List of side effects of tramadol
The most common side effects of tramadol in order of decreasing incidence are:[1][2][3][4][5][6][7]
Note: Serious adverse effects are in bold.
Very common (>10% frequency)
- Dizziness
 - Nausea
 - Constipation
 - Vertigo
 - Headache
 - Vomiting
 - Somnolence (drowsiness)
 
Common (1–10% frequency)
- Agitation
 - Anxiety
 - Emotional lability
 - Euphoria
 - Nervousness
 - Spasticity
 - Dyspepsia (indigestion)
 - Asthenia (weakness)
 - Pruritus (itchiness)
 - Dry mouth
 - Diarrhea
 - Fatigue
 - Sweating
 - Malaise
 - Vasodilation (dilation (widening) of blood vessels)
 - Confusion
 - Coordination disturbance
 - Miosis
 - Sleep disorder
 - Rash
 - Hypertonia
 - Abdominal pain
 - Weight loss
 - Visual disturbance
 - Flatulence
 - Menopausal symptoms
 - Urinary frequency
 - Urinary retention (being unable to urinate)
 
Uncommon (0.1-1% incidence)
Rare (0.01–0.1% incidence)
- Bradycardia
 - Hypertension (high blood pressure)
 - Allergic reactions (e.g. dyspnoea (shortness of breath), bronchospasm, wheezing, angioneurotic oedema)
 - Anaphylaxis
 - Changes in appetite
 - Paraesthesia (pins and needles)
 - Hallucinations
 - Tremor
 - Respiratory depression
 - Epileptiform convulsions
 - Involuntary muscle contractions
 - Abnormal coordination
 - Syncope (fainting)
 - Blurred vision
 - Dyspnoea (shortness of breath)
 - Tinnitus (ringing in the ears)
 - Migraine
 - Stevens–Johnson syndrome/toxic epidermal necrolysis (potentially fatal skin reactions)
 - Motorial weakness
 - Creatinine increase
 - Elevated liver enzymes
 - Hepatitis (liver swelling)
 - Stomatitis (mouth swelling)
 - Liver failure
 - Pulmonary oedema (fluid in the lungs)
 - Gastrointestinal bleeding
 - Pulmonary embolism
 - Myocardial ischaemia (lack of blood supply to the heart muscles)
 - Speech disorders
 - Haemoglobin decrease
 - Proteinuria (protein in the urine; usually indicative of kidney damage)
 
References
- ↑ "Ultram, Ultram ER (tramadol) dosing, indications, interactions, adverse effects, and more". Medscape Reference. WebMD. Retrieved 28 November 2013.
 - ↑ "PRODUCT INFORMATION Tramadol SANDOZ 50 mg capsules" (PDF). TGA eBusiness Services. Sandoz Pty Ltd. 4 November 2011. Retrieved 6 April 2014.
 - ↑ "Tramadol Hydrochloride 50mg Capsules – Summary of Product Characteristics (SPC)". electronic Medicines Compendium. Actavis UK Ltd. 12 June 2013. Retrieved 28 November 2013.
 - ↑ "Tilodol SR 100 mg Prolonged-Release Tablets – Summary of Product Characteristics (SPC)". electronic Medicines Compendium. Sandoz Limited. 6 March 2013. Retrieved 28 November 2013.
 - ↑ "PRODUCT INFORMATION TRAMADOL SANDOZ SR 100MG, 150MG and 200MG SUSTAINED RELEASE TABLETS" (PDF). TGA eBusiness Services. Sandoz Pty Ltd. 21 November 2013. Retrieved 28 November 2013.
 - ↑ "ULTRAM (TRAMADOL HYDROCHLORIDE) TABLET, COATED [LAKE ERIE MEDICAL DBA QUALITY CARE PRODUCTS LLC]". DailyMed. LAKE ERIE MEDICAL DBA QUALITY CARE PRODUCTS LLC. November 2012. Retrieved 28 November 2013.
 - ↑ "ULTRAM ER (TRAMADOL HYDROCHLORIDE) TABLET, EXTENDED RELEASE [REBEL DISTRIBUTORS CORP]". DailyMed. Rebel Distributors Corp. December 2010. Retrieved 28 November 2013.
 
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