GENERIC NAME: tramadol
BRAND NAME: Ultram
DRUG CLASS AND MECHANISM: Tramadol is a man-made (synthetic) analgesic (pain reliever). Its exact mechanism of action is unknown but similar morphine. 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. Tramadol is not a nonsteroidal antiinflammatory drug (NSAID) and does not have the increased risk of stomach ulceration and internal bleeding that can occur with NSAIDs.
PRESCRIPTION: Yes
GENERIC AVAILABLE: Yes
PREPARATIONS: Tablets (immediate release): 50 mg. Tablets (extended release): 100, 200, and 300 mg.
STORAGE: Store at room temperature, 15-30°C (59-86°F). Store in a sealed container.
PRESCRIBED FOR: Tramadol is used in the management of moderate to moderately severe pain. Extended release tablets are used for moderate to moderately severe chronic pain in adults who require continuous treatment for an extended period.
DOSING: The recommended dose of tramadol is 50-100 mg (immediate release tablets) every 4-6 hours as needed for pain. The maximum dose is 400 mg/day. To improve tolerance patients should be started at 25 mg/day, and doses may be increased by 25 mg every 3 days to reach 100 mg/day (25 mg 4 times daily). Thereafter, doses can be increased by 50 mg every 3 days to reach 200 mg day (50 mg 4 times daily). Tramadol may be taken with or without food.
Recommended dose for extended release tablets is 100 mg daily which may be increased by 100 mg every 5 days but not to exceed 300 mg /day. Extended release tablets should be swallowed whole and not crushed or chewed.
DRUG INTERACTIONS: Carbamazepine reduces the effect of tramadol by increasing its inactivation in the body. Quinidine (Quinaglute, Quinidex) reduces the inactivation of tramadol, thereby increasing the concentration of tramadol by 50%-60%. Combining tramadol with monoamine oxidase inhibitors (for example, Parnate) or selective serotonin inhibitors [(SSRIs, for example, fluoxetine (Prozac)] may result in severe side effects such as seizures or a condition called serotonin syndrome.
Tramadol may increase central nervous system and respiratory depression when combined with alcohol, anesthetics, narcotics, tranquilizers or sedative hypnotics.
PREGNANCY: The safety of tramadol during pregnancy has not been established.
NURSING MOTHERS: The safety of tramadol in nursing mothers has not been established.
SIDE EFFECTS: Tramadol is generally well tolerated, and side effects are usually transient. Commonly reported side effects include nausea, constipation, dizziness, headache, drowsiness, and vomiting. Less commonly reported side effects include itching, sweating, dry mouth, diarrhea, rash, visual disturbances, and vertigo. Some patients who received tramadol have reported seizures. Abrupt withdrawal of tramadol may result in anxiety, sweating, insomnia, rigors, pain, nausea, diarrhea, tremors, and hallucinations.
Medications that may cause temporary ototoxicity include the following:
Anticonvulsants (e.g., phenytoin, carbamazepine)
Antidepressants (e.g., clomipramine, amoxapine)
Antihypertensives (e.g., labetalol, enalapril)
Loop diuretics (e.g., bumetanide, furosemide)
Pain relievers (e.g., aspirin)
Prescription and over-the-counter cold medicines
Quinine (e.g., chloroquine, quinidine)
2007-07-30 13:58:21
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answer #1
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answered by **Anti-PeTA** 5
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Ultram is one of the first pain medications that dr's will give for what is considered a chronic condition, you will need to find a good pain management dr. I myself have gone all the way up the ladder in terms of pain meds, not all work for all people. In my family morphine does not work, and I read about a study that said 35% of caucasian people cannot process codeine, therefore it won't work. Many dr's go up the pain med ladder slowly becuz SO many people abuse or sell pain meds they are given, not me I need mine. Be wary that there are still many dr's and people that think that fibro is a made up disease and we are just drug seeking. Be patient, there will be something out there that helps you, stress I have found is very bad, so I know it is hard but try to destress throughout the day. Good luck to you I have been dealing with this since 2003. God bless
2007-07-30 13:18:56
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answer #2
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answered by Anonymous
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I've taken it before and I did get dizziness from it...also I was unable to sleep and always had a type of buzzing feeling..you should contact your doctor and discuss other options..I stopped taking it because I found out it was a black box drug (meaning they don't really know what the long term side effects of this drug are because it is relatively new, within the last 10 years) I know how hard it is dealing with chronic pain..its easily frustrating trying to find something that will work effectively...if you haven't tried morphine you might want to go that route and give that a try..since it is a long term treatment..good luck
2007-07-30 12:12:33
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answer #3
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answered by Jersey 3
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Many different pain medications can cause dizziness, it's one of the side effects. Dizziness/vertigo is quite common with Fibromyalgia. place an ice pack on the back of your neck whenever you start feeling dizzy. Do this for fifteen minutes at a time.
2007-07-30 14:49:08
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answer #4
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answered by Cherokee Billie 7
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Mamzy, & The Great One nWo Koumidiator, Johnny U, & Jayson Kane Gabby VS. Sunny . 4 Horsemen Aka Ninersfan Eddiesadvocate
2016-03-16 03:18:28
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answer #5
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answered by Erica 4
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