Zytram XL

Uses of Zytram XL

It is used to manage moderate to moderately severe pain for people who need several days or more of pain control. It decreases pain by working on the central nervous system.

Precautions and Warnings

You should not take Zytram XL if you are allergic to it, or if you have:

• severe asthma or breathing problems
• a stomach or bowel obstruction (including paralytic ileus)
• if you have recently used alcohol, sedatives, tranquilizers, or narcotic medications or
• if you have used an MAO inhibitor in the past 14 days (such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine)
• are pregnant or planning a pregnancy
• are breastfeeding.

Zytram XL should not be given to a child younger than 12 years old. Ultram ER should not be given to anyone younger than 18 years old. Do not give Zytram XL to anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids.

Seizures have occurred in some people taking Zytram XL. Your seizure risk may be higher if you have ever had:

• a head injury, epilepsy, or other seizure disorder
• drug or alcohol addiction or
• a metabolic disorder.

To make sure Zytram XL is safe for you, tell your doctor if you have ever had:

• breathing problems, sleep apnea
• liver or kidney disease
• urination problems
• problems with your gallbladder, pancreas, or thyroid
• a stomach disorder or
• mental illness, or suicide attempt.

If you take Zytram XL during pregnancy, your baby could be born with life-threatening withdrawal symptoms or seizures and may need medical treatment for several weeks. Fetal death and miscarriage have also been reported. Should not be used in pregnant women unless the benefits outweigh the risks.

It is not known if Zytram XL passes into human milk. Ask a doctor before using tramadol if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.

Dosage

The usual starting dose of tramadol controlled release is 150 mg once daily. The dose can be increased every 7 days to a maximum dose of 400 mg daily.

Side Effects

Common side effects:

• Nausea
• Vomiting
• Constipation
• Dizziness
• Dryness in mouth
• Sleepiness
• Diarrhea
• Abdominal pain
• Dyspepsia
• Flatulence
• Headache
• Trembling
• Anxiety
• Sleep disorder
• Itching