, or take it for a longer time than prescribed. Properly stop the medication when so directed.

    Tramadol has two different actions in the body. It is an opioid analgesic, which means that it attaches to receptors in your brain to change your perception of pain. It also works like an antidepressant, prolonging the actions of norepinephrine and serotonin in the brain. Tramadol is available under several brand names, including Ultram.
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    Tramadol an extremely strong painkiller given to patients who are in extreme discomfort when other traditional painkillers stop working. It works as the drug blocks pain signals from travelling along the nerves to the brain to ease any discomfort a person might be feeling.
    Tramadol is quite often given to patients who might be in pain after major surgery or to people who have long-term conditions such as arthritis. Even though Tramadol is a very effective painkiller, like all drugs, there can be side effects to taking it. Some people have reported have difficulty breathing and their asthma becoming worse as a result of taking the drug.

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