14/08/2026
If you’re relying on pain relief like Tramadol but still living with ongoing pain, it may be worth looking at what else could support you.
Acupuncture can be used alongside your usual medical care to help with pain management, muscle tension and supporting the nervous system, with the aim of helping you feel more comfortable and function better day to day.
It isn’t about telling you to stop your medication. Any changes to Tramadol should always be discussed with your GP or prescriber.
If you’re looking for additional support with persistent pain, we’re happy to have a conversation about whether acupuncture may be suitable for you. 💜
Tramadol: Side Effects & Management
Tramadol is an opioid pain-relieving medicine used for moderate to severe pain when other treatments are not enough. It acts on the brain and spinal cord to reduce pain, but it can also cause drowsiness, dependence, breathing problems, seizures, and drug interactions in some people.
🟣 Common Side Effects
➟ Nausea or vomiting
➟ Dizziness or light-headedness
➟ Sleepiness or tiredness
➟ Constipation
➟ Headache
➟ Dry mouth
➟ Sweating
➟ These effects may be more noticeable when treatment is first started or the dose is increased.
🟣 Drowsiness & Dizziness
➟ Tramadol can slow brain activity and reduce alertness
➟ Avoid driving or operating machinery until you know how the medicine affects you
➟ Rise slowly from sitting or lying positions if dizziness occurs
➟ Alcohol can worsen drowsiness and breathing problems and should be avoided.
🟣 Nausea & Vomiting
➟ Taking tramadol with food may help reduce nausea in some people
➟ Small, frequent meals and adequate fluids may also help
➟ Persistent vomiting can cause dehydration and requires medical review
➟ Anti-nausea medicine may be prescribed if symptoms are troublesome
🟣 Constipation
➟ Opioids commonly slow bowel movement
➟ Drink adequate fluids unless you have a fluid restriction
➟ Include fibre-rich foods and regular physical activity when appropriate
➟ A laxative may be needed, especially during regular or prolonged opioid treatment
🟣 Serious Breathing Problems
➟ Tramadol can cause slow or dangerously shallow breathing, especially when first started or after a dose increase.
➟ Risk is higher with excessive doses, lung disease, older age, or when combined with alcohol or other sedating medicines
➟ Extreme sleepiness, difficulty waking, slow breathing, or bluish lips require emergency medical help
🟣 Seizures
➟ Tramadol can lower the seizure threshold
➟ Risk increases with higher doses, a history of seizures, or certain interacting medicines
➟ Some antidepressants and other medicines can further increase seizure risk
➟ Any seizure after taking tramadol requires urgent medical assessment.
🟣 Serotonin Syndrome
➟ Tramadol also affects serotonin in the nervous system
➟ Combining it with certain antidepressants or other serotonin-raising medicines can rarely cause serotonin syndrome
➟ Warning signs include agitation, confusion, sweating, fever, rapid heartbeat, tremor, muscle twitching or stiffness, and diarrhea
➟ Severe cases can cause seizures, irregular heartbeat, or loss of consciousness and require emergency treatment.
🟣 Dependence & Withdrawal
➟ Regular use can lead to physical dependence, and some people may develop opioid use disorder
➟ Do not increase the dose or take tramadol more frequently than prescribed
➟ After prolonged use, stopping suddenly may cause anxiety, sweating, insomnia, nausea, diarrhea, tremor, or flu-like symptoms
➟ The dose may need to be reduced gradually under medical supervision.
🟣 Important Drug Interactions
➟ Avoid combining tramadol with alcohol
➟ Sedatives, sleeping medicines, benzodiazepines, or other opioids can increase dangerous sedation and respiratory depression
➟ Some antidepressants can increase the risk of serotonin syndrome or seizures
➟ Always tell your healthcare professional about all medicines and supplements you take before starting tramadol.
🟣 How to Reduce Side Effects
➟ Take tramadol only at the prescribed dose and frequency
➟ Use the lowest effective dose for the shortest necessary period
➟ Avoid alcohol and recreational drugs
➟ Do not share tramadol with another person
➟ Store it securely away from children and others
➟ Do not stop long-term treatment suddenly without medical guidance
🟣 When to Seek Urgent Medical Help
➟ Slow, shallow, or difficult breathing
➟ Extreme drowsiness or inability to wake normally
➟ Seizure
➟ Severe confusion, agitation, fever, or muscle rigidity
➟ Fainting or loss of consciousness
➟ Swelling of the lips, tongue, face, or throat
➟ Suspected overdose or taking tramadol with excessive alcohol or other sedating medicines
Medical disclaimer: This information is for general educational purposes only and does not replace professional medical advice, diagnosis, or treatment. Tramadol is a prescription opioid and should be taken only as directed by a qualified healthcare professional.