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It may be taken with or without food. For patients who have been on tramadol for an extended period of time, drug dependence may occur. According to the prescribing information, patients who are going to stop tramadol should be slowly tapered off rather than discontinuing the medication abruptly. Your doctor can help you with a dosage taper (slowly taking less and less of the medication). Withdrawal symptoms can be minimized with a dosage taper. If pain relief is still needed Tylenol (acetaminophen) may be a good choice. Tylenol (acetaminophen) is an analgesic used to treat mild to moderate pain and fever. The maximum daily dose of Tylenol (acetaminophen) is 4,000 mg (4 grams) daily.
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Long-term use of high doses of tramadol will cause physical dependence and withdrawal syndrome.[27] These include both symptoms typical of opioid withdrawal and those associated with SNRI withdrawal; symptoms include numbness, tingling, paresthesia, and tinnitus.[28] Psychiatric symptoms may include hallucinations, paranoia, extreme anxiety, panic attacks, and confusion.[29] In most cases, tramadol withdrawal will set in 12–20 hours after the last dose, but this can vary.[28] Tramadol withdrawal typically lasts longer than that of other opioids. Seven days or more of acute withdrawal symptoms can occur as opposed to typically three or four days for other codeine analogues.[28]
It may be taken with or without food. For patients who have been on tramadol for an extended period of time, drug dependence may occur. According to the prescribing information, patients who are going to stop tramadol should be slowly tapered off rather than discontinuing the medication abruptly. Your doctor can help you with a dosage taper (slowly taking less and less of the medication). Withdrawal symptoms can be minimized with a dosage taper. If pain relief is still needed Tylenol (acetaminophen) may be a good choice. Tylenol (acetaminophen) is an analgesic used to treat mild to moderate pain and fever. The maximum daily dose of Tylenol (acetaminophen) is 4,000 mg (4 grams) daily.
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