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The Californer/10320492

SANTA MARIA, Calif. - Californer -- Before taking any new medicine, please consult with a doctor. The starting dose for adult patients is 25 mg taken one time a day in the morning. After a trial period you doctor may increase the dose up to 200 mg. Tramadol may be taken every 4 or 6 hours depending on pain you have. Taking Tramadol as rapid pain relief side effects can be more severe. It is recommended to increase dose step by step. The maximum dose is 300 mg a day. Tramadol sometimes causes lightheadedness, dizziness, or fainting. Please avoid operating machinery such as driving a car, until you know your reaction on it. The effect may be worse if you take alcohol or certain medicines such as sleep aids or muscle relaxants. Use Tramadol with caution. Before start taking any new medicine even, prescribed without RX or based on herbal components, check it with your doctor. Tramadol should not be used while pregnant. If you are planning to become pregnant, make sure your doctor knows that you are taking Tramadol. It also appears in breast milk and could affect a nursing infant. If your doctor gave you strict instructions not to miss dose and if you missed one take the missed dose as soon as you remembered. If it is time for your next dose, skip it and continue taking you medicine regularly. Do not double the medicine. It can cause severe side effects. Almost any medicine taking in excess doses without consultation with your doctor can cause an overdose. Symptoms of overdose may include bluish skin, cold clammy skin, difficult or slow breathing, drowsiness leading to unresponsiveness or coma, excessive sweating, seizures, slow or irregular heartbeat, very fast heart rate. If you suspect an overdose, contact your emergency room immediately. Tramadol should be stored at room temperature in a container it comes in. Protect from heat, sun light and moisture. Do not store in the bathroom. Keep away from pets and children. Any of the medicine can cause side effects. If the side effects occur seek medical attention or consult with your doctor for more information. Anyway, such common side effects may bother you: anxiety, bloating, gas, constipation, convulsive movements, diarrhea, dizziness, drowsiness, dry mouth, feeling of elation, hallucinations, headache, indigestion, itching, nausea, nervousness, sweating, tremor, vomiting, weakness, agitation, trouble sleeping. Seek medical attention for any of these side effects: chest pain, allergic reactions, difficulty swallowing or breathing, fainting, irregular or slow heartbeat, shortness of breath or stomach pain.

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