ConZip

Generic name: Tramadol
Drug class: Opioids (narcotic analgesics)

Usage of ConZip

ConZip is an pain medicine similar to an opioid. This medicine is used to treat moderate to severe pain.

The extended-release form of tramadol is for around-the-clock treatment of pain. This form of tramadol is not for use on an as-needed basis for pain.

ConZip may also be used for purposes not listed in this medication guide.

ConZip side effects

Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling).

ConZip can slow or stop your breathing, and death may occur. A person caring for you should give naloxone and/or seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up.

ConZip may cause serious side effects. Call your doctor at once if you have:

  • noisy breathing, sighing, shallow breathing, breathing that stops during sleep;
  • a slow heart rate or weak pulse;
  • a light-headed feeling, like you might pass out;
  • seizure (convulsions); or
  • low cortisol levels--nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness.

    • Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.

    Serious breathing problems may be more likely in older adults and people who are debilitated or have wasting syndrome or chronic breathing disorders.

    Common side effects of ConZip may include:

  • constipation, nausea, vomiting, stomach pain;
  • dizziness, drowsiness, tiredness;
  • headache; or
  • itching.

    • This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

    Before taking ConZip

    You should not take ConZip if you are allergic to it, or if you have:

  • severe asthma or breathing problems;
  • a stomach or bowel obstruction (including paralytic ileus);
  • if you have recently used alcohol, sedatives, tranquilizers, or narcotic medications; or
  • if you have used an MAO inhibitor in the past 14 days (such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine).

    • ConZip should not be given to a child younger than 12 years old. Ultram ER should not be given to anyone younger than 18 years old.

    Do not give ConZip to anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids.

    Seizures have occurred in some people taking ConZip. Your seizure risk may be higher if you have ever had:

  • a head injury, epilepsy or other seizure disorder;
  • drug or alcohol addiction; or
  • a metabolic disorder.

    • Tell your doctor if you have ever had:

  • breathing problems, sleep apnea;
  • liver or kidney disease;
  • urination problems;
  • problems with your gallbladder, pancreas, or thyroid;
  • a stomach disorder; or
  • mental illness, or suicide attempt.

    • If you use ConZip during pregnancy, your baby could be born with life-threatening withdrawal symptoms, and may need medical treatment for several weeks.

    Ask a doctor before using ConZip if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.

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    How to use ConZip

    Follow the directions on your prescription label and read all medication guides. Never use ConZip in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to take more of ConZip.

    Never share ConZip with another person, especially someone with a history of drug addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medicine where others cannot get to it. Selling or giving away this medicine is against the law.

    Stop taking all other opioid medications when you start taking ConZip.

    ConZip can be taken with or without food, but take it the same way each time.

    Swallow the capsule or tablet whole to avoid exposure to a potentially fatal overdose. Do not crush, chew, break, open, or dissolve.

    Measure liquid medicine with the supplied syringe or a dose-measuring device (not a kitchen spoon).

    Never crush or break a ConZip pill to inhale the powder or mix it into a liquid to inject the drug into your vein. This practice has resulted in death.

    You may have withdrawal symptoms if you stop using ConZip suddenly. Ask your doctor before stopping the medicine.

    Store at room temperature away from moisture and heat. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.

    Do not keep leftover ConZip. Just one dose can cause death in someone using it accidentally or improperly. Ask your pharmacist where to locate a drug take-back disposal program. If there is no take-back program, mix the leftover medicine with cat litter or coffee grounds in a sealed plastic bag throw the bag in the trash.

    Warnings

    MISUSE OF ConZip CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep this medicine where others cannot get to it.

    ConZip should not be given to a child younger than 12 years old, or anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids. Ultram ER should not be given to anyone younger than 18 years old.

    Taking ConZip during pregnancy may cause life-threatening withdrawal symptoms in the newborn.

    Fatal side effects may occur if you use also use alcohol or other drugs that cause drowsiness or slow breathing.

    What other drugs will affect ConZip

    You may have breathing problems or withdrawal symptoms if you start or stop taking certain other medicines. Tell your doctor if you also use an antibiotic, antifungal medication, heart or blood pressure medication, seizure medication, or medicine to treat HIV or hepatitis C.

    Many other drugs can be dangerous when used with ConZip. Tell your doctor if you also use:

  • medicine for allergies, asthma, blood pressure, motion sickness, irritable bowel, or overactive bladder;
  • other opioid medicines;
  • a benzodiazepine sedative like Valium, Klonopin, or Xanax;
  • sleep medicine, muscle relaxers, or other drugs that make you drowsy; or
  • drugs that affect serotonin, such as antidepressants, stimulants, or medicine for migraines or Parkinson's disease.

    • This list is not complete. Other drugs may affect ConZip, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here.

    Many other drugs can be dangerous when used with ConZip. Tell your doctor if you also use:

  • medicine for allergies, asthma, blood pressure, motion sickness, irritable bowel, or overactive bladder;
  • other opioid medicines;
  • a benzodiazepine sedative like Valium, Klonopin, or Xanax;
  • sleep medicine, muscle relaxers, or other drugs that make you drowsy;
  • drugs that affect serotonin, such as antidepressants, stimulants, or medicine for migraines or Parkinson's disease.
  • drugs that affect serotonin levels in your body--a stimulant, or medicine for depression, Parkinson's disease, migraine headaches, serious infections, or nausea and vomiting.

    • This list is not complete. Many other drugs may affect ConZip. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

    Popular FAQ

    Yes, it is safe for most people to take tramadol with acetaminophen, ibuprofen, or aspirin if they are old enough (aspirin is not recommended for children less than 16 years and tramadol should not be taken by children under the age of 12). Continue reading

    Both tramadol and codeine are prescription opioid painkillers, and they seem to be equally effective in terms of pain relief. There is no evidence that tramadol is any stronger than codeine at relieving pain. Continue reading

    Symptoms of tramadol withdrawal can start 8-24 hours after the last dose. Untreated, withdrawal symptoms usually last for 4-10 days. Withdrawal is caused by stopping the drug suddenly. Continue reading

    Tramadol generally starts to relieve pain within an hour in its fast-acting forms, which are used for short-term pain management. With slow-release or extended-release (ER) forms, the drug may take longer to start because it’s gradually released over 12 or 24 hours, but pain relief lasts longer. Continue reading

    How much tramadol you give your dog depends on the size of your dog. Smaller dogs do not need as much tramadol as larger dogs need to relieve pain. If you give too much tramadol your dog is likely to have more severe side effects. The tramadol dosage for dogs is usually between 0.45 to 1.8 mg per pound of body weight (1mg to 5 mg/kg). The frequency varies depending on what you are giving it for. For general pain, it is given every 8 to 12 hours, but for cancer-related pain, it can be administered every 6 hours. Continue reading

    Tramadol is eliminated from your system within roughly 2 days of taking the drug, but this does not mean that it can no longer be detected by certain drug tests. Continue reading

    Yes, you can take these medications together. Tramadol is safe to take with ibuprofen and may be used to provide additional pain relief. But be aware 800mg ibuprofen is a high dose of ibuprofen that may cause gastrointestinal side effects such as abdominal pain or reflux if taken long term. Continue reading

    Any drug that is classified as an "opioid" can cause constipation. Examples of commonly prescribed opioids that may cause this side effect include morphine, tramadol, fentanyl, methadone, hydrocodone, codeine and oxycodone. Continue reading

    No, Tramadol is not an anti-inflammatory drug or muscle relaxer. Because it’s not an anti-inflammatory drug, it likely won’t reduce any swelling you have when taken alone. Continue reading

    Yes, it is safe for most people to take tramadol with acetaminophen, ibuprofen, or aspirin if they are old enough (aspirin is not recommended for children less than 16 years and tramadol should not be taken by children under the age of 12). Continue reading

    Both tramadol and codeine are prescription opioid painkillers, and they seem to be equally effective in terms of pain relief. There is no evidence that tramadol is any stronger than codeine at relieving pain. Continue reading

    How much tramadol you give your dog depends on the size of your dog. Smaller dogs do not need as much tramadol as larger dogs need to relieve pain. If you give too much tramadol your dog is likely to have more severe side effects. The tramadol dosage for dogs is usually between 0.45 to 1.8 mg per pound of body weight (1mg to 5 mg/kg). The frequency varies depending on what you are giving it for. For general pain, it is given every 8 to 12 hours, but for cancer-related pain, it can be administered every 6 hours. Continue reading

    Symptoms of tramadol withdrawal can start 8-24 hours after the last dose. Untreated, withdrawal symptoms usually last for 4-10 days. Withdrawal is caused by stopping the drug suddenly. Continue reading

    Tramadol generally starts to relieve pain within an hour in its fast-acting forms, which are used for short-term pain management. With slow-release or extended-release (ER) forms, the drug may take longer to start because it’s gradually released over 12 or 24 hours, but pain relief lasts longer. Continue reading

    Tramadol is eliminated from your system within roughly 2 days of taking the drug, but this does not mean that it can no longer be detected by certain drug tests. Continue reading

    Yes, you can take these medications together. Tramadol is safe to take with ibuprofen and may be used to provide additional pain relief. But be aware 800mg ibuprofen is a high dose of ibuprofen that may cause gastrointestinal side effects such as abdominal pain or reflux if taken long term. Continue reading

    Any drug that is classified as an "opioid" can cause constipation. Examples of commonly prescribed opioids that may cause this side effect include morphine, tramadol, fentanyl, methadone, hydrocodone, codeine and oxycodone. Continue reading

    No, Tramadol is not an anti-inflammatory drug or muscle relaxer. Because it’s not an anti-inflammatory drug, it likely won’t reduce any swelling you have when taken alone. Continue reading

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