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Drug Name

Tramadol (Ultram)

Generic Name: tramadol (TRAM a dol)

Brand Names: Ultram, Ultram ER

DESCRIPTION

Tramadol is used for pain relief. Tramadol is a narcotic-like pain reliever. Order tramadol online. Tramadol is used to treat moderate to severe pain. Tramadol extended-release is used to treat moderate to severe chronic pain when treatment is needed around the clock. Ultram (tramadol) hydrochloride tablets is a centrally acting analgesic. Order tramadol online without prescriptions. The molecular weight of tramadol is 299.8. Tramadol is a white, bitter, crystalline and odorless powder. Ultram tablets contain 50 mg of tramadol and are white in color. Inactive ingredients in the tablet are corn starch, magnesium stearate, hydroxypropyl methylcellulose, lactose, microcrystalline cellulose, polyethylene glycol, polysorbate 80, sodium starch glycolate, titanium dioxide and wax. Ultram ( tramadol ) Extended-release tablets are supplied in the following package and dose strength forms: Tablets immediate release: 50 mg. Order ultram online. Tablets extended release: 100, 200, and 300 mg.

Drug Uses

Tramadol is used to treat moderate to severe chronic pain when treatment is needed around the clock. Order tramadol online. Extended release tablets are used for moderate to moderately severe chronic pain in adults who require continuous treatment for an extended period. Tramadol may also be used for other purposes not listed in this medication guide. Order ultram online. Ultram (Tramadol ) should not be used in patients with: creatinine clearance less than 30 mL/min, severe hepatic impairment Child-Pugh Class C Ultram (Tramadol ) must be swallowed whole and must not be chewed, crushed, or split Ultram (Tramadol) like other opioids used in analgesia, can be abused and is subject to criminal diversion. Drug addiction is characterized by compulsive use, use for non-medical purposes, and continued use despite harm or risk of harm. Order tramadol online. Drug addiction is a treatable disease, utilizing a multi-disciplinary approach, but relapse is common. Do not use Tramadol if: you are allergic to any ingredient in Zyban; you have severe diarrhea due to taking an antibiotic; you are intoxicated with alcohol, other opioids or narcotics, if you have recently used any of the following drugs: medicine for mental illness (such as bipolar disorder, schizophrenia); sedatives or tranquilizers (such as Valium); medicine for depression or anxiety; narcotic pain medicine; street drugs. morphine, codeine, sedatives or sleeping medicines (e.g., temazepam, zolpidem), or other medicines; you are taking nefazodone, carbamazepine, or sodium oxybate (GHB). Ultram (Tramadol ) may worsen central nervous system and respiratory depression in these patients. Seizures have occurred in some people taking tramadol. Your risk of a seizure may be higher if you have any of these conditions: a history of drug or alcohol addiction; a history of epilepsy or other seizure disorder; a metabolic disorder; a history of head injury; or if you are also taking an antidepressant, muscle relaxer, or medicine for nausea and vomiting. Talk with your doctor about your individual risk of having a seizure while taking tramadol. Before order tramadol online, tell your doctor if you are allergic to any drugs, or if you have: liver disease; kidney disease; a stomach disorder; or a history of depression, mental illness, or suicide attempt. If you have any of these conditions, you may need a dose adjustment or special tests to safely take tramadol.

How Taken

Use this medication exactly as prescribed. Order ultraml online. The recommended dose of tramadol is 50-100 mg tablets every 4-6 hours as needed every 5 days. The maximum dose is 300 mg/day. Order tramadol online. Extended release tablets should be swallowed. Tramadol may be taken with or without food. Consult your doctor if the medication stops working well. Order tramadol online. Good pain management practice dictates that the dose be individualized according to patient need using the lowest beneficial dose. Order ultram online. Start at the lowest possible dose and titrate upward as tolerated to achieve an adequate effect. Clinical studies of Ultram ( tramadol ) have not demonstrated a clinical benefit at a total daily dose exceeding 300 mg. In general, dosing of an elderly patient over 65 years of age should be initiated cautiously, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal or cardiac function and of concomitant disease or other drug therapy. Ultram ( tramadol ) should be administered with even greater caution in patients over 75 years, due to the greater frequency of adverse events seen in this population, because they may be more sensitive to the effects of the drug. Tell your doctor your medical history, especially of: kidney disease, liver disease, seizure disorder, lung disease, history of drug or alcohol dependency, any allergies you may have especially to other opiate narcotics such as codeine or morphine. Limit alcohol as it may add to the dizziness or drowsiness effects caused by the medication. Alcohol may cause a dangerous decrease in your breathing when used together with tramadol. Because this drug may make you dizzy/drowsy, use caution performing tasks requiring alertness such as driving.

If you think you may be pregnant, contact your doctor. You will need to discuss the risks and benefits of using Tramadol while you are pregnant. (Ultram (Tramadol) should not be used in pregnant women prior to or during labor unless the potential benefits outweigh the risks.) FDA pregnancy category C. The safety of tramadol during pregnancy has not been established. This medication may be harmful to an unborn baby. This medication should be used only when clearly needed during pregnancy. Tramadol has been shown to cross the placenta. The mean ratio of serum tramadol in the umbilical veins compared to maternal veins was 0.83 for 40 women treated with tramadol HCl during labor. Tramadol may also cause serious or fatal side effects in a newborn if the mother uses the medication during pregnancy or labor. Chronic use during pregnancy may lead to physical dependence and post-partum withdrawal symptoms in the newborn. Ultram ( Tramadol ) is not recommended for obstetrical preoperative medication or for post-delivery analgesia in nursing mothers because its safety in infants and newborns has not been studied. Do not breast-feed while taking Tramadol. Tramadol can pass into breast milk and may harm a nursing baby. Following a single IV 100-mg dose of tramadol, the cumulative excretion in breast milk within sixteen hours postdose was 100 mg of tramadol (0.1% of the maternal dose) and 27 mg of M1. The use of Ultram ( Tramadol ) in the pediatric population is not recommended. The safety and efficacy of Ultram ( Tramadol ) in patients under 18 years of age have not been established. Tramadol should not be given to a child younger than 18 years of age.

Use Tramadol as directed by your doctor. Order tramadol online. Check the label on the medicine for exact dosing instructions. Take this medication with a full glass of water. Take Tramadol by mouth with or without food, but take it the same way each time. Order ultram online. You should not take tramadol if you have ever been addicted to drugs or alcohol. Tramadol may cause drowsiness and dizziness: alcohol, hot weather, exercise, or fever may increase this effect. To prevent it, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of this effect. Cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety can add to sleepiness caused by tramadol. Ask your pharmacist if you have questions about which medicines may cause drowsiness. Tell your doctor or dentist that you take Tramadol before you receive any medical or dental care, emergency care, or surgery. Order tramadol online. Take tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Order ultram online. Do not take more than 300 milligrams of tramadol in one day. Do not break, crush, or chew before swallowing. Ultram (Tramadol) is intended for oral use only.. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhalation or injection can cause life-threatening side effects, overdose, or death. Do not crush, chew, break, or open a controlled-release, delayed-release, or extended-release tablet or capsule. Swallow Tramadol whole. Breaking or opening the pill may cause too much of the drug to be released at one time. If you use the tramadol extended-release tablet, the tablet shell may pass into your stools (bowel movements). This is normal and does not mean that you are not receiving enough of the medicine. Tramadol ( Ultram ) may be habit-forming. Tell your doctor if you feel the medicine is not working as well in relieving your pain. Do not change your dose without talking to your doctor. Continue to take Tramadol even if you feel well. Order tramadol. Do not miss any doses. Do not stop using tramadol (Ultram) suddenly, or you could have unpleasant withdrawal symptoms such as anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems. Order ultram. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Tramadol is a drug of abuse and should be used only by the person it was prescribed for. Tramadol should never be given to another person, especially someone who has a history of drug abuse or addiction. You should be aware if any person in the household is using this medicine improperly or without prescription. Tramadol ( Ultram) can cause side effects that may impair your thinking or reactions. Order tramadol online without prescriptions. Use Tramadol with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.

Drug Class

Tramadol is a man-made analgesic pain reliever. It works in certain areas of the brain and nervous system to decrease pain. Its exact mechanism of action is unknown but similar morphine. Order tramadol online without prescriptions. Like morphine, tramadol binds to receptors in the brain opioid receptors that are important for transmitting the sensation of pain from throughout the body to. Tramadol, like other narcotics used for the treatment of pain, may be abused.

Missed Dose

If you miss a dose, take it as soon as remembered;. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Order ultram online without prescriptions. Do not double the dose to catch up.

Overdose

If overdose is suspected, Seek emergency medical attention contact your local poison control center or emergency room immediately. Overdose symptoms may include seizures, low body temperature, drowsiness, lightheadedness, shallow breathing, slowed breathing, extreme weakness, slowed heartbeat, cold or clammy skin, feeling light-headed, loss of consciousness, or coma. Serious potential consequences of overdosage with Ultram (Tramadol) are central nervous system depression, respiratory depression. A tramadol overdose can be fatal. In treating an overdose, primary attention should be given to maintaining adequate ventilation along with general supportive treatment.

Possible Side Effects

Tramadol (Ultram) is generally well tolerated, and side effects are usually transient. Check with your doctor if any of these most common side effects persist or become bothersome: a red, blistering, peeling skin rash; Less serious side effects may include: constipation; diarrhea; dizziness; drowsiness; increased sweating; loss of appetite; nausea. Abrupt withdrawal of tramadol may result in anxiety, sweating, insomnia, rigors, pain, nausea, diarrhea, tremors, and hallucinations. Get emergency medical help if any of these severe side effects occur: severe allergic reactions: hives; difficulty breathing; swelling of your face, lips, tongue, or throat, rash; itching; tightness in the chest agitation; fainting; fever; incoordination; muscle stiffness or tremor; convulsions (seizures). This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

DRUG INTERACTIONS: You may be more likely to have a seizure ,convulsions if you take tramadol while you are using certain other medicines. Do not take tramadol without telling your doctor if you also use any of the following medications: quinidine (Quinadex, Quinaglute, Cardioquin, Quinora); or drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety). tranylcypromine , phenelzine, isocarboxazid, or selegiline; or an antidepressant such as, citalopram (Celexa), clomipramine (Anafranil), Zoloft (sertraline), Norpramin (desipramine), Lexapro (escitalopram), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor); paroxetine (Paxil), amitriptyline (Elavil) Before taking tramadol, tell your doctor if you also use: Tegretol (carbamazepine); digoxin (Lanoxin, Lanoxicaps); Coumadin (warfarin); rifampin (Rifadin, Rimactane, Rifater); erythromycin (E-Mycin, E.E.S., Ery-Tab); Nizoral (ketoconazole); This list is not complete and there may be other drugs that can interact with tramadol. Tell your doctor about all the prescription and over-the-counter medications you use, especially of: carbamazepine (reduces the effect of tramadol by increasing its inactivation in the body), narcotic pain relievers -codeine, drugs used to aid sleep, \anti-anxiety drugs. Quinidine reduces the inactivation of tramadol, thereby increasing the concentration of tramadol by 40%-50%. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Tramadol may increase central nervous system and respiratory depression when combined with alcohol, anesthetics, narcotics, tranquilizers or sedative hypnotics. Combining tramadol with monoamine oxidase inhibitors for example, Parnate or selective serotonin inhibitors, for example, Prozac may result in severe side effects such as seizures or a condition called serotonin syndrome Also, report use of certain antihistamines e.g., diphenhydramine which are also present in many cough-and-cold products. Do not start or stop any medicine without doctor or pharmacist approval.

Storage

Store at room temperature, 15-30°C (59-86°F). Store Tramadol at 25°C (77°F); Store away from heat, moisture, and light. Do not store in the bathroom. Store tramadol ( Ultram) at room temperature. Store in a sealed container. Keep Tramadol out of the reach of children and away from pets. Keep the medication in a secure place where others cannot get to it. Keep track of how many pills have been used from each new bottle of this medicine.