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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Constipation As A Side Effect Of Tramadol?

I am a 72 years old woman. I had a fall nearly 3 weeks ago & have very bruised ribs.I have been given Tmamadol -one 3 times a day.Since then I am suffering costipation.Have tried prunes ,lactulose,apples pears,fibogel with very result. Please help me.
Thu, 27 Mar 2014
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General & Family Physician,  's  Response
Hi and thank you so much for this query.

I am so sorry to hear about this constipation which is a well documented side effect of this medication. Each time you go on tramadal for a long time, you should systematically take a laxative to prevent constipation. Taking it only when you have constipation would not help. Make it a routine drug for as long as you take tramadol. I often put my patients on 15ml twice daily and if it proves unable to control the constipation, I associate bisacodyl 15mg at bed time to it. This should be accompanied by measures like eating enough vegetables, fibers and fruits, drinking uch water and regular physical exercise.

I hope this helps. I wish you well. Feel free to ask for clarifications if need be.
Thanks
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How To Treat Constipation As A Side Effect Of Tramadol?

Hi and thank you so much for this query. I am so sorry to hear about this constipation which is a well documented side effect of this medication. Each time you go on tramadal for a long time, you should systematically take a laxative to prevent constipation. Taking it only when you have constipation would not help. Make it a routine drug for as long as you take tramadol. I often put my patients on 15ml twice daily and if it proves unable to control the constipation, I associate bisacodyl 15mg at bed time to it. This should be accompanied by measures like eating enough vegetables, fibers and fruits, drinking uch water and regular physical exercise. I hope this helps. I wish you well. Feel free to ask for clarifications if need be. Thanks