{"id":630841,"date":"2024-12-30T13:19:27","date_gmt":"2024-12-30T18:19:27","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=630841"},"modified":"2026-01-28T13:55:16","modified_gmt":"2026-01-28T18:55:16","slug":"tramadol-long-term-side-effects","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/tramadol-long-term-side-effects\/","title":{"rendered":"Long-term side effects of tramadol"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/tramadol-hcl\"><span style=\"font-weight: 400;\">Tramadol<\/span><\/a><span style=\"font-weight: 400;\"> (the generic name of brand names like <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/ultram\/dosage\"><span style=\"font-weight: 400;\">Ultram<\/span><\/a><span style=\"font-weight: 400;\">) is an <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/opioids\"><span style=\"font-weight: 400;\">opioid<\/span><\/a><span style=\"font-weight: 400;\"> and controlled substance that treats moderate to severe pain. A central nervous system depressant, it works by binding to opioid receptors and blocking pain messages.<\/span><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/blog\/tramadol-vs-oxycodone\/\"><span style=\"font-weight: 400;\">Compared to oxycodone<\/span><\/a><span style=\"font-weight: 400;\">, another opioid analgesic, tramadol is less potent but about as effective. However, be aware it has side effects that can be especially concerning with long-term use.<\/span><\/p>\n<p class=\"p1\"><b>Related: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/tramadol-vs-oxycodone\"><span class=\"s1\"><b>Tramadol vs. oxycodone<\/b><\/span><\/a><\/p>\n<h2 id=\"common-side-effects-of-tramadol\"><span style=\"font-weight: 400;\">Common side effects of tramadol<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Experts agree that the most common side effects of tramadol are nausea, dizziness, and constipation.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThese happen because tramadol slows things down in the body, like digestion, and makes you drowsy,\u201d explains Dr. Raj Dasgupta, MD, chief medical advisor for Garage Gym Reviews and a quadruple board-certified physician. \u201cThese side effects are usually manageable, but can get annoying if they don\u2019t go away.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Another provider says some symptoms may be more problematic than others. \u201cNausea and dizziness can often diminish with regular use, but constipation tends to persist unless managed with diet or medication,\u201d says Dr. Arthur Shektman, MD, the head plastic surgeon at the Gynecomastia Center of Boston. He often prescribes tramadol for pain post-surgery.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other common side effects, according to the Mayo Clinic, include:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling discouraged, sad, or empty<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dry mouth<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Joint pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling unusually cold<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Runny or stuffy nose<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/conditions\/sore-throat-treatment-and-medications\"><span style=\"font-weight: 400;\">Sore throat<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tiredness or weakness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trouble concentrating<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">And more<\/span><\/li>\n<\/ul>\n<h2 id=\"serious-side-effects-of-tramadol\"><span style=\"font-weight: 400;\">Serious side effects of tramadol<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Some side effects of tramadol use are more serious than others. The main adverse reactions after long-term use of tramadol, according to Dr. Shektman, are the risk of respiratory depression, seizures, and addiction.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cIn high doses or when combined with other sedatives, tramadol can slow breathing significantly,\u201d he says. \u201cThe risk of seizures is particularly high for patients with epilepsy or those taking other medications that affect the brain. Tramadol can also be highly addictive with prolonged use.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For what it\u2019s worth, individuals <\/span><i><span style=\"font-weight: 400;\">can<\/span><\/i><span style=\"font-weight: 400;\"> take opioids for pain relief without becoming addicted. People with a greater risk of tramadol addiction or physical dependence may also have <\/span><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/drug-addiction\/symptoms-causes\/syc-20365112\"><span style=\"font-weight: 400;\">risk factors<\/span><\/a><span style=\"font-weight: 400;\"> such as a family history of addiction, neglect or trauma, social isolation, and peer pressure.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to the Diagnostic and Statistical Manual of Mental Disorders (DSM), substance use disorders are a mental illness and medical condition (not a choice) in which individuals meet at least two of <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3767415\/\"><span style=\"font-weight: 400;\">11 criteria<\/span><\/a><span style=\"font-weight: 400;\">, such as needing more to get the same effect and spending a lot of time using. Staying on top of these signs is crucial because the risks of addiction are real, including work problems, family problems, accidents, health issues, and more.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But back to the other severe side effects. Dr. Dasgupta agrees about respiratory depression (or trouble breathing) and seizures. He also adds serotonin syndrome to the list. <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/serotonin-syndrome-symptoms\/#what\"><span style=\"font-weight: 400;\">Serotonin syndrome<\/span><\/a><span style=\"font-weight: 400;\"> is what it sounds like: a condition in which serotonin levels are too high.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cTaking tramadol with certain medicines can increase the risk of serotonin syndrome,\u201d he says. These rarely happen, he adds, but can be dangerous.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other severe side effects that come with large doses and\/or long-term tramadol use include, but aren\u2019t limited to:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mood or behavior changes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thoughts of hurting yourself or others<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Seeing or hearing things that aren\u2019t there<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blue lips, fingernails, or skin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dizziness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trouble breathing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Slow or <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/high-resting-heart-rate-causes\"><span style=\"font-weight: 400;\">rapid heartbeat<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stomach upset, such as nausea, vomiting, and\/or diarrhea\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">An allergic reaction or rash<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">An increased risk of kidney damage and liver damage<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Be sure to seek medical attention immediately after noticing these symptoms.<\/span><\/p>\n<h2 id=\"what-are-the-long-term-side-effects-of-tramadol\"><span style=\"font-weight: 400;\">What are the long-term side effects of tramadol?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Taking tramadol long-term can lead to specific, various side effects throughout the body. Doctors share the examples listed below.<\/span><\/p>\n<h3 id=\"cognitive-impairment\"><span style=\"font-weight: 400;\">Cognitive impairment<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Memory issues<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Difficulty concentrating or poor focus<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Decreased mental sharpness<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Less than 5% of people have these side effects, <\/span><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2010\/022370s000lbl.pdf\"><span style=\"font-weight: 400;\">per the Food &amp; Drug Administration<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3 id=\"gastrointestinal-issues\"><span style=\"font-weight: 400;\">Gastrointestinal issues\u00a0<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bloating<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Overall abdominal discomfort<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chronic constipation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other long-term bowel problems<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Between 1% and 5% of users experience dyspepsia (indigestion) or flatulence, and 9.3% of users experience constipation.\u00a0<\/span><\/p>\n<h3 id=\"mental-health-consequences\"><span style=\"font-weight: 400;\">Mental health consequences<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anxiety<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mood swings\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Depression<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tramadol dependence<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Less than 5% of people have these side effects.<\/span><\/p>\n<h3 id=\"cardiovascular-concerns\"><span style=\"font-weight: 400;\">Cardiovascular concerns\u00a0<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Irregular heartbeat<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dips in blood pressure<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Between 1% and 5% of people have cardiovascular effects, which require prompt medical attention.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThese are all much less common with short-term, therapeutic use that\u2019s appropriately managed,\u201d Dr. Shektman says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other risk factors also play a role in long-term side effects. Besides long-term use and\/or higher doses, Dr. Shektman lists pre-existing conditions, such as epilepsy, mental health conditions, or kidney and liver impairment; concurrent use of other medications or substances that interact with tramadol; and delayed treatment of adverse effects, such as prolonged respiratory depression or repeated seizures.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to Dr. Dasgupta, heart problems and taking the medicine without medical oversight are other factors that can increase the likelihood of those effects.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With that said, try to not worry <\/span><i><span style=\"font-weight: 400;\">too<\/span><\/i><span style=\"font-weight: 400;\"> much. \u201cTramadol is commonly prescribed for short-term pain management (like post-surgical pain), and long-term side effects are uncommon for these use cases,\u201d Dr. Shektman says. \u201cFor patients taking tramadol over the long term for chronic pain, the long-term risk of dependency and side effects is greater.\u201d<\/span><\/p>\n<h2 id=\"how-long-do-tramadol-long-term-side-effects-last\"><span style=\"font-weight: 400;\">How long do tramadol long-term side effects last?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">How long these side effects last depends on the patient and the particular symptoms, according to Dr. Shektman. \u201cShort-term side effects, like nausea and dizziness, typically resolve within a week of discontinuation,\u201d he says. \u201cIf there is some physical or psychological addiction, withdrawal symptoms can last weeks.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The long-term effects\u2014like memory problems and digestive issues\u2014can stick around for months or longer, Dr. Dasgupta says, if the damage is severe. A healthcare provider can help patients assess their specific side effects and treatment needs.<\/span><\/p>\n<h2 id=\"how-to-treat-or-prevent-long-term-side-effects-of-tramadol\"><span style=\"font-weight: 400;\">How to treat or prevent long-term side effects of tramadol<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Noticing these side effects and want to get rid of them? First and foremost, Dr. Shektman encourages medical interventions and medication adjustments. \u201cPatients should work with their doctor to taper off tramadol gradually to reduce withdrawal symptoms,\u201d he says.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If long-term pain relief is a concern, he encourages alternative pain management, such as acetaminophen or NSAIDs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s also crucial to look out for <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/6407-addiction\"><span style=\"font-weight: 400;\">signs of addiction<\/span><\/a><span style=\"font-weight: 400;\">, such as continuing to use despite use causing problems, social isolation, and higher tolerance. \u201cIf addiction symptoms are present, patients can also engage in counseling to address dependency issues,\u201d Dr. Shektman says.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Healthcare professionals at addiction treatment programs will treat individuals by meeting their unique needs. A treatment plan may include detoxing, cognitive-behavioral therapy, group therapy, and other medical care. A medical detox for an opioid addiction entails not having access to the drug\u2014which may cause withdrawal symptoms\u2014all under medical supervision and with medical support.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tramadol users with a history of long-term use may experience <\/span><a href=\"https:\/\/americanaddictioncenters.org\/opioids\/tramadol\/withdrawal-detox\"><span style=\"font-weight: 400;\">withdrawal symptoms<\/span><\/a><span style=\"font-weight: 400;\">, such as anxiety, insomnia, body aches, a runny nose, stomach cramps, and more.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr. Dasgupta adds some lifestyle modifications and dietary recommendations. \u201cStay active, drink lots of water, and eat fiber to avoid constipation,\u201d he says. Examples of <\/span><a href=\"https:\/\/www.mayoclinic.org\/healthy-lifestyle\/nutrition-and-healthy-eating\/in-depth\/high-fiber-foods\/art-20050948\"><span style=\"font-weight: 400;\">fiber-rich foods<\/span><\/a><span style=\"font-weight: 400;\"> include raspberries, green peas, lentils, and whole-wheat spaghetti.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Last but not least, note that patients may need to see their healthcare provider more than once. In fact, it\u2019s a smart idea. \u201cSee your doctor regularly to catch any problems early, and adjust your treatment if needed,\u201d Dr. Dasgupta says.<\/span><\/p>\n<h2 id=\"tramadol-alternatives\"><span style=\"font-weight: 400;\">Tramadol alternatives<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Another option is <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/tramadol-alternatives\/\"><span style=\"font-weight: 400;\">Tramadol alternatives<\/span><\/a><span style=\"font-weight: 400;\">. Those can include prescription medications, over-the-counter (OTC) medications, and non-pharmaceutical options. Below, check out a couple of examples of each:<\/span><\/p>\n<h3 id=\"prescription-medications\"><span style=\"font-weight: 400;\">Prescription medications<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Belbuca (buprenorphine)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cymbalta (duloxetine)<\/span><\/li>\n<\/ul>\n<h3 id=\"otc-medications\"><span style=\"font-weight: 400;\">OTC medications<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aleve (naproxen)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Motrin (ibuprofen)<\/span><\/li>\n<\/ul>\n<h3 id=\"non-pharmaceutical-options\"><span style=\"font-weight: 400;\">Non-pharmaceutical options<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Physical therapy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Acupuncture\u00a0<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Tramadol (the generic name of brand names like Ultram) is an opioid and controlled substance that treats moderate to severe pain. A central nervous system depressant, it works by binding to opioid receptors and blocking pain messages. Compared to oxycodone, another opioid analgesic, tramadol is less potent but about as effective. However, be aware it [&hellip;]<\/p>\n","protected":false},"author":85,"featured_media":630842,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[788,12752],"coauthors":[21001],"class_list":["post-630841","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-drug-safety","tag-medication-side-effects","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Tramadol long-term side effects<\/title>\n<meta name=\"description\" content=\"Dry mouth, joint pain, and tiredness are common long-term side effects of tramadol. 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