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The capsules should be swallowed with a drink of water. The usual doses are as follows:
Adults and children aged 12 years and over:take one or two capsules.
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Do not take more often than every four hours. Do not take more than eight
capsules (400mg) per day. Do not take more than the doctor has prescribed.
Children:this medicine is not recommended for children under 12 years.
Patients with kidney or liver complaints: your doctor may advise you to take the medicine every 12 hours.
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Keep out of the reach and sight of children. Read the enclosed leaflet before taking.
Talk to your doctor before taking if you are allergic to any of the ingredients,
have a head injury, addicted to alcohol or drugs, in a state of shock, experience dizziness,
kidney or liver problems, suffer from ulcers, have problems with your breathing,
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Take tramadol exactly as prescribed by your doctor. Follow the directions on your prescription label and read all medication guides. Never use tramadol in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to take more of this medicine.
Never share tramadol with another person, especially someone with a history of drug addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medicine where others cannot get to it. Selling or giving away this medicine is against the law.
Stop taking all other opioid medications when you start taking tramadol.
Tramadol can be taken with or without food, but take it the same way each time.
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Swallow the capsule or tablet whole to avoid exposure to a potentially fatal overdose. Do not crush, chew, break, open, or dissolve.
Measure liquid medicine with the supplied syringe or a dose-measuring device (not a kitchen spoon).
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You may have withdrawal symptoms if you stop using tramadol suddenly. Ask your doctor before stopping the medicine.
Store at room temperature away from moisture and heat. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.
Do not keep leftover tramadol. Just one dose can cause death in someone using it accidentally or improperly. Ask your pharmacist where to locate a drug take-back disposal program. If there is no take-back program, mix the leftover medicine with cat litter or coffee grounds in a sealed plastic bag throw the bag in the trash.
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Usual Adult Dose for Pain:
Adults (17 years or older): 50 to 100 mg orally every 4 to 6 hours as needed for pain
-For patients not requiring rapid onset of analgesic effect: Initial dose: 25 mg orally once a day; titrate in 25 mg increments every 3 days to reach a dose of 25 mg four times a day; thereafter increase by 50 mg as tolerated every 3 days
Maximum dose: 400 mg per day.
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