TRAMADOLTRANSCRIPT (page 1 of 3)If you have moderate to severe pain, you may be prescribed Tramadol. You may bemore familiar with its brand name, Ultram.Tramadol is a high alert medication, which means if you do not take it exactly asprescribed, it may cause illness or injury.To understand how Tramadol works, let’s look at how pain affects your body.Thousands of tiny nerve cells in your body sense many feelings; cold, heat, pressure,and pain. When your body is injured, the tiny nerve cells send a message to your brainthat says: I’m in pain here!Tramadol works in the brain to change how your body feels and responds to pain.Tramadol comes in a tablet and is available in different types of doses. You maybe prescribed a short-acting dose for pain that comes and goes. Or you may beprescribed an extended release dose for pain that is there all the time. In some cases,your doctor may recommend a combination of short-acting and extended releasedoses. Make sure you understand exactly what you are taking and how you aresupposed to take it to avoid injury.Tramadol is a powerful medication. Some people should not take it. Do not takeTramadol if you are allergic to Ultram.Do not take Tramadol if you have a blockage in your stomach or intestines.If you are pregnant, or planning to get pregnant tell your healthcare provider. Do notbreastfeed while taking Tramadol.Before taking Tramadol, tell your healthcare provider if you have a history of: seizures,head injury, liver or kidney disease, stomach disorders, or depression.20% gradient meshTramadol can be highly addictive. If you have a history of abuse of: street drugs,prescription medications, or alcohol, tell your healthcare provider. There mayhealthclipsbe adifferent medication available for you.healthclipsTramadol may interact with certain medications like anti-depressants and cause severeside effects. Before taking Tramadol, give your healthcare provider a completelist ofhealthclipsall other medications you use, including vitamins and herbal supplements.healthclips(Continued on next page)4% gradient meshThis program is for informational purposes only. Publisher disclaims all guarantees regarding the accuracy, completeness, orsuitability of this video for medical decision making. For all health related issues please contact your healthcare provider.hc_md_10023_98_en_t00002.pdf healthclips© Milner-Fenwick, Inc.5% gradient meshTRAMADOLTRANSCRIPT (page 2 of 3)Some side effects of Tramadol include: headache, dizziness, tired feeling, nausea,constipation, diarrhea, feeling nervous, itching, sweating, and redness.If you do notice any of these side effects, contact your healthcare provider about howto manage them.Be aware that you are at an increased risk of falling while taking Tramadol. Get upfrom a sitting or lying position slowly.Do not drive or operate heavy machinery, including your car, until you know howTramadol affects you.Do not drink alcohol while taking Tramadol. Drinking alcohol while taking Tramadolcan cause serious side effects leading to death.If you have an allergic reaction like: trouble breathing, hives, or swelling of your faceor throat, call 911.If you have: seizures, weak or shallow breathing, fast heartbeat, hallucinations, feellike you may pass out, a severe rash on your face or upper body, increased bodytemperature, or loss of coordination, call 911 and get help right away.This is not a complete list of side effects. Make sure you discuss all possible sideeffects with your healthcare provider.Take Tramadol exactly as prescribed. Do not change your dose or take it for longerthan prescribed. If you are taking Tramadol Extended Release, always swallow thetablet whole with plenty of water. Do not cut, break, chew, crush, dissolve or inject thismedication.Tramadol Extended release should be taken at the same time every day. If you20%missagradient meshdose, take your Tramadol as soon as you remember.Do not double dose to make up for a missed dose. Return to your normal medicationhealthclipsschedule as soon as possible.healthclipsIf you think you have taken too much Tramadol, call 911. An overdose of Tramadol cancause serious breathing problems that can lead to death.healthclipshealthclips(Continued on next page)4% gradient meshThis program is for informational purposes only. Publisher disclaims all guarantees regarding the accuracy, completeness, orsuitability of this video for medical decision making. For all health related issues please contact your healthcare provider.hc_md_10023_98_en_t00002.pdf healthclips© Milner-Fenwick, Inc.5% gradient meshTRAMADOLTRANSCRIPT (page 3 of 3)Store Tramadol away from moisture and direct sunlight. Your bathroom medicinecabinet is not the best place because of moisture. Do not leave your medication whereit can get too hot or too cold. Always store your medication out of sight and out ofreach of children to prevent accidents.Because Tramadol is a medication that can cause dependency, it can be a verydesirable drug to addicts. Lock this medication up to prevent stealing and abuse.When you are done taking Tramadol, crush all of your remaining pills and mix themwith undesirable trash like kitty litter or coffee grounds.Do not sell or give your Tramadol to anyone else. It is against the law and canseriously harm anyone else taking it. Contact your local police station for moreinformation on proper disposal directions.Tramadol can help you relieve your pain. But it is a powerful medication that shouldonly be taken exactly as prescribed. If you have any questions about Tramadol, askyour healthcare provider and pharmacist for more information.20% gradient meshhealthclipshealthclipshealthclipshealthclips4% gradient meshThis program is for informational purposes only. Publisher disclaims all guarantees regarding the accuracy, completeness, orsuitability of this video for medical decision making. For all health related issues please contact your healthcare provider.hc_md_10023_98_en_t00002.pdf healthclips© Milner-Fenwick, Inc.5% gradient mesh