Generic name: Tramadol

	Brand	Generic	Manufacturer	Size	Price	Exp.
	Tradonal 50mg	Tramadol hcl	ASTA Medica	100 caps	US$89
	Tramadol Stada 50mg	Tramadol hcl	Stada Pharm GmbH (Germany)	60 caps	US$55
	Tramal 50mg	Tramadol hcl	Sanofi	50 caps	US$63
	Tramal Ultram 50mg	Tramadol hcl	Bk lab	100 caps	US$58	Jul/2010
	Tramal Ultram 50mg (Ship out next day, GMP Standard)	Tramadol hcl	Bk lab	300 caps	US$155	Jul/2010
	Tramal Ultram 50mg	Tramadol hcl	Bk lab	400 caps	US$220	Jul/2010
	Ultram (Tramal retard) 100mg	Tramadol Hcl	Sanofi/Grunenthal	50 caps (10x5)	US$84	Dec/2011
	Ultram (Tramal) 50mg	Tramadol hcl	Sanofi/Grunenthal	50 caps (10x5)	US$63

Why is this medication prescribed?
Tramadol comes in capsules. Tramadol is used to relieve moderate to moderately severe pain. It also may be used to treat pain caused by surgery pain and chronic conditions such as cancer, joint or back pain.

This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

How should this medicine be used?
Tramadol comes as a tablet to take by mouth. It usually is taken every 4-6 hours as needed. It may be taken with or without food. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take tramadol exactly as directed. Back pain killer.

Tramadol can be habit-forming. Do not take a larger dose, take it more often, or for a longer period than your doctor tells you to. Medication back pain.

What special precautions should I follow?
Before taking tramadol,

• tell your doctor and pharmacist if you are allergic to tramadol, codeine, or any other drugs.
• tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially other pain relievers; carbamazepine (Tegretol); MAO inhibitors [phenelzine (Nardil) or tranylcypromine (Parnate)]; medications for depression; quinidine; sleeping pills; tranquilizers; and vitamins.
• tell your doctor if you have or have ever had kidney or liver disease, a history of seizures, or a history of alcohol or drug abuse.
• tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking tramadol, call your doctor.
• if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking tramadol.
• you should know that this drug may make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you.
• remember that alcohol can add to the drowsiness caused by this drug.

What should I do if I forget a dose?
Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

What side effects can this medication cause?
Although side effects from tramadol are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:

• dizziness
• headache
• drowsiness
• blurred vision
• upset stomach
• vomiting
• diarrhea

If you experience any of the following symptoms, call your doctor immediately:

• fast heartbeat
• redness, swelling, and itching of the face
• numbness or tingling of the hands and feet
• difficulty breathing
• changes in urination
• seizures

What storage conditions are needed for this medicine?
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).

In case of emergency/overdose
In case of overdose, call your local poison controlcenter at 1-800-222-1222. If the victim has collapsedor is not breathing, call local emergency services at911.

What other information should I know?
Keep all appointments with your doctor.

What is Back Pain? Acute or short-term low back pain generally lasts from a few days to a few weeks. Most acute back pain is the result of trauma to the lower back or a disorder such as arthritis. Chronic back pain is pain that persists for more than 3 months. It is often progressive and the cause can be difficult to determine. Back pain can be a sign of a serious medical problem. Back pain does not usually require immediate medical intervention.

What Are the Symptoms Back Pain? Most people have experienced back pain sometime in their life. The causes of back pain are numerous; some are self-inflicted due to a lifetime of bad habits. Other back pain causes include accidents, muscle strains, and sports injuries. Although the causes may be different, most often they share the same symptoms.

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