Tramadol 50mg
Tramadol 50 mg summary
Tramadol 50 mg is a morphine-like pain reliever or opioid. It has a strong analgesic effect. Doctors prescribe it for severe pain and nerve pain. Sometimes doctors prescribe it for osteoarthritis. Pain Pain comes in different forms. Pain can come from damage in your body or when something is not working as it should. The nerves in the damaged body part send a signal to your brain and you feel pain. Sometimes pain has no clear cause and we don’t know where the pain is coming from. TherapyIn most cases, acetaminophen is the safest way to treat pain. This has the fewest side effects and usually works well. If this is not working properly or if there is inflammation, your doctor will usually prescribe an anti-inflammatory pain reliever such as ibuprofen or diclofenac. If this painkiller is not effective enough, your doctor may prescribe tramadol 50 mg. Sometimes the doctor combines tramadol with paracetamol or an anti-inflammatory pain reliever. OperationTramadol 50 mg ensures that the signal in the brain does not arrive or arrives less strongly. This will make you feel the pain less and react more slowly to it. With the regular tablets, effervescent tablets and drops you will notice that the pain decreases within 1 hour. The suppositories work within 2-3 hours. The effect of the suppositories and regular capsules lasts for 6-8 hours. The modified-release tablets and capsules work for approximately 12 hours. The ‘Once Daily’ tablets work for approximately 24 hours. Nerve pain Symptoms In case of nerve pain you will feel severe pain shocks with a very sharp, stabbing or constant burning pain. The pain is continuous or can come on with just a light touch. It often concerns one specific part of the body, such as part of the face, part of the trunk, or a foot or arm. Cause The cause of nerve pain lies with the sensory nerves. These send ‘messages’ about touches and injuries to the brain. Damaged or irritated nerves send these messages incorrectly. As a result, your brain feels intense pain, without any injury. For example, damage or irritation of a sensory nerve can develop after shingles (an infection of a nerve with a Herpes virus) or diabetes mellitus (diabetes). Treatment Because in nerve pain the cause of the pain lies with the sensory nerve involved, ordinary painkillers usually have little effect. Tramadol 50 mg can help against nerve pain caused by diabetes. Effect Tramadol ensures that the signal in the brain does not arrive or arrives less strongly. This will make you feel the pain less and react more slowly to it. With the regular tablets, effervescent tablets and drops you will notice that the pain decreases within 1 hour. The suppositories work within 2-3 hours. The effect of the suppositories and regular capsules lasts for 6-8 hours. The modified-release tablets and capsules work for approximately 12 hours. The ‘Once Daily’ tablets work for approximately 24 hours. Osteoarthritis (worn joints) Symptoms Osteoarthritis is a disease of the cartilage in a joint. The cartilage lines the bone ends in the joint. In osteoarthritis, the cartilage is affected, usually in the hip or knee. This causes pain and stiffness. This can make you have trouble moving and have trouble sleeping. The complaints can disappear or come back now and then. Treatment The complaints can be reduced by moving the painful joint and by training the muscles. But do not overload the joint. Paracetamol is the best choice for pain. This has the fewest side effects and usually works well. If paracetamol is not effective after two weeks, the doctor can also prescribe an anti-inflammatory painkiller, such as ibuprofen, diclofenac or naproxen. If this is insufficient, your doctor may prescribe tramadol 50mg. Effect Tramadol ensures that the signal in the brain does not arrive or arrives less strongly. This will make you feel the pain less and react more slowly to it. With the regular tablets, effervescent tablets and drops you will notice that the pain decreases within 1 hour. The suppositories work within 2-3 hours. The effect of the suppositories and regular capsules lasts for 6-8 hours. The modified-release tablets and capsules work for approximately 12 hours. The ‘Once Daily’ tablets work for approximately 24 hours. This has the fewest side effects and usually works well. If paracetamol is not effective after two weeks, the doctor can also prescribe an anti-inflammatory painkiller, such as ibuprofen, diclofenac or naproxen. If this is insufficient, your doctor may prescribe tramadol 50mg. Effect Tramadol ensures that the signal in the brain does not arrive or arrives less strongly. This will make you feel the pain less and react more slowly to it. With the regular tablets, effervescent tablets and drops you will notice that the pain decreases within 1 hour. The suppositories work within 2-3 hours. The effect of the suppositories and regular capsules lasts for 6-8 hours. The modified-release tablets and capsules work for approximately 12 hours. The ‘Once Daily’ tablets work for approximately 24 hours. This has the fewest side effects and usually works well. If paracetamol is not effective after two weeks, the doctor can also prescribe an anti-inflammatory painkiller, such as ibuprofen, diclofenac or naproxen. If this does not work sufficiently, your doctor may prescribe tramadol 50mg. Effect Tramadol ensures that the signal in the brain does not arrive or arrives less strongly. This will make you feel the pain less and react more slowly to it. With the regular tablets, effervescent tablets and drops you will notice that the pain decreases within 1 hour. The suppositories work within 2-3 hours. The effect of the suppositories and regular capsules lasts for 6-8 hours. The modified-release tablets and capsules work for approximately 12 hours. The ‘Once Daily’ tablets work for approximately 24 hours. the doctor can also prescribe an anti-inflammatory painkiller such as ibuprofen, diclofenac or naproxen. If this does not work sufficiently, your doctor may prescribe tramadol 50mg. Effect Tramadol ensures that the signal in the brain does not arrive or arrives less strongly. This will make you feel the pain less and react more slowly to it. With the regular tablets, effervescent tablets and drops you will notice that the pain decreases within 1 hour. The suppositories work within 2-3 hours. The effect of the suppositories and regular capsules lasts for 6-8 hours. The modified-release tablets and capsules work for approximately 12 hours. The ‘Once Daily’ tablets work for approximately 24 hours. the doctor can also prescribe an anti-inflammatory painkiller such as ibuprofen, diclofenac or naproxen. If this does not work sufficiently, your doctor may prescribe tramadol 50mg. Effect Tramadol ensures that the signal in the brain does not arrive or arrives less strongly. This will make you feel the pain less and react more slowly to it. With the regular tablets, effervescent tablets and drops you will notice that the pain decreases within 1 hour. The suppositories work within 2-3 hours. The effect of the suppositories and regular capsules lasts for 6-8 hours. The modified-release tablets and capsules work for approximately 12 hours. The ‘Once Daily’ tablets work for approximately 24 hours. Effect Tramadol ensures that the signal in the brain does not arrive or arrives less strongly. This will make you feel the pain less and react more slowly to it. With the regular tablets, effervescent tablets and drops you will notice that the pain decreases within 1 hour. The suppositories work within 2-3 hours. The effect of the suppositories and regular capsules lasts for 6-8 hours. The modified-release tablets and capsules work for approximately 12 hours. The ‘Once Daily’ tablets work for approximately 24 hours. Effect Tramadol ensures that the signal in the brain does not arrive or arrives less strongly. This makes you feel the pain less and react more slowly. With the regular tablets, effervescent tablets and drops you will notice that the pain decreases within 1 hour. The suppositories work within 2-3 hours. The effect of the suppositories and regular capsules lasts for 6-8 hours. The modified-release tablets and capsules work for approximately 12 hours. The ‘Once Daily’ tablets work for approximately 24 hours.
Side effects Tramadol 50mg
The main side effects are the following. Sometimes
- Drowsiness, sleepiness, a spinning feeling and a reduced reaction time. This is especially difficult for activities that require your vigilance, such as driving, climbing a ladder, or monitoring a process at work. Do not engage in high-risk activities, especially during the first two weeks of treatment, if you still have to get used to the drug.
- Nausea, sometimes with vomiting. This side effect usually clears up after a few days of getting used to this drug. It usually helps to lie down for a while if you feel nauseous.
Rarely
- Constipation (constipation). If possible, consume high-fiber foods and drink plenty. Sometimes doctors prescribe a laxative with this drug. Consult your doctor if you experience constipation due to tramadol.
- Dry mouth. This will cause cavities in your teeth more quickly. Brush and floss extra well if you notice that your mouth continues to be dry. You may want to have more frequent dental check-ups if you are taking this medication for several weeks. If you suffer from a dry mouth, you can stimulate the production of saliva with (sugar-free) chewing gum, pineapple cubes or by sucking on ice cubes. Furthermore, you should avoid strongly spicy, dry and hard foods, moisten your food with gravy or fruit puree and take moisture with food.
- Dizziness, especially when getting up from bed or a chair. This generally passes after a few days of getting used to this drug. If you feel dizzy, do not get out of bed or a chair too quickly. It is best to lie down for a while and put your legs a little higher, for example on a pillow. People with heart failure are extra sensitive to this side effect.
- Itching and hives. This may indicate hypersensitivity. Check with your doctor so they can determine if you are hypersensitive to this drug.
- Sweating and headaches. These side effects are not dangerous. Do let your doctor know if it bothers you a lot.
Very rarely
- Difficulty urinating. This is especially important if you already have difficulty passing urine due to an enlarged prostate. Contact your doctor if you notice this. A different medicine may be more suitable for you.
- Difficulty breathing. This only occurs with high doses of tramadol, but if you suffer from a respiratory disease such as asthma or COPD you may become more short of breath. If you notice this, please consult your doctor.
- Psychological complaints, such as confusion, trouble sleeping, nightmares and depression. If this is very bothering you, consult your doctor.
- Hypersensitivity to this drug. You will notice this by swollen lips, tongue or face, tightness or fainting. Then stop using it and see your doctor or go to the emergency room. You should not use this medicine in the future. Therefore, inform the pharmacist that you are hypersensitive to tramadol. The pharmacy team can then ensure that you do not receive this medicine or medicines similar to it again.
- Epileptic attacks. People with epilepsy are at risk of an increase in the number of seizures. Discuss this with your doctor.
- Sleep apnea, a short-term period of respiratory arrest during sleep. This drug can cause sleep apnea. If you have had sleep apnea before, you may be more affected. Contact your doctor if you notice nightly seizures of gasping or worsening.
- If you suffer from the chronic inflammatory bowel disease ulcerative colitis or Crohn’s disease, then in some cases it is better not to use this medicine. Namely in the case of a severe worsening of ulcerative colitis or a narrowing of the intestine in Crohn’s disease. Then this drug can cause serious side effects on the gut. Talk to your doctor about whether you can use this medication. If you are allowed to use this medicine, make sure that you do not suffer from symptoms such as bloating, increasing stomach pain and fever. If this affects you, please contact your doctor.
- People with Brugada syndrome, a hereditary heart condition, may be more likely to have cardiac arrhythmias. Consult with your doctor. You may be able to switch to another drug. If you do need to take this medicine, your doctor will monitor you closely.
- If you have reduced liver function: tramadol is removed from the body through the liver. This can cause the amount of tramadol in your body to become too high. Your doctor will adjust the dose if necessary
Consult your doctor if you experience too much of any of the above side effects or if you experience any other side effects that worry you.
How?
- Regular tablet or capsule: take with half a glass of water.
- Delayed-release tablets (‘retard’): swallow whole with half a glass of water. Do not chew or crush the tablets, as this will unintentionally release all the active ingredient at the same time. These tablets are made in such a way that they dissolve slowly, so that they cause fewer side effects and work longer.
- Delayed-release capsules (‘retard’): take with half a glass of water. Optionally, the capsules may be taken apart before taking. Do not chew or crush the granules contained herein, as this will unintentionally release all the active ingredient at the same time. The granules are made in such a way that they dissolve slowly, so that they have fewer side effects and work longer.
- Effervescent tablet: put the effervescent tablet in half a glass of water, wait until the tablet has dissolved and drink it. Then rinse the glass with a little water and drink that too.
- Suppositories: insert the suppository into the anus. It does not matter whether you insert the suppository with the tip forward or with the blunt side forward. If you moisten the suppository with a little water, it will be easier to insert.
When? It does not matter at what times you use this medicine. However, the doctor usually advises you to always take this medicine at the same times and not to wait for the pain to increase again. How long? Use tramadol for as long as your doctor tells you to. If you take this medication for several months, there is a chance that you will get used to it and can only stop taking it gradually.
What if I miss a dose?
- If you are taking this medicine four times a day, will it be more than one hour before you normally take the next dose? Then take the forgotten dose. Will it take less than an hour? Skip the dose you missed.
- If you are taking this medicine three times a day, will it be more than two hours before you normally take the next dose? Then take the forgotten dose. Will it take less than two hours? Skip the dose you missed.
- If you are taking this medicine twice a day, will it be more than four hours before you normally take the next dose? Then take the forgotten dose. Will it take less than four hours? Skip the dose you missed.
- If you are taking this medicine once a day, does it take more than eight hours for the next dose to take normally? Then take the forgotten dose. Will it take less than eight hours? Skip the dose you missed.
Never take double the amount.
If I take this medicine, can I …driving a car? It can be dangerous to participate in traffic while taking this medicine. This is due to side effects such as drowsiness, confusion and dizziness. You should not drive for the first two weeks of taking this medicine. After two weeks, most people have become sufficiently used to its effects. You may then drive again. But only do this if you no longer suffer from the side effects. For more general information, read the topic ‘Medicines in traffic’. In this theme you can read, for example, what the law says about medicines in traffic. You will also find advice that you should take into account if you are allowed to drive (again). Limit the use of alcohol and avoid drinking it. This medicine makes you react much more strongly to alcohol than you are used to. In addition, alcohol enhances the side effects of this drug, such as drowsiness and sleepiness. You can eat anything.
Does this medicine interact with other medications? This drug interacts with other drugs. The text below only lists the active ingredients of these drugs, not the brand names. You can find out whether your medicine contains one of these active substances in your package insert under the heading ‘composition’. The medicines with which the main interactions occur are the following.
- Other drugs that reduce reaction time. These medicines often have a yellow warning sticker on the packaging. The effects on, for example, driving skills reinforce each other. Do not drive if you are taking two or more such drugs.
- Medicines for depression citalopram, escitalopram, phenelzine, fluoxetine, fluvoxamine, paroxetine, sertraline, tranylcypromine and venlafaxine. In combination with tramadol there is a small chance of a serious side effect, serotonin syndrome. Discuss this with your doctor. If you are taking the combination, look out for symptoms such as shaking, shaking, urge to move, muscle twitching, agitation, confusion, anxiety, fever, sweating, increased heart rate and decreased consciousness. These symptoms do not always involve serotonin syndrome. Some of these side effects may also be part of your disease or go away on their own. If in doubt, consult your doctor as it is a serious side effect. Also tell people close to you about these side effects, because you may not always notice them due to confusion and reduced consciousness. They can then contact the doctor.
- Medicines for HIV and AIDS, lopinavir and ritonavir. These drugs reduce the effect of tramadol. Your doctor will monitor the effectiveness of tramadol extra. These drugs can also enhance the side effects of tramadol. Contact your doctor if you notice this.
- Naltrexone. This is a drug that counteracts the action of tramadol and other strong-acting morphine-like painkillers. It can be used precisely for this reason, in people who have received an overdose of tramadol. However, naltrexone is also used in people who are addicted to alcohol. People who use it for that reason should be aware that morphine-like painkillers are less effective for them. If you are already using tramadol and you are receiving naltrexone with it, you may experience withdrawal symptoms.
- Pentazocine, buprenorphine, nalmefene and nalbuphine are pain killers that counteract the effect of tramadol. If you are taking tramadol and you are given one of these medications, you may experience withdrawal symptoms. Discuss this with your doctor.
Not sure if any of the above interactions are of interest to you? Please contact your pharmacist or doctor.
Can I use this medicine if I am pregnant, planning to become or breastfeeding? Zwangerschap Gebruik dit medicijn NIET als u zwanger bent of binnenkort zwanger wilt worden. Over het gebruik van dit medicijn tijdens de zwangerschap is nog te weinig bekend.Meld het in elk geval aan uw arts en apotheker zodra u zwanger bent of binnenkort wilt worden. Zo mogelijk kunt u (tijdelijk) overstappen op een ander medicijn. Gebruik dit medicijn in elk geval niet na de achtste maand. Het kan namelijk de ademhaling van de baby bemoeilijken na de geboorte.Borstvoeding U kunt tramadol een enkele maal gebruiken. Het komt in een kleine hoeveelheid in de moedermelk. Als u tramadol maar heel af en toe gebruikt, zal het kind daar meestal geen last van hebben.Gebruikt u tramadol op meer dan een dag achtereen of meerdere keren per dag? Overleg dan met uw arts of apotheker. Het kan bijwerkingen bij het kind geven. Dit merkt u doordat uw baby suf wordt en minder goed drinkt. Als u dit merkt kunt u op tijd uw arts raadplegen.