UK Edition. It may harm them, even if their signs of illness are the same as yours. This includes any possible side effects not listed in this leaflet section 4. Pregnancy, breast-feeding and fertility If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. Generally, the use of tramadol is not recommended during breast-feeding.

What is tramadol and what is it used for? Tramadol is a synthetic man-made pain reliever analgesic. Researchers and doctors do not know the exact mechanism of action of tramadol, but it is similar to morphine. Like morphine, tramadol binds to receptors in the brain narcotic or opioid receptors that are important for transmitting the sensation of pain from throughout the body to the brain. Like other narcotics used to treat pain, patients taking tramadol may abuse the drug and become addicted to it. Doctors prescribe tramadol to manage moderate to moderately severe pain. Extended release tablets are used for moderate to moderately severe chronic pain in adults who require continuous treatment for an extended period.

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Excipient with known effect: Each prolonged-release tablet contains 2. Round, biconvex, white coloured film-coated tablets, marked with the manufacturer's logo on one side, marked T1 on the other side. Prior to starting treatment with opioids, a discussion should be held with patients to put in place a strategy for ending treatment with tramadol in order to minimise the risk of addiction and drug withdrawal syndrome see section 4. The dose should be adjusted to the intensity of the pain and the sensitivity of the individual patient. The lowest effective dose for analgesia should generally be selected. The total daily dose of mg active substance should not be exceeded, except in special circumstances. The usual initial dose is mg tramadol hydrochloride twice daily, morning and evening. If pain relief is insufficient, the dose may be titrated upwards to mg or mg tramadol hydrochloride twice daily see section 5. In elderly patients over 75 years elimination may be prolonged. Therefore, if necessary the dosage interval is to be extended according to the patient's requirements.

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Back to Medicines A to Z. Tramadol is a strong painkiller. It's used to treat moderate zydol tramadol hydrochloride 100mg severe pain, for example after an operation or a serious injury. It comes as tablets, capsules and liquid drops that you swallow. It can also be given by injection but this is usually only done in hospital. Tramadol is not suitable for some people.

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This medicine contains tramadol which is an opioid, which can cause addiction. You can get withdrawal symptoms if you stop taking it suddenly. Possible side effects 5. This medicine has been prescribed for you for the treatment of moderate to severe pain. This medicine has been prescribed to you and should not be given to anyone else.

It is manufactured by Novo Healthcare and Pharma Ltd. Novo Healthcare and Pharma Ltd. Also available as Tramadol is used for the treatment of moderate to severe painful conditions. Tramadol is a centrally acting synthetic analgesic compound.

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This leaflet answers some common questions about Zydol Sustained Release tablets. It does not take the place of talking to your doctor or pharmacist. Your doctor has weighed the risks of you taking Zydol SR against the benefits this medicine is expected to have for you. Ask your doctor why Zydol has been prescribed for you. Your doctor may have prescribed it for another reason.

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That year the law was changed to enable district nurses, midwives and health visitors to prescribe from a limited formulary of dressings, appliances and some medicines. This formulary of medicines was extended in A review of prescribing, supply and administration of medicines for the Department of Health recommended two types of prescriber: independent and supplementary. Over the next few years, supplementary prescribing by nurses and pharmacists was introduced and legislation to allow this was changed in April A similar process occurred with podiatry, physiotherapy and radiography and led to extension of supplementary prescribing to these professions in April development in prescribers. Non-medical prescribing is now the term applied to prescribing by members of the health care professions who are not medically qualified. Prescribing can be described in the following three ways: of any medicine at public expense; and therefore with no written prescription. All health care professionals who are involved in prescribing, andor administration of medicines have to abide by standards set out by their respective professional bodies.

Adverse reactions can occur with any drug use and can be either related to or unrelated to the expected pharmacological effect. Variation in effect of a drug can occur in different individuals and indeed in the same individuals on different occasions. This can result from either differing concentrations of a drug at its site of action, or differing physiological responses to the same concentration of a drug. Adverse drug reactions present a major clinical problem. It has been estimated that up to up to Many adverse reactions are well known.

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