TRAMADOL USES
Tramadol is used for pain relief.

DIRECTIONS
Once you order Tramadol, take the medication by mouth as prescribed. Tramadol usually taken every 4 to 6 hours as needed. Use this medication exactly as prescribed. Do not increase your dose, use it more frequently or use it for a longer period of time than prescribed because Tramadol can be habit-forming. Also, if used for an extended period of time, do not suddenly stop using this drug without your doctor's approval. When used for extended periods, this medication may not work as well and may require different dosing. Consult your doctor if Tramadol stops working well.

TRAMADOL SIDE EFFECTS
This medication may cause dizziness, weakness, in coordination, nausea or vomiting, stomach upset, constipation, headache, drowsiness, anxiety, irritability, dry mouth, or increased sweating. If any of these effects persist or worsen, inform your doctor before your next order. Notify your doctor if you develop any of these serious effects while taking Tramadol: chest pain, rapid heart rate, skin rash or itching, mental confusion, disorientation, seizures, tingling of the hands or feet, trouble breathing. In the unlikely event you have an allergic reaction to this order, seek immediate medical attention. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, breathing trouble. If you notice other effects not listed above, contact your doctor or pharmacist.

TRAMADOL PRECAUTIONS
Tell your doctor your medical history, especially of: kidney disease, liver disease, seizure disorder, lung disease, history of drug or alcohol dependency, any allergies you may have. Limit alcohol as it may add to the dizziness or drowsiness effects caused by Tramadol. Because this drug may make you dizzy/drowsy, use caution performing tasks requiring alertness such as driving. Caution is advised when using Tramadol in the elderly because they may be more sensitive to the effects of the drug. Your order of Tramadol should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Tramadol is excreted into breast milk. Because the effects on a nursing infant are not known, consult your doctor before breast- feeding.

DRUG INTERACTIONS
Tell your doctor of all prescription and nonprescription medications you may use, especially of: carbamazepine, narcotic pain relievers (e.g., codeine), drugs used to aid sleep, antidepressants (e.g., SSRI-types such as fluoxetine or fluvoxamine), MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, procarbazine, selegiline, tranylcypromine), psychiatric medicine (e.g., nefazodone), "triptan"-type drugs, anti-anxiety drugs (e.g., diazepam), sibutramine. Also, report use of certain antihistamines (e.g., diphenhydramine) which are also present in many cough-and-cold products. Do not start or stop any medicine without doctor or pharmacist approval.

MISSED DOSE
If you miss a dose of Tramadol, take it as soon as rememberher corticosteroids (e.g., prednisone). Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE
If overdose of your order is suspected, contact your local poison control center or emergency room immediately.

NOTES
Do not share Tramadol with others. Medical examinations including the nose are generally performed during prolonged use of this product to check for side effects. Inform all your doctors you use (or have used) this medication.

MISSED DOSE
If you miss a dose of Tramadol, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

STORAGE
Store your order of Tramadol at room temperature between 36 and 77 degrees F (2 -25 degrees C) away from light and moisture