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What is Tramadol?

Tramadol is an opioid analgesic medication used to relief moderate to severe pain. Mainly used for long term pain conditions binding the receptors in the brain that are important for transmitting the sensation of pain through the body to the brain over several hours to maintain pain relief.
Tramadol hydrochloride is available in brand and generic form and is marketed under several trade names ( Ultram, Zytram, Ultracet are the common ones but there are many others) and is orally administered.
Is mostly indicated to treat :

– Low back pain
– Herniated discs
– Dental pain
– Renal Colic
– Postoperative pain
– Rheumatoid arthritis pain
– Post traumatic pain
– Anxiety
– Chronic pain

Before taking this medication tell your Doctor about your medical history, especially if you are allergic to it or have had any other allergies.

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How long will it take for tramadol to work?

The time depends whether is extended release tablets or instant release tablets.
Extended release tablets are formulated to released the drug slowly into the bloodstream and instant or immediate release are formulated to release the active drug faster than the Extended release.
Immediate release formulation starts working after an hour and extended release after 30 minutes and will last for 4-6 hours.

How often can I take tramadol?

The dosage is based on your medical condition and treatment.
Initial Dose could be 100 mg once a day and increment dose as necessary by 100 mg every one or two days. You can take Tramadol every 4 to 6 hours to relief pain in a maximum dose of 400mg a day.
Also the pills can be taken with or without food, depends on how you respond when you first take this. If you have nausea is better to take this medicine with food.
You must always follow your doctor’s instructions about dosage and treatment time.

Can I take tramadol if I am taking other medicines at the same time?
Other medications can affect tramadol effectiveness such as : antidepressants, reuptake inhibitors, monoamine oxidase inhibitors, certain migraine medications and antibiotics. Also you can not combined tramadol with alcohol because it has dangerous side effects.
Common Tramadol reactions are nausea, headache, somnolence, constipation, slow or stop your breathing, dizziness, headache and vomiting.
You can take Tramadol with or without food but never alcohol. tramadol 50mg tablets for sale

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What if tramadol doesn’t work?

Tramadol does not work the same on every patients. Its effect will also depend on your age, other medications treatments and dosage.
You should take the medication as prescribed for about a week before consider it is not working.
If after a week treatment you feel the medicine is not working you should contact the doctor that subscribe this medication for you. Never take extra doses on your own.

What happens if I miss a tramadol dose?

It is very important not to miss any doses. Do not take an extra dose to compensate the one you missed. If you missed the dose for only 30 minutes you can take it but if its almost time for the next scheduled skip the missing dose and keep taking the medicine as scheduled and no longer than prescribed or could develop physical and psychological dependence.

What happens if I overdose?

In case you overdose, get medical attention as soon as possible. Overdose symptoms may be slow breathing, muscle weakness, cold and clammy skin, fainting, slow heartbeat, loss of consciousness or seizure. Tramadol overdose could be fatal and you should not take this medication without a prescription.
Store this medication away from light, heat and moisture. Keep tramadol out of the reach of children and away from pets.

Tramadol Precautions and warnings

Before taking Tramadol you should tell your doctor in case of:
Liver or kidney disease
Are pregnant, plan to be pregnant or breast-feeding
Are over 65 years old
Had or have abdominal problems
Have diabetes
Depression

You had or may have severe allergic reaction to the ingredients
History of substance abuse or alcohol dependence.

Even Tramadol is treat as a safe pain reliever with a low potential dependency risk medicine, you should tramadol-for-sale on https://homelandpharmaceutical.com will guide you not to take it more than the prescribed time or in large dosage . A long term use or larger doses than prescribed could lead some people to risk for addiction.
Also important, do not drive a car or operate other heavy / industrial dangerous machinery as this medication would affect your senses.
Try not to stop taking this medicine suddenly ,it is better if you gradually reduce the amount you are taking before stopping it completely.
Always follow your Doctor’s instructions and do not use Tramadol as recreational drug as this could increase side effects or drug dependency.

What is tramadol used for?

Tramadol is used for the short-term relief of moderate to severe pain. It should only be used when other forms of non-opioid pain relief have not been successful in managing pain or are not tolerated.

Tramadol is not usually recommended for the treatment of chronic (long-term) pain.

How does tramadol work?

Tramadol works directly on opioid receptors in the central nervous system and reduces feelings of pain by interrupting the way nerves signal pain between the brain and the body.

What other drugs will affect tramadol?

Taking this medicine with other drugs that make you sleepy or slow your breathing can cause dangerous or life-threatening side effects. Ask your doctor before taking tramadol with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.

Many drugs can interact with tramadol, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.

Before taking this medicine

You should not take tramadol if you are allergic to it, or if you have:

 

• severe asthma or breathing problems;
• a blockage in your stomach or intestines;
• if you have recently used alcohol, sedatives, tranquilizers, or narcotic medications.

Seizures have occurred in some people taking tramadol. Talk with your doctor about your seizure risk, which may be higher if you have:

 

• a history of head injury, epilepsy or other seizure disorder;
• a history of drug or alcohol addiction;
• a metabolic disorder; or
• if you are also using certain medicines to treat migraine headaches, muscle spasms, depression, mental illness, or nausea and vomiting.

To make sure tramadol is safe for you, tell your doctor if you have: tramadol 50mg tablets for sale

 

• liver or kidney disease;
• a stomach disorder; or
• a history of drug abuse, alcohol addiction, mental illness, or suicide attempt.

Tramadol is more likely to cause breathing problems in older adults and people who are severely ill, malnourished, or otherwise debilitated.
Tramadol may be habit forming and should be used only by the person it was prescribed for. Never share this medicine with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Selling or giving away tramadol to any other person is against the law.
It is not known whether tramadol will harm an unborn baby. If you use this medicine while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant.
Tramadol can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are taking this medicine.
Do not give this medication to anyone younger than 16 years old without the advice of a doctor. Ultram ER should not be given to anyone younger than 18 years old.
Rybix ODT may contain phenylalanine. Talk to your doctor before using this form of tramadol if you have phenylketonuria (PKU).

Tramadol dosing information

Usual Adult Dose for Pain:

For mild to moderate severe chronic pain not requiring rapid onset of analgesic effect:
Initial dose: 25 mg every morning
Titration: increase in 25 mg increments as separate doses every 3 days to reach 100 mg per day taken as 25 mg 4 times per day. Then the total daily dose may be increased by 50 mg as tolerated every 3 days to reach 200 mg per day taken as 50 mg 4 times per day.
Maintenance: After titration, tramadol 50 mg to 100 mg can be administered as needed for pain relief every 4 to 6 hours not to exceed 400 mg per day.

For the management of moderate to moderately severe chronic pain in adults who require around-the-clock treatment of their pain for an extended period of time:
Extended-Release Tablets:
Initial Dose: 100 mg once daily and titrated up as necessary by 100 mg increments every five days to relief of pain and depending upon tolerability.
Maximum Dose: Extended-release tablets should not be administered at a dose exceeding 300 mg per day.

For patients in whom rapid onset of analgesic effect is required and for whom the benefits outweigh the risk of discontinuation due to adverse events associated with higher initial dose:
Dose: 50 mg to 100 mg can be administered as needed for pain relief every 4 to 6 hours, not to exceed 400 mg per day.

Tramadol Extended-Release (ER):
Patients not currently treated with tramadol immediate-release (IR):
Initial dose: 100 mg once daily and titrated up as necessary by 100 mg increments every 5 days to relief of pain and individualized according to patient need and tolerability.
Maximum dose: 300 mg per day
Patients currently on tramadol IR (immediare release) :
Calculate the 24-hour tramadol IR dose:
Initial dose: Round down to the next lowest 100 mg increment. The dose may subsequently be individualized according to patient need and tolerability.
Maximum dose: 300 mg per day
Due to limitations in flexibility of dose selection with tramadol ER, some patients maintained
on immediate release products may not be able to convert. Where Can You Buy Tramadol 225mg

Usual Geriatric Dose for Pain:

For patients over 65 years:
Dose selection should be cautious, 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.

For patients over 75 years:
Maximum dose of regular oral tablets: 300 mg per day in divided doses

Usual Pediatric Dose for Pain:

4 to 16 years:
Immediate release formulations: 1 to 2 mg/kg/dose every 4 to 6 hours
Maximum single dose: 100 mg
Maximum total daily dose is the lesser of: 8 mg/kg/day or 400 mg/day

16 years and older:
Initial dose: 50 to 100 mg every 4 to 6 hours
Maximum dose: 400 mg/day
Alternatively, for patients not requiring a rapid onset of effect, side effects may be decreased by initiating dosage at 25 mg/day and increasing by 25 mg every 3 days up to 25 mg 4 times a day. Dosage may then be increased by 50 mg every 3 days as tolerated to 50 mg 4 times a day.

16 years and older:
Oral disintegrating tablet (ODT):
Initial: 50 to 100 mg every 4 to 6 hours
Maximum: 400 mg/day
Alternatively, for patients not requiring a rapid onset of effect, side effects may be decreased by initiating dosage at 50 mg/day and increasing by 50 mg every 3 days up to 50 mg 4 times a day.
Maximum: 400 mg/day

16 years and older:
Extended-release formulations:
Initial: 100 mg once daily
Titrate by 100 mg increments every 2 to 3 days if needed for pain control
Maximum: 300 mg/day