Tramadol: functions, dosage, side effects, how to use

What Drug Tramadol?

What is the drug tramadol?

Tramadol is a drug used to help reduce moderate to severe pain. The drug tramadol is a drug similar to a narcotic analgesic.

Tramadol works in the brain to change how the body feels and responds to pain.

What are the rules for using the drug Tramadol?

Tramadol drug is a type of drug that is taken orally or by mouth according to the doctor's instructions. This drug is usually taken for 4-6 hours as needed to reduce pain. You can take tramadol with or without food.

If you experience nausea, try taking tramadol at the same time or perss after you eat. Ask your doctor or pharmacist for a solution to any nausea you may be feeling (for example lying down for 1-2 hours with as little head movement as possible).

The dosage is based on your health condition and how your body responds to treatment. To reduce the risk of side effects, your doctor may ask you to start a low dose of medication and slowly increase the dose. Follow the doctor's instructions carefully.

Do not increase your dose, take the medication more often, or take it for longer than prescribed. Stop taking this medication if instructed by your doctor.

Painkillers will work more optimally if used immediately when new signs of pain appear. If you wait until the pain is severe, the medication may not work too well.

If you have chronic or prolonged pain (such as arthritis), your doctor may ask you to also take narcotic drugs.

Other non-narcotic painkillers (such as acetaminophen, ibuprofen) may also be prescribed at the same time as this medication. Ask your doctor or pharmacist if you have any questions about using the drug tramadol with other drugs.

Tramadol is a drug that may cause addictive reactions, especially if it has been used routinely for a long time or in high doses.

To prevent this, the doctor may reduce the dose slowly. Contact your doctor or pharmacist for more details, and report any symptoms of addiction if you experience them.

If the drug tramadol is used for a long time, its efficacy may decrease. Talk to your doctor if tramadol is not working well anymore.

Tramadol is a drug that is also possibly (though rarely) addictive. This risk increases if you have abused alcohol or drugs in the past.

Take this medication as prescribed to prevent the risk of addiction. Tell your doctor if pain persists or gets worse.

How is tramadol stored?

Tramadol is a drug that is best stored at room temperature, away from direct light and damp places. Don't keep it in the bathroom. Don't freeze it. Other brands of the drug tramadol may have different storage rules.

Observe the storage instructions on the product package or ask your pharmacist. Keep all medicines away from children and pets.

Do not flush medicines down the toilet or down the drain unless instructed to do so. Discard tramadol products when the drug has expired or when it is no longer needed.

Consult your pharmacist or local waste disposal company about how to safely dispose of your product.

Tramadol dosage

The information provided is not a substitute for medical advice. ALWAYS consult your doctor or pharmacist before starting treatment.

What is the dose of tramadol for adults?

The maximum recommended dose is 400 mg per day. If you are 75 years or older, the recommended dose is 300 mg per day.

To treat chronic pain that is mild to severe and does not require a rapid analgesic effect, you can use the initial dose of 25 mg every morning.

• For the use of the dose to be increased, use as much as 25 mg gradually in divided doses every 3 days to reach 100 mg per day, in the form of a dose of 25 mg orally 4 times a day.
• The total daily dose can be increased to 50 mg according to tolerance every 3 days to reach 200 mg per day, in the form of a 50 mg dose taken 4 times per day.
• Treatment: After titration, tramadol 50 mg to 100 mg can be given as needed for pain relief every 4-6 hours, not to exceed 400 mg per day.

Chronic pain is moderate to severe in adults who need comprehensive treatment for their pain over a longer period

• Initial dose: 100 mg once a day and increased if necessary gradually as much as 100 mg every 5 days for pain relief and depending on body tolerance.
• Maximum dose: The extended-release tablet should not be given in doses exceeding 300 mg per day

For patients who require a rapid analgesic effect and for patients whose condition is in urgent need of this drug, they can ignore the risks that could arise from higher initial doses. Give in a dose of 50 mg to 100 mg can be given as needed for pain relief every 4 to 6 hours, not to exceed 400 mg per day.

The dose of tramadol given may vary depending on the patient's needs and tolerance. The maximum dose is 300 mg per day, do not use more than that.

What is the dose of tramadol for children?

Usage from 4 to 16 years of age:

• Immediate release formulation: 1 to 2 mg / kg / dose divided every 4-6 hours
• Maximum single dose: 100 mg
• The maximum total daily dose is lower than: 8 mg / kg / day or 400 mg / day

For use 16 years and over:

• Initial dose: 50 to 100 mg, given divided every 4-6 hours
• Maximum dose: 400 mg / day

Alternatively, for patients who do not need immediate effects, the side effects of this drug can be reduced by starting the dose at 25 mg / day and increasing it by 25 mg every 3 days to a maximum of 25 mg 4 times a day.

The dose can then be increased by 50 mg every 3 days as tolerated, to 50 mg 4 times a day. The maximum dose is 400 mg per day

In what doses is this drug available?

Tramadol is a drug that is available in tablets and capsules of 100 mg, 200 mg, and 300 mg.

Tramadol side effects

What effects of tramadol might I have?

Seek immediate medical help if you experience an allergic reaction to the effects of tramadol such as:

• itchy rash
• skin rash
• difficulty breathing
• swelling of the face, lips, tongue, or throat

The following are other side effects of tramadol that are more serious:

• agitation, hallucinations, fever, fast heartbeat, reflex overactivity, nausea, vomiting, diarrhea, loss of coordination, fainting
• convulsions
• a red, blistered skin rash
• shallow breath, weak pulse.

Other less serious side effects of tramadol include:

• dizzy, the room like spinning
• constipation, stomach churn
• headache
• sleepy
• feeling nervous or anxious.

Not everyone experiences these side effects. There may be some effects of tramadol not listed above.

If you have any concerns about the effects of a particular tramadol, consult your doctor or pharmacist.

Warnings and Cautions

What should I know before taking tramadol?

Before using tramadol drugs, consider the risks, benefits and side effects of tramadol first. This is a decision you and your doctor will have to make. For the drug tramadol, things to note are:

1. Allergies

Tell your doctor if you have any unusual or allergic reactions to tramadol or other medications. Also tell your doctor if you have any other types of allergies such as to food, coloring, preservatives, or animal allergies.

2. Children

Adequate research has not been conducted on the relationship between age and the effects of Rybix ™ ODT, Ryzolt ™, and Ultram® tablets in children under 16 years. Safety and efficacy have not been determined.

3. Elderly

Research to date has not demonstrated specific problems for elderly patients, which necessitate limiting the use of tramadol in the elderly.

However, older patients are more likely to have side effects (such as constipation, dizziness or fainting, stomach pain, weakness) and some age-related problems.

Dosage adjustments and special attention may be needed for those with liver, kidney, or heart problems.

Addiction as a dangerous effect of tramadol

Someone who is addicted to the drug tramadol is a person who usually will have a dangerous physical dependence. Addicts tend to continue to take tramadol drugs to relieve pain and aches suffered.

The effects of tramadol are not only addictive but also usually cause side effects of tramadol, such as nausea, vomiting, constipation, dizziness, drowsiness and headaches that can occur at any time while you are still taking these drugs.

In these cases, addiction symptoms (such as fatigue, watery eyes, runny nose, nausea, sweating, muscle aches) may appear if you suddenly stop taking the drug tramadol.

Then the worst thing, addiction as a side effect of tramadol can cause death and decreased brain function.

If the addict starts to stop consuming it, his body will cause a withdrawal symptom (withdrawal). Symptoms of tramadol withdrawal include:

• Diarrhea
• Sweating
• Restless leg syndrome
• Stomach ache
• Nausea
• Muscle ache
• Anxiety
• Insomnia
• Tremor

Is this drug safe for pregnant and lactating women?

There is no adequate research on the risks of using the drug tramadol in pregnant or breastfeeding women. Always consult your doctor to weigh the potential benefits and risks before using this medication.

The drug tramadol is a drug that is included in the risk of pregnancy category C according to the United States Food and Drug Administration (FDA). The following references the pregnancy risk categories according to the FDA:

• A = Not at risk
• B = No risk in several studies
• C = May be risky
• D = There is positive evidence of risk
• X = Contraindicated
• N = Unknown

Tramadol Drug Interactions

What medicines may interact with tramadol?

Although some drugs should not be taken at the same time, your doctor may ask you to take two types of drugs that have the potential to interact with each other.

In such cases, the doctor may change the dose, or take other preventive measures as needed. Tell your doctor if you are taking any other over-the-counter or prescription drugs.

Concomitant use of the drug tramadol with the following drugs is not recommended. Your doctor may decide not to give you the drug tramadol or change other medicines that you are taking.

• Naltrexone
• Rasagiline
• Selegiline

Using tramadol with some of the drugs below is not usually recommended, although in some cases it may be necessary. If both drugs are prescribed for you, your doctor will usually change the dosage or determine how often you should take them.

• Acetophenazine
• Amphetamine
• Bromperidol
• Buspirone
• Carbamazepine
• Carbinoxamine
• Ceritinib
• Chlorpheniramine

Taking tramadol with the drugs below can increase your risk of side effects. However, in some cases, a combination of the two may be the best treatment.

If both drugs are prescribed for you, your doctor will usually change the dosage or determine how often you should take them.

• Digoxin
• Perampanel
• Quinidine
• Warfarin

Can food or alcohol react with this medicine?

Certain drugs should not be used with meals or with certain foods because tramadol drug interactions can occur.

Smoking or consuming alcohol with certain drugs can also cause interactions to occur. Discuss your use of drugs with food, alcohol, or tobacco with your health care provider.

What health conditions can affect the performance of this drug?

Any other health conditions you have can affect the use of the drug tramadol. Always tell your doctor if you have other health problems, especially:

• Alcohol abuse, still or never
• CNS depression, still or never
• Drug use, still or has
• Head wound
• Hormone problems
• Increased pressure on the head
• Central nervous system (CNS) infection
• Mental breakdown, still or never
• Phenylketone allergy
• Respiratory depression (hypoventilation or slow breathing)
• Seizures or epilepsy, still or have
• Severe stomach problems - Use with caution. The chance of serious side effects may increase
• Lung or breathing problems (such as asthma, hypercapnia) that is severe - This medicine should not be used
• Kidney illness
• Liver disease (including cirrhosis) - Use with caution. The effect can be increased because the process of removing drugs from the body is slower
• Phenylketonuria —Tablets that dissolve in the mouth contain phenylalanine, which can make your condition worse.

Tramadol overdose

What should I do in an emergency or overdose?

In case of an emergency or overdose, contact the local emergency services provider (112) or immediately to the nearest hospital emergency department.

Symptoms of an overdose include:

• Decreased pupil size (dark circle in the middle of the eye)
• Difficulty breathing
• Severe drowsiness
• Unconscious
• Coma (loss of consciousness over a period of time)
• Heart rate slows down
• Weak muscles
• Cool, clammy skin

What should I do if I miss a dose?

If you miss a dose of the drug tramadol, take it as soon as possible. However, when it is nearing the time of the next dose, skip the missed dose and return to the usual dosing schedule. Don't double the dose.