Patient was educated on precautions to be exercised while taking Tramadol as follows:

  1. Tramadol must be avoided or used cautiously in individuals allergic to opioid analgesics, such as, Hydrocodone and Oxycodone.
  2. Tramadol slows down the bowel movements heavily and leads to constipation. Increase intake of daily fiber can help the situation and promote regular bowel movements. Any signs and symptoms of intestinal obstruction and ileus, such as, intense bloating, constipation, abdominal pain, nausea, and vomiting must be immediately reported. Any lack of bowel movement in 3 days must be reported to the physician.
  3. Drink plenty of water with Tramadol and keep up with your daily fluid requirements without fail. This can help prevent episodes of constipation. Also, maintain compliance with laxative intake, as recommended by your doctor.
  4. Tramadol produces and intense feeling of drowsiness and dizziness, as a side effect to modifying the pain perception of brain. Patients can also experience hallucinations, seizures, and mood changes due to Tramadol use. Tramadol must be avoided or used with extreme caution in individuals taking antidepressants and other psychotropic medications that have the potential to induce hallucinations and mood changes. Avoid driving or operating machinery until you know how Tramadol affects you.