Tramadol and Tylenol – Tramadol Dosage and Interactions

Tramadol dosage and interactions

Tramadol and its Interaction with Other Drugs

The combination of Tramadol and Tylenol is mainly used to get relief from pain. It can be severe enough that the patient will require treatment through an opioid when the other medications are not working well. Or, Tramadol comes into the act when the pain that the person goes through cannot be well tolerated using other medicines. Tramadol, when used along with Tylenol, the results of the medication are much better. There have been cases where the pain is relived using just a few doses of Tramadol with Tylenol. Hence, they both work pretty well when taken along with each other on a human system.

Tramadol and Tylenol

As you must have read it somewhere, Tramadol is a pain medication which belongs to the group of drugs called opioid (narcotics) analgesics. The drug acts on the CNS (central nervous system) of a human body to get relief from pain. However, if the drug is taken in the long run, the person may become habitual to the use of it. As a result, they are causing physical or mental dependence and addiction for the drug.

It is also studied that psychological dependence is not likely to take place when narcotics are used for treating pain. Under the situation of physical dependence, when you suddenly stop taking the drug, there will be side effects of the drug. This medication is prescribed for a short-term time period. Mental or physical dependence shall not occur if the drug is taken accordingly.

The purpose of Acetaminophen is to give relief from pain and reduce fever. Patients who take Acetaminophen for a more extended time period will not get habitual to the use of this drug. Apart from this, there can be other side effects if Acetaminophen is taken in large dosage. For example, it can damage the liver and may also affect other internal organs as well. Although there have been a few cases of Acetaminophen harmful effect on a human system, it is better if you take the dose as per the prescription.

Before Using Tramadol

In order to decide whether you can use the drug or not, look for both the good and bad points of the drug. For this, you must consult a doctor and inform him about the health issues that you may be facing at the current situation.  Below are given some of the necessary points that you can consider –

Allergies – If you have suffered from any allergic reactions in the past taking medication, tell your doctor about it. Also, if you are allergic to any food or eatables tell that too. The doctor should know these points in order to prescribe you the drug according to your health and condition. If you are taking the drug without its prescription, read the ingredients given on the label of the medicine.

Drug Interactions – Interaction of Tramadol with any other drug can also cause harmful impact on your internal system. There are certain medicines that are used together; they are properly tested and then prescribed to the patient for use. While taking Tramadol, it is specially mentioned that your healthcare professional must know if you are taking any other sort of drug. Even if you are taking supplements, vitamins or minerals, inform about that as well to the doctor. Once you have informed this, your doctor will provide you with a suitable form of the drug. Or if there can be any adverse effect due to the interaction, he/she will advise stopping the usage of the drug.

Breastfeeding Women who are breastfeeding at the time and take Tramadol for pain relief, the content of the drug is found in the body of the infant. If there is an alternative for the drug, take that after consulting it with the doctor. However, it would be best if you take Tramadol as per the condition you are dealing with once you have taken suggestion from a medical practitioner.

Pediatrics Use of Tramadol and its relationship with the pediatric group has yet not been studied. The effects it may cause on a young mind have not been performed. Hence, taking Tramadol is not recommended for the use in children. It is strictly prohibited for the age group below 12 years. Even if a doctor recommends the use of Tramadol for children around the age of 16, it should not be given for pain relief after surgery. If in case, a child takes this drug, there can be severe conditions like – breathing issues or in some cases, even death.

Proper Use

Our primary suggestion for the patients would be to take Tramadol as per the directions provided by the doctor. Do not take the drug in more quantity or for a prolonged time period. Always take it for the time duration that your doctor has suggested for use.

Use of Tramadol

There is a complete dosage cycle for a particular drug depending on the condition of the patient. People who are old in age can be more sensitive to the side effects of the drug. They should be more cautious about the dosage and usage of the drug. Taking Tramadol in larger quantity for a longer time slot can be habit-forming. It simple words, it may develop mental or physical dependency over the patient’s mind and body. Tramadol, if used in the long run, will cause drug overdose.

Tylenol that is used in combination with Tramadol can cause liver damage if taken in large amounts. It is important to know that an opioid can cause addiction, abuse, or misuse if not taken as per the rules of analgesics. This medicine necessarily should be taken along with a medication guide. Follow the instructions given on the prescription label of the drug. Every time you go for a refill for the drug dosage, read the prescription carefully and then purchase it. If you have any other queries, ask your doctor about it and then take the drug cautiously.

Before you take the combination of Tramadol and Tylenol, check for the content of the drug. The percentage that each dose contains should not maximize the limit that is safe to be taken. It is not safe to take more than 4 grams of Acetaminophen in an entire day. We have already mentioned this that an increase in the amount of Tylenol may cause a serious health issue. It will affect the internal organs of a human body, especially the liver.


Dosage for Tramadol will vary from person to person, depending on their health and condition. The description that is given on the medication guide will allow you to take the drug without any aftereffects. However, it should be made sure that the prescription is provided by a professional health expert. Do not change the dosage of Tramadol unless your doctor recommends you for it.

The strength of a drug depends on the condition that a person is in and the amount of pain he/she suffers. Also, it is said that the number of doses you take each day make your body use to the content of the dosage. The time for which you are allowed, the usage of the drug should not be exceeded.

Age plays a vital role in deciding the dosage for patients use. We have listed a few of the dose for taking Tramadol tablets orally under the condition of acute pain –

  • Adults – Take two tablets at every interval of 4 to 6 hours. Mostly this does is prescribed for a time limit of 5 days. It is also mentioned that taking more than eight tablets in a day will cause you internal harm.
  • Children above the age of 12 – The dosage are usually not mentioned due to certain reasons. There are no reported studies done for the prescribed dose for the pediatric group. You should consult your doctor about it.
  • Children below the age of 12 – We have mentioned this above as well; Tramadol is not prescribed for children younger than 12 years of age.

If in case you missed a dose of Tramadol, take it as you remember. Keep this in mind that you must not take a missed dose just before it is time for another dose. In such a case, do not take the missed dose and wait for the next dose time. Overdose of Tramadol, even with a single, can cause effects on the internal system.


People should know that prior to the use of Tramadol, you should consult a doctor for a better effect of the drug. As you know, Tramadol should not be given to children below the age of 12. But, children above the age can take the drug after taking a proper medication guide from the doctor. Within 24 to 72 hours, the health expert himself will observe the effect of the drug on the child’s body.

There will be a further test for the blood and urine to check if there are any unwanted effects with the use of Tramadol. You should not be taking Tramadol if you have used an MAO inhibitor within the last 14 days. The inhibitors can be any of the mentioned – isocarboxazid, linezolid, selegiline, phenelzine or tranylcypromine, and so. Apart from this, the person should also not take this drug if he/she is suffering from a severe problem.

Pregnant women should avoid this drug completely as it may cause a neonatal withdrawn syndrome in the system of the newborn child. After delivery, if you see that there are an irregular pattern of sleep in the baby, report it to the doctor. There can be other symptoms as well – diarrhea, cry in high pitch, shakiness or shivering in the body, vomiting, weight loss, or constant weight. These will be the signs emerging before there is any severe issue, report it immediately to the doctor.

Effect on the System

Tramadol is considered as a highly metabolized drug that tends to change a person’s behavior if taken for too long. There are people who take Tramadol as a much stronger drug as compared to the rest of the others. They are often called “ultra-rapid metabolizers of Tramadol” due to its effect on their system. Under such condition, there occur symptoms that can be extreme sleepiness, shallow breathing, or confusion.

Children who might be prescribed this drug will get more affected to the use of it. You should report it to the health expert as soon as you come across any of the symptoms mentioned above. Taking action at the right time is more necessary than taking precautions later on.

For more detail on this, you can check the labels given on the prescribed drug that you are recommended to take. If in case, you or someone else around you has overdosed on the drug, register it with the doctor and take precautions as per the doctor’s advice. The signs of an overdose include the following –

  • dark urine
  • shallow breathing or trouble in breathing
  • pain in the upper part of the stomach
  • discoloration of fingernails
  • lips turn pale or bluish
  • irregular heartbeats
  • pinpoint pupils of the eyes and so on.

Serious Health Issues That May Arise

There are people who take the drug and along with, are on regular use of alcohol. They may not know that using alcohol or any other drug with Tramadol can cause severe health issues. Alcohol has the tendency to harm your system to a large extent. The side effects that may occur due to the use of alcohol or other drugs along with Tramadol are –

  • lack of concentration
  • dizziness
  • drowsiness
  • trouble in sleeping
  • unusual dreams, and so on.

Hence, you should not be taking Tramadol in proportion with any other drug. Take it as per the guidelines that are mentioned in the prescription or take help from a medical professional. All the necessary safety measures that are mentioned here are for the safety of a patient’s health. Therefore, follow them carefully and with proper guidance from personal help.

Side Effects

Tramadol not only lays its positive effect on a patient suffering from pain, but it has some way or the other, side effects that emerge after a while. There is almost every single drug that is used in a treatment related to a side effect. Although it is not necessary that the same side effects will occur in every other person using the same drug. It depends on several factors, such as –

  • age of the patient
  • tolerance for the drug
  • metabolic rate
  • the amount of dose that you have taken.

After Effects of Tramadol Consumption

The aftereffects of Tramadol are mentioned below. They are categorized in rare and generally occurring side effects. Some of the rare side effects that may occur over time are –

  • Pain in the chest
  • Difficulty in swallowing
  • Rapid heartbeat
  • Feeling cold
  • vomiting
  • Trouble breathing
  • Extreme tiredness or weakness in the body
  • Burning or feeling of itchiness

Other Side Effects

Some of the other side effects that happen to take place in a very few cases and are yet not known are –

  • Diarrhea
  • Blisters on the skin
  • Chills
  • Irregular heartbeats
  • Joint or muscle pain
  • Swelling up of the body parts (lips, tongue, eyelids, legs, or feet)
  • Noisy breathing
  • Redness over the skin
  • Sore throat
  • Ulcers

When these side effects occur, get immediate medical help from a health expert. Do not take much time in deciding what is to be done. Taking too long may worsen the case, and there can be a fatal impact on the person’s health.

Results of Side Effects from Tramadol

When you overdose on Tramadol due to any reason, there are side effects that will cause –

  • Lightheadedness
  • Irregular heartbeats
  • Dark urine
  • Difficulty in sleeping
  • Black stools
  • Fever
  • Acute Headache
  • Nausea
  • Loss of appetite
  • Pale colored lips
  • Breath odor
  • Yellowish eyes

There can also be side effects that generally occur and do not need any medical aid as such. These symptoms can be overcome within a few days with a regular and maximum intake of water that will help in flushing out the toxins of the body. Check with compare your medicine with health expert if you see the side effects are not getting reduce.

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