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Tramadol (generic ultram)
Tramadol (generic for Ultram) pain relief medication is a white, bitter, crystalline and odorless powder.
Each Tramadol tablet is white in color and contains 50 mg of tramadol hydrochloride.
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Tramadol HCL for pain following surgery.
You can also order Tramadol online medication for pain relief after oral surgery.
Although Tramadol is generic Ultram, the scientific name is Tramadol Hydrochloride.
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Tramadol (generic ultram) Information
HOW DOES Tramadol (Generic Ultram) WORK?
Tramadol (pain relief medication) acts on the central
nervous system and unlike codeine and its derivative medications is
a totally synthetic analgesic compound. Although its mode of action
is not completely understood, from animal tests, at least two
complementary mechanisms appear applicable: the binding of parent
compound and its metabolite to opioid receptors and weak inhibition
of reuptake of norepinephrine and serotonin by nerves located within
the central nervous system. Tramadol-induced analgesia is only
partially reversed by the opiate antagonist naloxone in several
animal tests. Tramadol pain relief medication
has been shown to inhibit reuptake of
norepinephrine and serotonin in vitro. These mechanisms may
contribute independently to the overall analgesic profile of
Tramadol. Analgesia in humans begins approximately within one hour
after administration and reaches a peak in approximately two to
three hours.
HOW EFFECTIVE IS Tramadol (generic ultram)?
Tramadol pain relief medication has been given in
single oral doses of 50, 75, 100, 150 and 200 mg to patients with
pain following surgical procedures and pain following oral surgery
(extraction of impacted molars). In single-dose models of pain
following oral surgery, pain relief was demonstrated in some
patients at doses of 50 mg and 75 mg. A dose of 100 mg of Tramadol
tended to provide analgesia superior to codeine sulfate 60 mg, but
it was not effective as the combination of aspirin 650 mg with
codeine phosphate 60 mg. In single-dose models of pain following
surgical procedures, 150 mg provided analgesia generally comparable
to the combination of acetaminophen 650 mg with propoxyphene
napsylate 100 mg, with a tendency toward later peak effect. Tramadol
has been studied in three long-term controlled trials involving a
total of 820 patients, with 530 patients receiving Tramadol.
Patients with a variety of chronic painful conditions were studied
in double-blind trials of one to three months duration. Average
daily doses of approximately 250 mg of Tramadol in divided doses
were generally comparable with five doses of acetaminophen 300 mg
with codeine phosphate 30 mg (Tylenol with Codeine #3) daily, five
doses of aspirin 325 mg with codeine phosphate 30 mg daily, or two
to three doses of acetaminophen 500 mg with oxycodone hydrochloride
5 mg (Tylox) daily.
HOW DO I USE Tramadol PAIN RELIEF MEDICATION?
For the treatment of painful conditions Tramadol 50 mg to 100 mg can
be administered as needed for relief every four to six hours, not to
exceed 400 mg per day. For moderate pain Tramadol 50 mg may be adequate as the
initial dose, and for more severe pain, Tramadol 100 mg is usually more effective
as the initial dose.
Individualization of Dose:
Patients 65 to 75 years of age: No dose adjustment is necessary.
Patients over 75 years old: No more then 300 mg/day in divided doses
Patients with kidney impairment: The dosing interval of Tramadol should be increased to 12 hours
with a maximum daily dose of 200 mg.
Dialysis patients:
These patients can receive their regular dose on the day of dialysis.
Patients with cirrhosis: Recommended dosage is 50 mg every 12 hours.
Patients receiving chronic
carbamazepine: Doses up to 800 mg daily may
be required, this is up to twice the recommended dose of Tramadol.
ADVERSE REACTIONS:
Tramadol was
administered to 550 patients during the double-blind or open-label
extension periods in U.S. studies of chronic nonmalignant pain. Of these
patients, 375 were 65 years old or older. TABLE 2 reports the cumulative
incidence rate of adverse reactions by 7, 30 and 90 days for the most
frequent reactions (5% or more by 7 days). The most frequently reported
events were in the central nervous system and gastrointestinal system.
Although the reactions listed in the table are felt to be probably related
to Tramadol
administration, the reported rates also include some events that may have
been due to underlying disease or concomitant medication. The overall
incidence rates of adverse experiences in these trials were similar for
Tramadol and
the active control groups, acetaminophen 300 mg with codeine phosphate 30
mg, and aspirin 325 mg with codeine phosphate 30 mg. (TABLE
2)
TABLE 2 Cumulative
Incidence of Adverse Reactions for Tramadol HCl In Chronic Trials of
Nonmalignant Pain (N = 427) |
| |
Up to 7 Days |
Up to 30 Days |
Up to 90 Days |
| Dizziness/Vertigo |
26% |
31% |
33% |
| Nausea |
24% |
34% |
40% |
| Constipation |
24% |
38% |
46% |
| Headache |
18% |
26% |
32% |
| Somnolence (Sleepiness) |
16% |
23% |
25% |
| Vomiting |
9% |
13% |
17% |
| Pruritus |
8% |
10% |
11% |
| "CNS Stimulation"1 |
7% |
11% |
14% |
| Asthenia (Weakness) |
6% |
11% |
12% |
| Sweating |
6% |
7% |
9% |
| Dyspepsia (Acid Indigestion) |
5% |
9% |
13% |
| Dry Mouth |
5% |
9% |
10% |
| Diarrhea |
5% |
6% |
10% |
| 1 "CNS
Stimulation" is a composite of nervousness, anxiety, agitation,
tremor, spasticity, euphoria, emotional lability and
hallucinations.
|
DRUG ABUSE AND DEPENDENCE:
Tramadol has a potential to cause psychic and physical dependence of
the morphone-type. The drug has been associated with craving, drug-seeking behavior and
tolerance development. Cases of abuse and dependence on Tramadol have been reported.
Tramadol should not be used in opioid-dependent patients. Tramadol can
reinitiate physical dependence in patients that have been previously dependent
or chronically using other opioids. In patients with a tendency to drug abuse,
a history of drug dependence, or are chronically using opioids, treatment with
Tramadol is not recommended.
Tramadol AND SEIZURES:
Seizure Risk: Seizures have been reported in patients receiving
Tramadol within the recommended dosage range. Concomitant use of
Tramadol increases the seizure risk in patients taking:
Selective serotonin reuptake inhibitors (SSRI
antidepressants or anoretics -phentermine),
Tricyclic antidepressants and other tricyclic
compounds (e.g., cyclobenzaprine, promethazine, etc.)
Opioids.
MAO inhibitors
Neuroleptics
Any drugs that reduce the seizure threshold
Epilepsy
Tramadol AND DROWZINESS:
Tramadol may impair
mental or physical abilities required for the performance of potentially
hazardous tasks such as driving a car or operating machinery.
Tramadol should not be taken with alcohol containing beverages.
Tramadol should be used with caution when taking medications such as
tranquilizers, hypnotics or other opiate containing analgesics.
Tramadol AND PREGNANCY:
Tramadol should not be used in pregnant women or nursing mothers,
safe use in pregnancy has not been established.
Chronic use during pregnancy may lead to physical
dependence and post-pregnancy withdrawal symptoms in the newborn.
Tramadol has been shown to cross the placenta. Nonetheless, the effect
of Tramadol, if any, on the later growth, development, and functional
maturation of the child is unknown.
OVERDOSAGE:
Serious potential consequences of over dosage are respiratory depression and seizure.
ADDITIONAL QUESTIONS:
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