Tramadol

 Tramadol is a medicine that is majorly used for the treatment of moderate to severe pain. It is usually consumed with paracetamol to enhance the effect of treatment. Tramadol is sold under various brand names such as Ultram ER, Qdolo, Ultram.

It is classified as a Narcotic analgesic drug. In 1977 Tramadol was marketed for the first time as Tramal by a German pharmaceutical company. Later it was accepted by the US and UK for the medication purpose.

Tramadol is available in the form of injections and pills. The effect of the injection lasts for around 6 hours and the pills show their effect within one hour after consumption.

Uses of Tramadol

Tramadol is used to treat patients suffering from mild to severe pain both chronic and acute. It majorly helps to get rid of pains occurring in nerves (nervous system).

Tramadol is approved by the national health service (NHS) and is also used for the treatment of fibromyalgia (full-body pain, fatigue, or emotional suffering). People suffering from Fibromyalgia are very sensitive to pain.

How to Consume Tramadol?

Read the prescription carefully before consuming Tramadol. Do not consume for any mild pain relief without a doctor’s prescription.

Tramadol tablets are available in different doses and side effects can be a major cause while consuming the medicine. Therefore to reduce the risk doctors probably start with a low dose to analyze the condition and then gradually increase or decrease until the pain is controlled.

One can consume the tablet by mouth with a glass of water under the prescription of a doctor. The frequency of taking tablets or doses depends on the patient’s health. Usually, the consumption of pills is prescribed every 4 to 6 hours with or without food.

If the patient has nausea or vomiting issues then he or she is prescribed to consume Tramadol with food. In such cases consult with your doctor. Resting for 1 to 2 hours with some head movements can decrease the effect of nausea.

For liquid consumption, one must majorly take care of the measurements. Always use the measurement cap that comes with the medicine. Do not use household spoons for the measurement.

Tramadol is not recommended for pregnant women and children under 17 years. Adults can consume not more than 400 mg dose per day. Elders above 75 years of age can consume up to 300 mg dose per day.

NOTE* Do not wait for severe symptoms or else the medication may not show any improvement. Consult with a healthcare specialist as early as possible.

Common Side Effects and Symptoms of Tramadol

The majority of patients consuming Tramadol don’t have any side effects but still, some common side effects are also seen in some patients like:

• Pruritus,
• Agitation,
• Anxiety,
• Constipation,
• Diarrhea,
• Hallucination,
• Nausea,
• Tremor,
• Vomiting, and
• Diaphoresis and
• Insomnia

In case these side effects get severe immediately contact your doctor or any healthcare center.

Drinking sufficient water, consuming fiber foods and exercising can prevent constipation. In severe cases, the doctor may prescribe a laxative that helps in relieving constipation temporarily.

Speak to your doctor in the case of severe side effects like:

• Sleep apnea (difficulty in breathing while sleeping)
• Changes in mood causing agitation and hallucinations
• Heavy stomach ache
• Pain in abdominal
• Difficulty in urination
• Loss of appetite
• Tiredness and weight loss

Get medical help right away in case of a fast and irregular heartbeat.

Tramadol is converted into an opioid drug inside your body. At times the effect of converting into an opioid is fast in some people. In such cases, one can see side effects like:

• Slow/shallow breathing
• Severe drowsiness
• Difficulty waking up
• Confusion

Get medical help right away if you experience such symptoms.

One more side effect is being allergic to the medicine. Well, this is usually rare to see. The symptoms in these cases are:

• Rashes and Itching
• Swelling of the face, tongue, and throat
• Extreme dizziness and problems with breathing

Symptoms of Overdose

Medicine overdose can be very harmful and also cause death. In case of an overdose one can find symptoms like:

• Severe drowsiness
• Pinpoint pupils,
• Slow breathing or no breathing

Some of the risks involved in the overdose are:

• Respiratory depression,
• Addiction and
• Seizures

To reverse the impact of overdose doctors can prescribe Naloxone. Naloxone basically helps to reverse the effect of an overdose.

Note* Get an immediate medical emergency if you think you are overdosing or if you get the symptoms of overdose.

Dependency and Withdrawal

Long usage of Tramadol in high doses makes a person dependent (habit). And when the person suddenly stops the medication, some withdrawal symptoms can be seen such as:

• Uneasiness or restless
• Anxiety
• Problem while sleeping
• Suicidal thoughts
• Excessive tears in eyes
• Diarrhea,
• Itchy and runny nose
• Nausea
• Excessive sweating
• Muscle pain, or sudden changes in the behavior

Withdrawal effects can be prevented by gradually decreasing the doses of Tramadol and stopping the medication in the right health condition.

Warning and Precautions

Seizures (sudden and uncontrolled electric disturbance in the brain). This happens due to behavioral changes in the body. Facing at least two seizures within 24 hours can lead to epilepsy. This side effect is seen in some patients consuming Tramadol. Usually, overdose causes seizures.

Keep the medicine away from children below 12 years and from the children below 18 years who have recently gone through any operations or surgery.

Consumption of this medicine by a pregnant woman can cause a fatal side effect for the baby.

Any kind of misuse of the medicine can cause addiction, and overdose and may also cause death.

Precaution to be Taken before taking Tramadol

Talk to your doctor about your daily habits and health issues for better precautions and prescriptions. For instance:

• Shortness of breathing
• Stomach blockage
• Intestine blockage
• Consumed alcohol
• Sedatives
• Tranquilizers,
• Consuming any Narcotic medicines, or
• Monoamine oxidase inhibitors (MAOIs) – anti-depression tablets.

Try to address all the health-related issues. Do not consume Tramadol if you are allergic to it. You should also avoid tramadol if you have asthma or a breathing problem.

Things to avoid during the Use Of Tramadol Medication

Avoid alcohol and similar other health risk substances. Avoid driving because drowsiness (the impact of side effects) can cause accidents or injuries.

Tramadol Alternatives Comparison

Though Tramadol is a very good medication and its physical dependency is also limited but due to some side effects, not everyone can use it.

Gabapentin and Ibuprofen are the two alternatives that can be used for similar treatments.

Gabapentin: It is also used for the treatment of nerve pain. Some common side effects that can be seen are fatigue, fever, and dizziness.

It is prescribed for postherpetic neuralgia, and epilepsy and is classified under Gamma-aminobutyric acid analogs drugs. It is available in various forms like solutions, capsules, and tablets.

Ibuprofen: It helps to get rid of minor aches, and pains, and also reduces inflammation.

This is usually prescribed for back pain, neck pain, toothache, muscle pain, frozen shoulder, fever, chronic myofascial pain, etc.

It is classified under Nonsteroidal anti-inflammatory drugs. It is available in various forms like Intravenous solution, capsule, suspension, and chewable.

More Information about Tramadol

Tramadol is available in Oral capsules and extended-releasecomes with a dose of 50 mg to 100 mg.

It has a very limited potential for abuse as compared to the medicines under schedule 3. It is recently accepted by the US for medical use.

Tramadol should be kept at room temperature of 25 degrees celsius and away from sunlight and moisture.

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Frequently Question and Answer

What should be the amount of tramadol dose taken by adults for pain?

For mild to severe pain, an adult should take 50 mg to 100 mg of extended-release every 4 to 6 hours. Maximum 400 mg/day.

For chronic pain, an adult should take 100 mg of extended-release every day. Maximum 300 mg/day.

What should be the amount of tramadol dose taken by an old person for pain?

For chronic as well as for mild to severe pain, an old person should take 100 mg of immediate-release every day. Maximum 300 mg/day.

How much dose should a person take who is suffering from kidney or liver problem?

A person having a liver problem should take 50 mg every 12 hours and a person having a kidney problem should not exceed 200 mg per day.

Note* always consult with your doctor for the right amount of doses according to your health condition.

What if I skip my tramadol doses?

You should not be skipping any doses. In case you skip take it immediately as you remember. But if it’s time for the next dose then you should skip the previous dose. Do not consume two doses at the same time.

What is the composition of tramadol?

Tramadol contains 50 mg of tramadol hydrochloride. In addition to that, it contains a mixture of microcrystalline, cellulose, sodium starch glycolate (Type A), silica colloidal anhydrous, and magnesium stearate.

It is a white color tablet in the shape of round, oval and oblong with different imprints (numbers on the tablets).

Is there any interaction of Tramadol with other medicines?

There is nearly 637 medicine that can interact with tramadol. 299 with major, 336 with moderate, and 2 with minor interactions.

• Ambien and Cymbalta come under major interaction.
• Benadryl and Zyrtec come under major interaction.