Tramadol Description
Vital information that one must be aware of before using Tramadol
Tramadol is a pain killer, used under conditions of mild to severe pain. People
using Tremadol should follow certain guidelines.
Some precautions have to be followed while using Tramadol
The use of tramadol can cause some side effects, like seizures, though infrequently.
Some factors enhance the risk of seizures. Consult you doctor before starting on the
medication, and let the doctor know if you have any history of, seizures or
epilepsy, head injuries, metabolic disorders, or central nervous system infection.
All these can make you more prone to seizures on using Tramadol. Other factors that
can increase the risk of side effects include alcohol or drugs withdrawal symptoms
and other medications.
The drug Tramadol
Tramadol relieves pain by acting on certain chemicals and receptors which cause
the
pain sensation. It is indicated under conditions of mild to severe pain, and also
certain other conditions, not mentioned here.
Tramadol is habit forming. And can cause withdrawal effects if the medication is
stopped all at once following a long course or high-dose treatment. Therefore talk
to your doctor before reducing the drug gradually and then stopping it.
Consuting you doctor before starting on Tramadol is very essential
As seizure is a side effect manifested by the use of Tramodol, always consult you
doctor before starting with the medication. Let the doctor know if you have a
history of any of the following:
Medical problems
* are prone to seizures or epilepsy
* suffered head injury, metabolic problems
* suffer from any central nervous system infection
* have kidney troubles or liver disease
History of alcohol and drug abuse
* are addicted to alcohol or drugs, or under de-addiction schedule of alcohol
or any drugs, and have withdrawal symptoms
Using other medicines
* taking medications such as , tricyclic antidepressant like as amitriptyline
(Elavil), nortriptyline (Pamelor), doxepin (Sinequan), imipramine (Tofranil),
clomipramine (Anafranil), etc
* are using drugs like monoamine oxidase inhibitor (MAOI) such as
isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate),etc
* Undergoing psychiatric treatment with drugs like chlorpromazine (Thorazine),
fluphenazine (Prolixin), haloperidol (Haldol), loxapine (Loxitane), mesoridazine
(Serentil), perphenazine (Trilafon), thioridazine (Mellaril), thiothixene (Navane),
etc
* Using a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine
(Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or
citalopram (Celexa), etc
* are on medication of narcotic pain killers like codeine, fentanyl
(Duragesic), hydromorphone (Dilaudid), meperidine (Demerol), hydrocodone (Vicodin,
Lorcet, Lortab, others), morphine (MS Contin, MSIR, RMS, Roxanol, others), oxycodone
(Roxicodone, Percocet, Percodan, etc
* using promethazine (Phenergan) or prochlorperazine (Compazine),sibutramine
(Meridia), bupropion (Wellbutrin, Zyban) ,etc
Also, inform the doctor of any other medication that you are taking.
In case, one has a history of any one or more of the above conditions, then tramadol
is not recommended or if it is unavoidable the doctor would suggest the correct
dosage and some special tests during the course of treatment
Pregnancy
One more important contraindication is pregnancy.
Since the role of Tramadol in causing harm to the baby inside has not yet been
determined, it is better to avoid the drug during pregnancy. Also nursing or breast
feeding mothers should avoid the drug. Therefore one should tell the doctor, if
pregnant or if planning to do so when on treatment. And the medication should never
be started before taking the doctor’s opinion, during pregnancy. The drug is
also not suitable for children under 16 years of age unless and until approved by
the doctor.
Certain guidelines to be followed while taking Tramadol
medication
While taking tramadol it is important to keep in the mind, some
guidelines about, how the drug is to be taken to minimize the side effects, dosage,
and what to avoid while on the medication.
Take the exact dosage : Always ensure that the correct
dosage is taken. Never exceed or lessen the prescribed dosage by yourself, since
doing so may cause seizures. Stick to your doctor’s advice on increasing or
lowering the dosage.
Generally, for an average healthy adult, a maximum dose upto 100 mg per
dose, at an interval of 4 to 6 hours, up to 400 mg per day can be given. People aged
75 and above can take up to 300 mg per day only. Patients suffering from liver or
kidney problems should take lower daily doses, as suggested by the doctor.
In case a dose is missed : When a dose is missed, it can be taken
when one remembers. But if so much time has lapsed that the next dose is due then
the missed can be skipped and the next dose must be taken. Double dose should not be
taken.
In case of over dosage: Emergency medical help is needed in case of
over dosage. Overdose symptoms may manifest as shallow breathing, difficulty in
breathing, and convulsions or seizures.
How is Tramadol best taken : The drug should be taken with a glass
of water, on an empty or full stomach.
Avoid these when using Celebrex : Avoid alcohol while on tramadol
medication, as it may increase the probability of getting seizures and cause severe
breathing problems.
The drug has a sedative effect, resulting in drowsiness or sleepiness. Thus avoid
doing things that need you to be alert, like driving, working in a hazardous
environment, etc.
Use of other medication like sleeping pills, sedatives, anti allergic agents,
antidepressants, alcohol, pain killers, and muscle relaxants should be avoided. The
combined effect of tramadol, along with any of the other drugs can lead to severe
sedation drowsiness, or low rate of breathing.
Never go for any other prescription or over-the-counter drugs, including herbal
products. Always stick to your doctor’s advice before starting any other
medication.
Look for the symptoms of allergy and side effects
Taking Tramadol can cause allergic reactions and, mild side effects. One has to be
alert and seek medical help in such cases.
Allergy : Allergic reactions can be manifested in different ways.
Symptoms of allergy include, problem in breathing, swelling in the face, swollen
lips, numbed and swollen tongue, or bad throat. Seek medical help in case of having
allergic reactions.
Mild side effects : In case of the mild side effects or symptoms,
continue the medicine but see your doctor. Mild side effects include light
headedness, drowsiness, sleepiness, headache, nervousness or anxiety, itching, dry
mouth, or sweating , gastrointestinal problems like nausea, vomiting, constipation
or diarrhea.
Other side effects also may be manifested which are not mentioned here.
So consult your doctor if you experience other kinds of problems too.
Other drugs affecting Tramadol:
Tramadol is contraindicated in patients with a history of epilepsy or another
seizure disorder, as the drug enhances the chance of an epileptic attack. It may
also, add to the risk of seizures if you are using any of the drugs listed
below:
* a tricyclic antidepressant such as amitriptyline (Elavil), nortriptyline
(Pamelor), doxepin (Sinequan) etc
* a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan),
phenelzine (Nardil), etc
* an antipsychotic medication such as chlorpromazine (Thorazine), fluphenazine
(Prolixin), haloperidol (Haldol), loxapine (Loxitane), mesoridazine (Serentil),
etc
* a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine
(Prozac),fluvoxamine (Luvox), paroxetine (Paxil),etc
* a narcotic pain reliever such as codeine, fentanyl (Duragesic),
hydromorphone (Dilaudid), meperidine (Demerol), hydrocodone (Vicodin, Lorcet,
Lortab, others), morphine (MS Contin, MSIR, RMS, Roxanol, others), oxycodone
(Roxicodone, Percocet, Percodan, etc
* promethazine (Phenergan) or prochlorperazine (Compazine);bupropion
(Wellbutrin, Zyban); or cyclobenzaprine (Flexeril)etc
* carbamazepine (Tegretol) etc
* quinidine (Quinaglute Dura-Tabs, Cardioquin, Quinora, others) etc
* warfarin (Coumadin)
* digoxin (Lanoxin, Lanoxicaps).
Never go for any other prescription or over-the-counter drugs, including herbal
products. Always stick to your doctor’s advice before starting any other
medication. In any case, inform the doctor of any other medication, not mentioned
here, before starting tramadol.
For more information
Ask your pharmacist for the information booklet on Tramadol, which is written for
use of health professionals and provides more information about the drug
The medication looks like this
Tramadol comes under the brand name Ultram and available on prescription. Other
brand or generic formulations are also available.
Tramadol comes as a 50 mg--white, capsule-shaped, film-coated tablets. Store the
drug at ambient temperature in a damp free and place away from heat
Make sure that all medicines are kept out of the reach of children. Medication
should never be shared with others, and the prescription must be followed strictly.
Also self medication must be avoided.
Disclaimer
The information we have provided here is just a guideline may be time sensitive. It
is especially for use by healthcare practitioners and consumers in the United States
and therefore we do not stand guarantee for uses outside of the United States.. This
drug information recommend any specific therapy for a given patient.. This overview
of the drug is only designed to assist licensed healthcare practitioners and does
not replace their expertise, skill, and judgment. It should not be assumed that the
drug or drug combination is safe, effective or suitable any given patient. We will
not take the responsibility for any kind of outcome by the use of this information.
The information given does not cover all possible outcomes of the medication like
allergic reactions, or adverse effects. For further queries ask your doctor, nurse
or pharmacist.
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Any information found here is provided for general informational purposes only
and is not meant to substitute for the advice provided by your own physician or
other medical professional. You should not use any of the information
found here to diagnose or treat a health issue or disease or to prescribe any
medication. Always seek medical advice from a medical doctor. Never delay in
seeing a health care professional about any questions you have