Tramadol precautions

List of precautions
General Pediatric Use Geriatric Use Acute Abdominal Conditions Use in Renal Disease Use in Hepatic Disease

General
The recommended dose of Tramadol should not be exceeded. Do not co-administer Tramadol with other tramadol or acetaminophen-containing products. Return to top

Pediatric Use
The safety and effectiveness of Tramadol has not been studied in the pediatric population.

Geriatric Use
In general, dose selection for an elderly patient should be cautious, reflecting the greater frequency of decreased hepatic, renal, or cardiac function; of concomitant disease and multiple drug therapy. Return to top

Acute Abdominal Conditions
The administration of Tramadol may complicate the clinical assessment of patients with acute abdominal conditions. Return to top

Use in Renal Disease
Tramadol has not been studied in patients with impaired renal function. Experience with tramadol suggest that impaired renal function results in a decreased rate and extent of excretion of tramadol and its active metabolite, M1. In patients with creatinine clearances of less than 30 mL/min, it is recommended that the dosing interval of Tramadol be increased not to exceed 2 tablets every 12 hours. Return to top

Use in Hepatic Disease
Tramadol has not been studied in patients with impaired hepatic function. The use of Tramadol in patients with hepatic impairment is not recommended. Return to top