TANDOL

Do not use Tandol in people with the following conditions:

• Hypersensitivity
• Respiratory depression: Tramadol should be used with caution or avoided in individuals with respiratory depression, a condition characterized by slow or shallow breathing. This includes people with severe asthma, chronic obstructive pulmonary disease (COPD), or any other respiratory disorders.
• Severe liver or kidney disease: Tramadol is mainly metabolized in the liver and eliminated through the kidneys. Individuals with severe liver or kidney disease may have impaired drug metabolism and excretion, which can lead to an accumulation of tramadol or its metabolites. This can increase the risk of adverse effects and toxicity.
• Seizure disorders: Tramadol lowers the seizure threshold, meaning it can increase the risk of seizures, especially in individuals with a history of epilepsy or seizure disorders. It should be used with caution or avoided in these patients.
• Concurrent use of certain medications: Tramadol may interact with other medications, such as selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants, monoamine oxidase inhibitors (MAOIs), and other opioids, leading to potentially serious interactions or serotonin syndrome.
• Pregnancy and breastfeeding: Tramadol should be used with caution during pregnancy and breastfeeding. It may cross the placenta and be excreted in breast milk, potentially affecting the fetus or newborn. The risks and benefits should be discussed with a healthcare provider.

It is important to note that this list is not exhaustive, and there may be additional contraindications or precautions specific to individual circumstances. Always consult with a healthcare professional before starting or stopping any medication to ensure safe and appropriate use.

Tandol may have the following side effects:

• Nausea and vomiting: Upset stomach, nausea, and vomiting are among the most commonly reported side effects of tramadol. Taking medication with food can sometimes help alleviate these symptoms.
• Dizziness and drowsiness: Tramadol can cause dizziness, lightheadedness, and drowsiness, particularly when starting the medication or increasing the dosage. It is important to avoid activities that require alertness, such as driving or operating heavy machinery, until you know how tramadol affects you.
• Constipation: Tramadol can slow down intestinal motility, leading to constipation. It is important to maintain good hydration, increase dietary fiber intake, and consider using stool softeners or laxatives if necessary.
• Headache: Some individuals may experience headaches as a side effect of tramadol. If the headaches become severe or persistent, it is advisable to consult a healthcare professional.
• Sweating and dry mouth: Tramadol can cause sweating, flushing, and dry mouth. Staying hydrated and using sugar-free gum or lozenges can help alleviate dry mouth symptoms.
• Itching and rash: Skin reactions, including itching and rash, can occur with tramadol use. If you develop a rash or experience severe itching, it is important to seek medical attention.
• Respiratory depression: Tramadol can, in rare cases, cause respiratory depression, especially when used in high doses or in combination with other medications that depress the respiratory system. This is more likely to occur in individuals with pre-existing respiratory conditions.

Keep in mind that your physician has recommended this drug since he or she has known that the advantage to you is more noteworthy than the risk of adverse reactions. Many individuals utilizing this medicine don’t have serious side effects.

A serious allergy to this medication is uncommon. In any case, seek emergency medical help if you see any manifestations of a serious allergic response, including a rash, tingling or swelling particularly of the face or tongue or throat, dizziness or difficulty in breathing.

This is not a complete list of side effects. If you see other effects not recorded above, contact your physician or pharmacist.

Precautions

Take extra caution in patients with the following medical conditions:

• Medical history: Inform your healthcare provider about your complete medical history, especially if you have any of the following conditions: seizures, epilepsy, head injuries, respiratory disorders, liver or kidney disease, history of substance abuse, mental health disorders, or if you are pregnant or breastfeeding.
• Dosage and duration: Take tramadol exactly as prescribed by your healthcare provider. Do not exceed the recommended dosage or extend the duration of use without medical supervision. Tramadol can be habit-forming, and abrupt discontinuation may lead to withdrawal symptoms.
• Avoid alcohol: It is advisable to avoid alcohol while taking tramadol. Alcohol can enhance the sedative effects of tramadol, leading to increased drowsiness, dizziness, and impaired judgment.
• Driving and operating machinery: Tramadol can cause drowsiness, dizziness, and impaired coordination. Avoid driving or operating heavy machinery until you know how tramadol affects you.
• Seizure risk: Tramadol lowers the seizure threshold, particularly at higher doses. If you have a history of seizures or are at an increased risk of seizures, discuss the potential risks and benefits of tramadol with your healthcare provider.
• Pregnancy and breastfeeding: Tramadol should be used with caution during pregnancy and breastfeeding. It is important to discuss the potential risks and benefits with your healthcare provider before using tramadol in these situations.

Prior to taking this medicine, tell your physician or pharmacist if you are allergic to it, or if you have some other hypersensitivities. This drug may contain inert ingredients which can cause unfavorable side effects or different issues. Talk with your pharmacist for more information.

Interactions

Tandol may interact with the following medicines:

• Central nervous system depressants: Tramadol should not be taken with other central nervous system (CNS) depressants, such as alcohol, sedatives, tranquilizers, muscle relaxants, or other opioids. These combinations can increase the risk of respiratory depression, sedation, drowsiness, and impaired coordination.
• Serotonin syndrome: Tramadol can interact with serotonergic medications, such as selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), and certain antidepressants. This interaction can lead to a potentially life-threatening condition called serotonin syndrome, which is characterized by symptoms like agitation, hallucinations, rapid heartbeat, high blood pressure, fever, sweating, shivering, trembling, muscle stiffness, and coordination problems.
• Monoamine oxidase inhibitors (MAOIs): Concurrent use of tramadol with MAOIs or within 14 days of discontinuing MAOIs can increase the risk of serotonin syndrome.
• Anticonvulsants and antidepressants: Tramadol can interact with certain anticonvulsant medications and antidepressants, potentially altering their effectiveness or increasing the risk of seizures.
• Warfarin and other anticoagulants: Tramadol may increase the risk of bleeding when used concurrently with anticoagulant medications. Regular monitoring of blood clotting parameters is advisable in such cases.
• Certain antibiotics and antifungal medications: Some antibiotics and antifungal medications can inhibit the metabolism of tramadol, leading to increased levels of the drug in the body. This can increase the risk of side effects.
• Medical conditions: Tramadol may not be suitable for individuals with a history of seizures, head injuries, respiratory disorders, liver or kidney disease, substance abuse, or mental health disorders. It is important to discuss your medical history and any existing conditions with your healthcare provider before starting tramadol.

Inform your physician about the drugs you take including over-the-counter medications, prescribed drugs, supplements and vitamins.

This is not a complete list of drug interactions. Approach your physician or pharmacist for more details.

The effects of certain medications can change if you consume different medications or herbal products simultaneously. This can build your risk for side effects or may cause your drugs not to work effectively. These interactions are conceivable, yet don’t generally happen. Your physician or pharmacist can prevent or oversee interactions by changing how you utilize your prescriptions or by close checking.

While utilizing this drug, don’t start, stop, or change the dose of other medicines you are using without your physician’s advice.

If you suspect an overdose, contact your doctor right away.

Available Brands:

• Tandol