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    Tramadol is used primarily to treat mild to severe pain, both acute and chronic.

    It was the most prescribed medication in the United States, with more than 22 million prescriptions.

    Dosages and administrations of Tramadol
    The doctor administers Tramadol consumption and suggests the dosage depending on your body condition. This medicine has got the power to slow down or stop the breath as the intake starts and when there are changes in dosage. So, a strong recommendation of consumption in large amounts or in longer time frames is dangerous. Consult the doctor when there’s a note on improper working with the medication.

    To achieve maximum effectiveness, consume Tramadol as directed and not exceeding the prescribed doses. The dosage cannot more than 400mg per day max as followed with the titration regimen (gradual increase in dosage as the body gets habituated to the medication). Never break, crush, or open Tramadol tablet. Swallow entirely at a time.
    Two proven procedures that lead to death as per research as mishandling Tramadol

    Breakage and inhaling of the medicine
    Crushing and injecting through the liquid
    Dosage Allocation With Severity
    Chronic pain:

    Extended-Release capsules (oral dosage form):

    Initially, adults might be consuming 100 milligrams (mg) once a day as per the doctor’s prescription. The dosage cannot exceed 300 mg per day, however.
    Doctor’s suggestion of whether to use or not is a must for children with 12 years and above. The consumption of Tramadol is strictly prohibited for children less than 12 years.
    Extended-Release tablets (oral dosage form):

    Initially, adults might be consuming 100 milligrams (mg) once a day as per the doctor’s prescription. The dosage cannot exceed 300 mg per day, however.
    Doctor’s suggestion with the usage and dosage is a must for children with 12 years and below.
    For Moderate To Severe Pain
    Disintegrating tablets (oral dosage form):

    Initially, adults might have a doctor’s recommendation of 50 to 100 milligrams (mg) a day (with a gap of 4 to 6 hours as per requirement). The dosage cannot exceed 400 mg per day, however. The same dosage might apply to children of 16 years and older.
    Doctor’s suggestion with the usage and dosage is a must for children with 16 years and below.
    Tablets (oral dosage form):

    Initially, adults might be consuming 25 milligrams (mg) every morning as per the doctor’s prescription. The dosage cannot exceed 400 mg per day, however.
    Doctor’s suggestion of whether to use or not is a must for children with 12 years and above. The consumption of Tramadol is strictly prohibited for children less than 12 years.

    Indications for Tramadol Extended-Release Tabs:
    Management of pain severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatments are inadequate.

    Limitations of Use:
    Not for use as an as-needed (prn) analgesic. Use only if alternative treatment options (eg, non-opioid analgesics) are ineffective, not tolerated, or otherwise inadequate to provide sufficient management of pain.

    Adult:
    Use lowest effective dose for shortest duration. Swallow whole. Individualize. ≥18yrs: initially 100mg once daily; may increase by 100mg every 5 days; max 300mg/day. Severe renal (CrCl <30mL/min) or hepatic (Child-Pugh Class C) impairment: not recommended. Concomitant use or discontinuation of CYP2D6 inhibitors, CYP3A4 inhibitors or inducers: monitor closely and consider dose adjustments (see full labeling). Withdraw gradually (esp. if opioid-dependent), taper by ≤10–25% every 2–4 weeks.

    Children:
    <18yrs: not recommended.

    Contraindications:
    Children <12yrs. Post-op management in children <18yrs following tonsillectomy and/or adenoidectomy. Significant respiratory depression. Acute or severe bronchial asthma in an unmonitored setting or in the absence of resuscitative equipment. Known or suspected GI obstruction, including paralytic ileus. During or within 14 days of MAOIs.

    Boxed Warning:
    Addiction, abuse, and misuse. Risk evaluation and mitigation strategy (REMS). Life-threatening respiratory depression. Accidental ingestion. Ultra-rapid metabolism of tramadol and other risk factors for life-threatening respiratory depression in children. Neonatal opioid withdrawal syndrome. Interactions with drugs affecting CYP450 isoenzymes. Risks from concomitant use with benzodiazepines or other CNS depressants.

    Warnings/Precautions:
    Abuse potential (monitor). Life-threatening respiratory depression; monitor within first 24–72hrs of initiating therapy and following dose increases. Accidental exposure may cause fatal overdose (esp. in children). Sleep-related breathing disorders (including central sleep apnea (CSA), sleep-related hypoxemia); consider dose reduction if CSA develops. Risk of life-threatening respiratory depression and death related to ultra-rapid metabolizers of tramadol (esp. in children for post-tonsillectomy and/or adenoidectomy pain). Avoid in adolescents 12–18yrs with conditions associated with hypoventilation (eg, post-op status, obstructive sleep apnea, obesity, severe pulmonary disease, neuromuscular disease, concomitant drugs that cause respiratory depression). COPD, cor pulmonale, decreased respiratory reserve, hypoxia, hypercapnia, or pre-existing respiratory depression; monitor and consider non-opioid analgesics. Adrenal insufficiency. Head injury. Increased intracranial pressure, brain tumors; monitor. Seizure disorders. Avoid in depressed, suicidal, or addiction-prone patients; consider non-narcotic analgesics. Emotional disturbance. CNS depression. Impaired consciousness, coma, shock; avoid. Biliary tract disease. Acute pancreatitis. Drug abusers. Severe hepatic (Child-Pugh Class C) or renal impairment (CrCl<30mL/min): not recommended. Ultra-rapid metabolizers (due to CYP2D6 polymorphism): avoid. Reevaluate periodically. Avoid abrupt cessation. Elderly (esp. >75yrs). Cachectic. Debilitated. Pregnancy; potential neonatal opioid withdrawal syndrome during prolonged use. Labor & delivery, nursing mothers: not recommended.

    See Also:
    ULTRAM
    Pharmacologic Class:
    Opioid agonist.

    Interactions:
    Concomitant other forms of tramadol or carbamazepine: not recommended. Increased risk of hypotension, respiratory depression, sedation with benzodiazepines or other CNS depressants (eg, non-benzodiazepine sedatives/hypnotics, anxiolytics, general anesthetics, phenothiazines, tranquilizers, muscle relaxants, antipsychotics, alcohol, other opioids); reserve concomitant use in those for whom alternative options are inadequate; limit dosages/durations to minimum required; monitor. Risk of serotonin syndrome with serotonergic drugs (eg, SSRIs, SNRIs, TCAs, triptans, 5-HT3 antagonists, mirtazapine, trazodone, tramadol, cyclobenzaprine, metaxalone, MAOIs, linezolid, IV methylene blue); monitor and discontinue if suspected. Increased risk of seizures with SSRIs, SNRIs, anorectics, TCAs, cyclobenzaprine, promethazine, other opioids, MAOIs, naloxone, neuroleptics, and others that lower seizure threshold. Avoid concomitant mixed agonist/antagonist opioids (eg, butorphanol, nalbuphine, pentazocine) or partial agonist (eg, buprenorphine); may reduce effects and/or precipitate withdrawal symptoms. May be affected by CYP2D6 inhibitors (eg, amiodarone, quinidine, fluoxetine, paroxetine, bupropion). Potentiated by CYP3A4 inhibitors (eg, macrolides, azole antifungals, protease inhibitors). Antagonized by CYP3A4 inducers (eg, rifampin, carbamazepine, phenytoin). May antagonize diuretics; monitor. Paralytic ileus may occur with anticholinergics. Monitor digoxin, warfarin.

    Adverse Reactions:
    Dizziness, nausea, constipation, headache, somnolence, flushing, pruritus, vomiting, insomnia, dry mouth; respiratory depression, severe hypotension, syncope; rare: serious skin reactions or another hypersensitivity; discontinue if occur.

    Note:
    Formerly known under the brand name Ultram ER.

    REMS:
    YES

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    Is Tramadol a good painkiller medication? Yes, it is a good painkiller drug and this is the reason why many of the doctors recommend this drug for treating mild to severe pain. The doctor might prescribe you with this drug on a daily basis or for a required time to treat your pain. You should ensure about which one is better for you to take to ease your pain. For back pain treatment, the dosage of Tramadol will depend on the severity of the pain. consult with your doctor about the right dosage that you need to treat your problem.




    Research shows that Tramadol overnight has been used for treating many other types of pain such as Rheumatoid arthritis, Reflex Sympathetic Dystrophy, MS, and Restless Leg Syndrome and other illnesses that triggers pain to yours. Tramadol is safe and very efficient if it is administered for the mentioned problems.




    Also, you should have to consider some of the factors while taking Tramadol as it would cause some harmful effects such as nausea, dizziness. Talk with your clinician if you are drinking alcohol while you are in use of this drug for your pain relief.




    Tramadol would cause some harmful side effects such as dizziness and sleepiness when a drug interaction occurs with alcohol or any other drugs. So, generally, your physician would ask you to stop taking this medication when drinking alcohol.




    Tramadol for Depression




    Tramadol is an opioid which is used to treat pain in the various parts of the human body. Since it is widely prescribed medication for pain relief, many researchers suggest that this medication can be used to treat anxiety and depression in persons. It is because due to the presence of components in Tramadol that have serotonergic and noradgenic systems. A research that has been conducted on mice has shown some validity in possibly using the drug for treating the symptoms of depression, however, the doctors do not believe that it can be used as an anti-depressant unless it is needed on such cases when the other depression meds that are given have failed. On such case, some doctors would recommend the pain relief medication Tramadol for depression.




    Tramadol releases serotonin, whereas it is dangerous to take Tramadol medication along with the other forms of depression meds. The combination of selective serotonin and non-serotonin reuptake inhibitors which are taken for depression along with Tramadol medication will only increase the serotonin toxicity in the person’s body and that could lead to fatal. According to the recent warning information which has been published in the PDR, that many of the physicians are well aware of these new researchers and they are aware of the danger that would cause to an individual when Tramadol is mixed with any other depression medication. However, most of the doctors would not prescribe Tramadol for depression to any patient as there are not enough researchers has been made to prove its effectiveness on humans that overcomes the given PDR warnings. There is a chance that the depression in person might get worsened just by using Tramadol due to its addictive nature and its withdrawal effects. Do consult with your doctor before taking Tramadol medication for treating your depression.




    Tramadol for Dogs




    Some of the veterinarians would recommend this drug for dogs to manage their pain. It is safe to give this medication to dogs only under the guidance of a veterinarian. Just like any other medication, Tramadol is used for treating both chronic and acute pain and it helps your dog to recover from surgery or it helps to manage the that are associated with osteoarthritis when it is taken along with many other medications.




    Since Tramadol is a class 4 controlled substance, it is necessary to get the advice from the veterinarian before giving the pain relief medication to your dog. It is not that human pill can be given to the dog, because the dosage for dogs would greatly differ from humans and be giving Tramadol pill to your dog out of veterinarian guidance, then it might result in an overdose of Tramadol drug. Some dogs which are taking monoamine oxidase inhibitors or selective serotonin reuptake inhibitors might require a consultation with the veterinarian before giving Tramadol for pain relief. Follow the guidance provided by the doctor to give the Tramadol medication to your dog.




    Tramadol Addiction and Abuse




    Getting Addicted to a drug is common among people and however, in the case of Tramadol, the causes of side effects and consequences are bit higher. Using this drug for treating pain is a better option. Sometimes people used to get abused or misuse this drug which results in causing some serious illness. It is always necessary to know both the effectiveness and the possible side effects of the drug before taking it. It can lead you to the cause of some withdrawal symptoms which makes you get tolerated to the generic Tramadol medication.




    It has a high drug interaction potential, so taking this medication along with alcohol or any other drugs would cause some serious side effects to the users. If you have missed a dose of Tramadol, take it as soon as you remember it, skipping the drug is not a wise option. Also, do not take 2 or 3 pills in a day, follow the prescription given by the physician, an overdose of the drug would cause addiction to the patient.




    Proper consumption of medication is very important. Do not take the drug for a long period of time unless it is prescribed to you. Taking the medication for a prolonged period would also cause the way to get addicted to it. Consult with the doctor more than once before stop taking the pain relief medication.




    There are also in some cases many patients has been reported that they get abused to the usage of Tramadol without having any signs for the side effects, it is due to the reason of that person gets completely addicted to the drug and hence they end up in getting tolerance effect. Taking this drug for a long period of time they might end up in causing some impairment problems. For some people, it might take a long term therapy to overcome the withdrawal symptoms and side effects caused by Tramadol.




    Overdose of Tramadol




    The overdose of Tramadol would lead to some risk factors that include depression, addiction to the drug and seizures. The toxic effects caused by Tramadol overdose can be reversed just partially by Naloxone but it might increase the risk of seizures in the patient.




    There are many death reports have been recorded which were caused by the usage of Tramadol overdose and these are still increasing in Northern Ireland. From the report, the overdose has been mostly caused by the drug interaction of Tramadol with other drugs that includes alcohol too. There are many other deaths has been recorded within the United States and is mostly in Florida. It is better to take a consultation with a licensed physician before procuring Tramadol for pain relief.




    Tramadol Side Effects




    There are many reports have been taken as the prescribing this drug for a long-term use causes an undesirable effect as people tend of suffering by taking Tramadol which is used for a prolonged time. The side effects may vary from person to person but they include:




    Tolerance: This drug has a possibility of developing tolerance as it functions through modifying the brain’s chemistry and it has a high possibility of developing tolerance. As your system starts to adapt to this drug, users are prescribed to take high dosages in order to get its painkilling effects.




    Cognitive Decline: Many opioid drugs are involved in cognitive mutilation and slow response times. Doing some of the complicated works with the use of this drug becomes very hard and you must avoid doing them, especially when driving.




    Physical Dependence: Along with tolerance, many users will get an addiction to this drug when they are using it for long period of time. Their body will start to adapt to this drug and hence it is required to make them work properly.




    Dependence and Tolerance to Tramadol will eventually end up in addiction to this drug. Plenty of people have been reported of suffering from the Tramadol drug abuse and hence they should start taking the drug only as a recommended amount to cure themselves and slowly quit it. Buy Tramadol without prescription from us.




    Some of the other side effects of Tramadol have listed below,




    Seizures

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    Loss of appetite

    Tremor or nervousness

    Agitation, high fever

    Tramadol Users’ Words




    Tramadol is used to cure both acute and chronic pain from mild to severe pain and as well as narcolepsy. It is used in patients having hypersensitivity to other painkillers available out there or contraindication for other pain treatment. It works by blocking the transmission signals that have been sent to the brain. Since it is very efficient in treating the various kinds of pain, it has been preferred by many people in using this drug. Some of the reviews given by the people who acquired relief from taking Tramadol drug.




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