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An opioid analgesic is an opioid that can be prescribed by a doctor to relieve pain. Analgesic is another name for a medicine that relieves pain. They may also be called opiates, opioid analgesics, or narcotics. For a full list, see the leaflet inside your medicine packet.Opioids (narcotic analgesics) are a class of medicines that are used to provide relief from moderate-to-severe acute or chronic pain. These are not all the side effects of tramadol. Speak to your doctor if you're worried about tolerance, hyperalgesia or becoming addicted. If you're having treatment for cancer pain or other severe pain, your pain control will be carefully monitored. Your treatment plan may include details of how and when to stop taking tramadol. For this reason, your dose will be reviewed to make sure you're only having the amount you need to control your pain. It's possible to become addicted to tramadol. If this happens, your doctor will reduce your dose gradually to help these symptoms. Some people can become more sensitive to pain (hyperalgesia).

That means you need higher doses to control your pain over time. If you need to take it for a long time your body can become used to it (known as tolerance). Some people with conditions that need long-term pain relief may need to take tramadol for a long time. These can be signs of a serious allergic reaction and may need immediate treatment in hospital. You or the person who's unwell may also have a rash that's swollen, raised, itchy, blistered or peeling.

a child is limp, floppy or not responding like they normally do (their head may fall to the side, backwards or forwards, or they may find it difficult to lift their head or focus on your face).

you suddenly become very confused, drowsy or dizzy.

your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet).

your throat feels tight or you're struggling to swallow.

you're breathing very fast or struggling to breathe (you may become very wheezy or feel like you're choking or gasping for air).

your lips, mouth, throat or tongue suddenly become swollen.

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