Patient was educated on precautions to be exercised while taking Tramadol as follows: Tramadol is metabolized by the liver and Tramadol intake can lead to hepatic injury. Individuals with history of compromised liver function cannot metabolize Tramadol and this can lead to increased blood levels of Tramadol for longer duration, leading to toxicity. Tramadol should be avoided or used with extreme caution in such individuals. Observe compliance with any labs ordered for evaluation of hepatic [...]

Patient was educated on precautions to be exercised while taking Tramadol as follows: Avoid using Tramadol along with other medications that have a potential to cause respiratory depression, such as, muscle relaxants, sedatives, and antianxiety medications. Though they cause mild respiratory depression individually, they can have an additive effect when combined with Tramadol and thus, precipitate severe respiratory depression. Tramadol should be avoided or used with extreme caution in individuals with history of head injury, [...]

Patient was educated on precautions to be exercised while taking Tramadol as follows: Tramadol must be avoided or used cautiously in individuals allergic to opioid analgesics, such as, Hydrocodone and Oxycodone. 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 [...]

Patient was educated on contraindications for using Tramadol as follows: Tramadol is mainly excreted in the urine. Individuals with compromised renal functions tend to retain the drug in the circulation longer, thus resulting in toxicity. Tramadol should be avoided or used with extreme caution in such individuals. Tramadol affects the respiratory center in the brain and induces slowing down of respirations. The breathing pattern can become irregular with reduced gas exchange and lead to elevated [...]

Patient was educated on contraindications for using Tramadol as follows: Tramadol must be avoided or used cautiously in individuals allergic to opioid analgesics, such as, Hydrocodone and Oxycodone. Tramadol slows down the bowel movements heavily and leads to constipation. Tramadol must be avoided or used with extreme caution in chronically constipated patients, as they are at increased risk for episodes of ileus and intestinal obstruction with Tramadol. Tramadol produces and intense feeling of drowsiness and [...]