For Next Day delivery (Monday-Friday), our daily cut-off time for orders is 1:30pm. From 1:30pm until 5:00pm, our team will be busy processing orders for next-day delivery. After 5:00pm we will resume with processing new orders.

Tramadol Hydrochloride 50mg

£ 51.99

Tramadol Hydrochloride 50mg capsules contain an opioid pain-relief medicine used for the management of moderate to severe pain when a prescriber considers Tramadol appropriate.

Each hard capsule contains 50mg of Tramadol Hydrochloride. This product is supplied in a quantity of 100 capsules, with manufacturer options including Almus, Bristol Laboratories, Accord Healthcare, Genesis, RelonChem, Tillomed, Noumed and Brown & Burk, subject to availability.

Tramadol is a prescription-only Class C, Schedule 3 controlled drug in the UK. It can cause tolerance, physical dependence, addiction and withdrawal, so it should only be taken exactly as prescribed.

Always check the manufacturer, strength, dispensing label and patient information leaflet supplied with your medicine before taking Tramadol.

At Forever Care Meds, our qualified pharmacists and dispensers will aim to dispatch your specific brand choice of medication, but due sporadic fluctuations in our stock levels, we may have to dispatch an alternative brand of your requested product to complete your order.

Order by 1:30pm on a weekday to ensure your order is picked, processed and dispatched the same day, orders after 1:30pm will be dispatched on the next working day.

Please note:

Next-day Delivery UK orders between 1:30pm on Friday and 1:30pm on Monday are delivered on Tuesday.

Once we reach our cut-off point, which is 1:30pm, our team takes a short break from communications from 1:30pm until 5:00pm, so we can carefully pack and prepare our daily orders for next-day delivery. During this time, we may not be able to respond straight away, but we’ll pick up and reply to all messages as soon as we’re back at 5:00pm.

Royal Mail Delivery Charges:

Order on Monday - Thursday
Next-day Special Delivery (before 1pm):
£10.50


Order on Friday
Next-day Saturday Special Delivery (before 1pm):
£15.50


Bank holiday Mondays are a public holidays and therefore, Royal Mail do not operate a delivery service on these days, this also applies to all other public holidays such as Easter, Christmas Day, Boxing Day, New Years Day (1st).

If you order your parcel on a Bank Holiday weekend, it will be dispatched on Tuesday and delivery will take place on the Wednesday.

 

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Description

What Is Tramadol Hydrochloride 50mg?

Tramadol Hydrochloride 50mg capsules contain Tramadol, an opioid analgesic used for the treatment of moderate to severe pain.

Tramadol acts within the central nervous system and changes the way pain signals are processed. It can reduce the perception of pain, although it may not remove pain completely.

Tramadol may be prescribed when a healthcare professional determines that an opioid medicine is appropriate, including in some cases of pain following surgery, injury or other conditions associated with moderate to severe pain.

For the wider range of medicines associated with pain management, visit our Pain Relief category.

Tramadol is available only on prescription and is a controlled medicine. Because repeated opioid use can cause tolerance, dependence and addiction, treatment should follow the instructions given by your prescriber.

What Is Tramadol Used For?

Tramadol is used for moderate to severe pain.

The reason it is prescribed can vary between patients. Treatment may be considered for acute pain, such as pain associated with an operation or significant injury, or for certain longer-lasting pain conditions where other treatment has not provided sufficient relief.

Whether Tramadol is appropriate depends on the individual, their medical history, other medicines being taken, and the nature of the pain.

It should not be taken simply because another person experiences similar symptoms, and prescription Tramadol should never be shared.

For broader educational content about different pain medicines, you can browse our Pain Medicines guides.

Tramadol Hydrochloride 50mg Product Details

  • Medicine: Tramadol Hydrochloride
  • Strength: 50mg per capsule
  • Form: Hard capsules
  • Quantity: 100 capsules
  • Medicine type: Opioid analgesic
  • Prescription status: Prescription-only medicine
  • Controlled-drug status: Class C, Schedule 3
  • Current brand options: Almus, Bristol Laboratories, Accord Healthcare, Genesis, RelonChem, Tillomed, Noumed, Brown & Burk and Any Brand/No Preference
  • Category: Pain Relief

Different manufacturers can use different inactive ingredients, capsule appearances and packaging.

Always check the actual manufacturer, packaging and patient information leaflet supplied with your medicine, particularly if you have allergies or intolerances.

How Does Tramadol Work?

Tramadol is an opioid medicine that acts within the brain and central nervous system.

It affects opioid receptors involved in the processing of pain and also influences certain chemical signalling pathways within the nervous system. These actions can reduce how strongly pain is perceived.

The effect of Tramadol varies between individuals. The appropriate treatment, dose and duration should therefore be determined by the healthcare professional responsible for your care.

Standard Tramadol products can begin relieving pain within approximately 30 to 60 minutes, while modified-release forms behave differently. Always follow the information supplied with your specific medicine rather than assuming that all Tramadol products work in exactly the same way.

For a wider comparison of opioid and non-opioid pain medicines, read our Dihydrocodeine and other painkillers comparison guide.

Instructions

How to Take Tramadol Hydrochloride 50mg Capsules

Take Tramadol exactly as instructed by your doctor, pharmacist or prescribing healthcare professional.

50mg describes the strength of each capsule. It is not a universal recommended dose.

The amount of Tramadol appropriate for you and how often it should be taken depend on factors such as the type and severity of pain, your response to treatment, other medicines and your general health.

Swallow the capsule whole with a glass of water.

Always follow:

  • Your prescription
  • The dispensing label
  • Instructions from your prescriber or pharmacist
  • The patient information leaflet supplied with your particular brand

Do not:

  • Take more Tramadol than prescribed.
  • Take doses more frequently than instructed.
  • Increase the dose yourself if pain is not adequately controlled.
  • Share Tramadol with another person.
  • Take Tramadol prescribed for somebody else.
  • Continue using it for longer than advised.
  • Suddenly stop regular or longer-term treatment without medical advice.

If Tramadol is not controlling your pain sufficiently, speak to your healthcare professional rather than changing the dose yourself.

If You Miss a Dose

If you forget to take Tramadol, check the patient information leaflet supplied with your medicine and follow the instructions provided by your doctor or pharmacist.

Do not take two doses at the same time to make up for a forgotten dose.

If it is nearly time for the next prescribed dose, you will generally be advised not to double up.

If you are uncertain what to do, ask a healthcare professional for advice.

How Long Should Tramadol Be Taken?

Some people require Tramadol only for a short period, while others may be prescribed treatment for longer depending on their condition.

The duration of treatment should be reviewed because prolonged opioid use increases the risk of tolerance and dependence.

If you have been taking Tramadol for more than a few weeks, your treatment plan may include instructions explaining when and how the medicine should eventually be reduced.

Stopping Tramadol Safely

Do not suddenly stop Tramadol after regular or longer-term use without discussing it with your doctor.

The body can become physically dependent on opioids. Abruptly stopping treatment can therefore cause withdrawal symptoms.

Possible withdrawal symptoms can include:

  • Anxiety or agitation
  • Restlessness
  • Difficulty sleeping
  • Sweating
  • Shaking or shivering
  • Feeling or being sick
  • Diarrhoea
  • Palpitations
  • Increased blood pressure

Your healthcare professional may gradually reduce the dose to reduce the likelihood or severity of withdrawal symptoms.

Safety & Side Effects

Before Taking Tramadol

Tramadol is not suitable for everyone.

Before taking it, make sure the healthcare professional responsible for your treatment knows about your medical conditions and all medicines, supplements and remedies you use.

Medical advice is particularly important if you:

  • Have breathing difficulties or another respiratory condition.
  • Have epilepsy, seizures or a history of fits.
  • Have suffered a head injury.
  • Have kidney or liver problems.
  • Have previously experienced problems with alcohol, opioids, prescription medicines or recreational drugs.
  • Have previously had an allergic reaction to Tramadol or another opioid.
  • Take antidepressants or medicines for mental-health conditions.
  • Take sleeping medicines, sedatives or other medicines that affect the central nervous system.
  • Are pregnant, trying to become pregnant or breastfeeding.

Tramadol is not suitable for children under 12 years of age.

Always check the manufacturer-specific patient leaflet for additional precautions.

Very Common Side Effects of Tramadol

Like all medicines, Tramadol can cause side effects, although not everyone experiences them.

Very common side effects include:

  • Feeling sick (nausea)
  • Dizziness

Common Side Effects of Tramadol

Common side effects can include:

  • Headache
  • Feeling sleepy or drowsy
  • Tiredness
  • Being sick (vomiting)
  • Constipation
  • Dry mouth
  • Sweating

Speak to your doctor or pharmacist if a side effect becomes troublesome, persists or causes concern.

Serious Side Effects

Some reactions require urgent medical advice.

Seek urgent medical help if you experience symptoms such as:

  • Slow, weak or difficult breathing
  • Severe or unusual drowsiness
  • A seizure or fit
  • Fainting or loss of consciousness
  • Severe confusion
  • Hallucinations
  • Serious difficulty passing urine
  • Symptoms of a severe allergic reaction
  • Symptoms suggesting serotonin syndrome

The complete side-effect profile can differ slightly between manufacturers, so always read the leaflet supplied with your particular medicine.

Serotonin Syndrome

Tramadol affects serotonin signalling and can, in uncommon circumstances, contribute to serotonin syndrome, particularly when combined with certain antidepressants or other serotonergic medicines.

Possible symptoms can include combinations of:

  • Agitation or confusion
  • Hallucinations
  • Fever
  • Increased heart rate
  • Muscle stiffness
  • Involuntary muscle movements or twitching
  • Poor coordination
  • Nausea, vomiting or diarrhoea

Seek prompt medical advice if symptoms suggesting serotonin syndrome develop.

Tell your doctor or pharmacist before taking Tramadol if you use antidepressants or any other medicines affecting serotonin.

Seizure Risk

Tramadol can increase the risk of seizures in some people.

The risk may be greater in people who already have epilepsy or another seizure disorder, and when Tramadol is used alongside medicines that can lower the seizure threshold.

Make sure your prescriber knows if you have ever experienced seizures or take medicines for epilepsy, depression or other neurological or psychiatric conditions.

Dependence, Addiction, Tolerance and Withdrawal

Tramadol is an opioid and can cause tolerance, physical dependence and addiction.

Tolerance means repeated use may make the medicine feel less effective over time.

Do not respond to this by increasing your dose yourself.

Physical dependence means the body has adapted to the medicine and withdrawal symptoms may occur when it is stopped suddenly.

Addiction can involve difficulty controlling opioid use or a strong desire to continue taking the medicine.

Possible warning signs can include:

  • Feeling you need progressively more Tramadol.
  • Taking it more frequently than prescribed.
  • Taking more capsules than prescribed.
  • Using Tramadol for reasons other than pain treatment.
  • Finding it difficult to control how much you take.
  • Continuing treatment longer than advised.
  • Seeking another supply earlier than expected.

Speak to your doctor if you are concerned about tolerance, dependence, addiction or how you are using Tramadol.

Tramadol with Paracetamol, Ibuprofen and Other Painkillers

Some people are prescribed or advised to use more than one type of pain medicine, but combinations should be appropriate for the individual.

NHS guidance states that Tramadol can generally be taken with paracetamol or ibuprofen where those medicines are otherwise suitable for the individual.

However, do not start combining medicines simply on the basis of information on this page. Follow your prescription or ask your doctor or pharmacist if you are unsure.

Do not take codeine-containing medicines with Tramadol, because combining opioids can increase the likelihood of side effects.

For general information about how common non-Tramadol pain medicines differ, read our Co-Codamol, Ibuprofen and Paracetamol comparison guide.

Other Medicines and Interactions

Tell your doctor or pharmacist about all medicines you take before using Tramadol.

Important interactions can occur with medicines including:

  • Certain antidepressants
  • Monoamine oxidase inhibitors (MAOIs)
  • Sleeping medicines
  • Sedatives
  • Other opioid medicines
  • Medicines used for epilepsy
  • Some medicines used for mental-health conditions
  • Certain medicines that affect blood clotting or infection treatment

Some combinations can increase drowsiness, breathing problems, seizures or serotonin-related effects.

The patient information leaflet supplied with your medicine contains a more complete interaction list.

Alcohol and Tramadol

It is best to avoid drinking alcohol while taking Tramadol.

Alcohol can increase drowsiness and impairment and can increase the risk of serious opioid-related effects.

Driving and Using Machinery

Tramadol can make some people:

  • Sleepy
  • Dizzy
  • Less alert
  • Clumsy
  • Unable to concentrate properly
  • Affected by blurred vision

Do not drive, cycle, use tools or operate machinery if Tramadol affects your ability to do these activities safely.

Emergency Information

Taking more Tramadol than prescribed can be dangerous.

An overdose can cause serious opioid toxicity.

Possible symptoms can include:

  • Severe sleepiness
  • Feeling very dizzy
  • Vomiting
  • Very small pupils
  • Confusion
  • Seizures
  • Slow or weak breathing
  • Difficulty breathing
  • Loss of consciousness
  • Coma

If you have taken more Tramadol than prescribed, seek urgent medical advice. NHS guidance advises contacting 111 if two or more extra doses have been taken.

Call 999 or go to A&E immediately if someone:

  • Has severe difficulty breathing.
  • Is breathing unusually slowly or weakly.
  • Becomes unconscious or cannot be woken.
  • Has a serious seizure.
  • Develops a severe allergic reaction.
  • Appears to have another life-threatening reaction.

Do not drive yourself to A&E.

If possible, take the medicine packaging, patient information leaflet, remaining capsules and details of any other medicines being taken.

Information Leaflet

The patient information leaflet may vary according to the manufacturer supplied.

This product may currently be supplied by manufacturers including Almus, Bristol Laboratories, Accord Healthcare, Genesis, RelonChem, Tillomed, Noumed or Brown & Burk, subject to availability.

Always read the leaflet contained in the actual Tramadol Hydrochloride 50mg capsule pack you receive.

The manufacturer-specific leaflet contains important information about:

  • What Tramadol is used for
  • How to take it
  • Who should not take it
  • Warnings and precautions
  • Interactions with other medicines
  • Possible side effects
  • Dependence and addiction
  • Withdrawal
  • Pregnancy and breastfeeding
  • Driving
  • Storage
  • Ingredients and excipients

Because brands can vary, one manufacturer’s leaflet should not be assumed to represent every product option available on this page.

Always follow the instructions on your dispensing label and the leaflet supplied with your medicine.

If anything is unclear, ask your doctor or pharmacist before changing the way you take Tramadol.

FAQs

What is Tramadol Hydrochloride 50mg used for?

Tramadol is an opioid analgesic prescribed for moderate to severe pain.

The reason it is prescribed and the duration of treatment depend on the patient’s circumstances and should be determined by the healthcare professional responsible for their care.

Is Tramadol 50mg an opioid?

Yes.

Tramadol belongs to a group of medicines called opioids. It acts within the central nervous system to reduce the perception of pain.

Because opioids can cause tolerance, dependence and addiction, Tramadol should only be used as prescribed.

Is Tramadol a controlled drug in the UK?

Yes.

Tramadol is a Class C, Schedule 3 controlled drug in the UK and is available only on prescription.

Is Tramadol addictive?

Tramadol can cause addiction and physical dependence, particularly with repeated or prolonged use.

Take the medicine only as prescribed. Do not increase the dose yourself or use it for longer than instructed.

Speak to your doctor if you are concerned about your use of Tramadol.

Can I suddenly stop taking Tramadol?

Do not suddenly stop regular or longer-term Tramadol treatment without medical advice.

Stopping suddenly can cause opioid withdrawal symptoms.

Your doctor may recommend gradually reducing the dose when treatment is no longer required.

How long does Tramadol take to work?

Standard Tramadol formulations generally begin working within approximately 30 to 60 minutes.

Modified-release Tramadol works differently, so always check the specific product and patient information leaflet supplied with your prescription.

Can Tramadol make you sleepy?

Yes.

Sleepiness and tiredness are common side effects of Tramadol. It can also cause dizziness and affect concentration.

Do not drive or operate machinery if you are affected.

Does Tramadol cause constipation?

Yes. Constipation is one of the common side effects associated with Tramadol.

Speak to your doctor or pharmacist if constipation becomes persistent or troublesome.

Can you take paracetamol with Tramadol?

NHS guidance states that Tramadol can generally be taken with paracetamol where paracetamol is otherwise suitable for that person.

However, follow the treatment plan provided by your healthcare professional rather than adding another medicine yourself.

Can you take ibuprofen with Tramadol?

Tramadol can generally be taken with ibuprofen in people for whom ibuprofen is otherwise suitable.

Ibuprofen is not appropriate for everyone, so check with a doctor or pharmacist if you are unsure.

Can you take Codeine or Co-Codamol with Tramadol?

Codeine-containing medicines should not be taken with Tramadol because this can increase opioid-related side effects.

Co-Codamol contains Codeine, so do not combine it with Tramadol unless your healthcare professional has specifically reviewed your treatment.

Does Tramadol contain paracetamol?

No. The Tramadol Hydrochloride 50mg capsules described on this page contain Tramadol Hydrochloride as the active medicinal ingredient.

They are different from combination pain medicines that contain paracetamol.

Always check the complete ingredient list in the leaflet supplied with your particular manufacturer.

Is Tramadol an anti-inflammatory medicine?

No.

Tramadol is an opioid analgesic, not a non-steroidal anti-inflammatory drug (NSAID).

It reduces the perception of pain through its effects on the central nervous system rather than primarily reducing inflammation.

What should I do if I forget to take Tramadol?

Check the leaflet supplied with your medicine or ask your doctor or pharmacist for advice.

Do not take two doses together to compensate for a forgotten dose.

What should I do if I take too much Tramadol?

Taking too much Tramadol can be dangerous.

Seek urgent medical advice if you take more than prescribed. Contact NHS 111 if two or more extra doses have been taken.

Call 999 for severe breathing problems, loss of consciousness, a serious seizure or another life-threatening reaction.

How many Tramadol 50mg capsules should I take?

There is no single dose that is appropriate for everyone.

50mg is the strength of each capsule, not a personalised dosage recommendation.

Take only the number of capsules and frequency stated on your prescription and dispensing label.

What quantity is supplied?

This product is currently supplied as:

100 Tramadol Hydrochloride 50mg capsules.

Which brand of Tramadol Hydrochloride will I receive?

Current selectable options include Almus, Bristol Laboratories, Accord Healthcare, Genesis, RelonChem, Tillomed, Noumed and Brown & Burk, together with an Any Brand/No Preference option.

Availability can change.

Always check the manufacturer, packaging, strength and patient information leaflet supplied with your medicine.

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