Tramadol Overview
Strong painkiller tramadol is used to treat moderate to severe pain that is not being treated by other painkillers. A synthetic opioid, tramadol operates on the brain and spine (central nervous system) to lessen pain perception.
Tramadol is available in an extended-release formulation for the continuous management of pain. Tramadol in this form should not be used to treat pain on an as-needed basis.
Precautions
Tramadol should not be used by anyone under the following conditions:
severe respiratory or asthmatic issues;
a gastrointestinal obstruction, such as paralytic ileus;
if you've recently used alcohol, tranquilizers, sedatives, or drugs that contain opiates; or
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If an MAO inhibitor was utilized within the last 14 days (such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine).
A youngster under the age of 12 should not be given tramadol. Anyone under the age of 18 should not be administered Ultram ER.
Anyone under the age of 18 who has recently undergone surgery to remove their tonsils or adenoids should not be given this medication.
Some tramadol users have experienced seizures. You may be more susceptible to seizures if you've ever:
a concussion, epilepsy, or another seizure condition;
addiction to drugs or alcohol; or
a metabolic condition.
Inform your doctor of any of the following to ensure that tramadol is safe for you:
issues with breathing and sleep apnea;
kidney or liver disease
urinary incontinence
issues with your thyroid, pancreas, or gallbladder;
a gastrointestinal condition; or
either a suicide attempt or mental disease.
Tramadol use during pregnancy increases the risk that the unborn child will experience severe withdrawal symptoms that require immediate medical attention.
Before taking tramadol while nursing, consult a doctor. If you observe the nursing infant be really sleepy or breathing slowly, let your doctor know.
Dosage
dose for pain ranging from moderate to severe
Adult dose (18–64 years of age)
Tablet with immediate release:
Typical daily dosage: To attain 200 mg/day, the total daily dosage may be raised by 50 mg as tolerated every 3 days (50 mg 4 times a day).
50–100 mg every 4-6 hours as needed for maintenance.
Maximum daily dose: 400 mg.
Tablet with extended-release:
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Tramadol immediate-release tablets are not currently being taken by you.
The usual starting dose is 100 mg once daily.
Increasing the dosage: Your doctor might gradually raise it by 100 mg every five days.
Maximum daily dose: 300 mg.
If you are currently using tramadol pills with instant release:
Standard starting dose: Based on your prior immediate-release dosage, your doctor will determine your new dosage.
Maximum daily dose: 300 mg.
Child dosage (ages 0–17 years)
dose for children (0–17 years old):
The safety and efficacy of various tramadol dosage formulations for kids remain unknown. They shouldn't be administered to anyone under the age of 18.
Elderly Dosage (ages 65 years and older)
Older folks' livers and kidneys might not function as well as they once did. Your body may metabolize medications more slowly as a result. As a result, a greater amount of the medicine stays in your system for longer. Your chance of adverse consequences increases as a result.
Your doctor might change your dosing regimen or start you at a lesser dose. By doing this, you can prevent your body's concentration of the medicine from rising too high.
Your daily dose of the immediate-release tablet cannot exceed 300 mg if you are over 75 years old.
additional factors
of a kidney condition
If you have significant renal issues, your doctor would probably prescribe you 50–100 mg of tramadol every 12 hours. The daily dosage cap is 200 mg.
If you have serious kidney issues, you should avoid using tramadol extended-release tablets.
a liver condition
If you have serious liver issues, your doctor would probably prescribe you 50 mg of tramadol every 12 hours.
The tablet form of tramadol: If you have serious liver issues, avoid taking the extended-release tablet.
Disclaimer: It is our intention to only give you the most recent and pertinent information. However, we cannot ensure that this list contains all conceivable dosages because medications have varied effects on each individual. This knowledge is not meant to replace professional medical guidance. Always discuss the dosages that are best for you with your doctor or pharmacist.
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