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199177 tn?1490498534

REPOST ON TRAMADOL

I have seen alot of info latley on tramadol some every incorrect .So I thought I would put some infromation together so everyone will have a better understanding of it .

It is addicting
You do have ephoria
It should NOT be used by ANYONE with addiction issues.

What is the most important information I should know about tramadol?
Physical Dependence and Abuse

ULTRAM may induce psychic and physical dependence of the morphine-type (μ-opioid) (see DRUG
ABUSE AND DEPENDENCE). ULTRAM should not be used in opioid-dependent patients. ULTRAM
has been shown to reinitiate physical dependence in some patients that have been previously dependent on
other opioids. Dependence and abuse, including drug-seeking behavior and taking illicit actions to obtain
the drug, are not limited to those patients with prior history of opioid dependence

You should not take tramadol if you have ever been addicted to drugs or alcohol.
Seizures (convulsions) have occurred in some people taking tramadol. You may be more likely to have a seizure while taking tramadol if you have a history of seizures or head injury, a metabolic disorder, or if you are taking certain medicines such as antidepressants, muscle relaxers, or medicine for nausea and vomiting.

Take tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Do not take more than 300 milligrams of tramadol in one day.

Seek emergency medical attention if you think you have used too much of this medicine. A tramadol overdose can be fatal. Overdose symptoms of a tramadol overdose may include drowsiness, shallow breathing, slow heartbeat, extreme weakness, cold or clammy skin, feeling light-headed, fainting, or coma. Tramadol may be habit-forming and should be used only by the person it was prescribed for. Tramadol should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. Tramadol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Do not stop using tramadol suddenly, or you could have unpleasant withdrawal symptoms such as anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Do not crush the tramadol tablet. This medicine is for oral (by mouth) use only. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhalation or injection can cause life-threatening side effects, overdose, or death.

What is tramadol?

Tramadol is a narcotic-like pain reliever.

Tramadol is used to treat moderate to severe pain. Tramadol extended-release is used to treat moderate to severe chronic pain when treatment is needed around the clock.

Tramadol may also be used for other purposes not listed in this medication guide.


What should I discuss with my healthcare provider before taking tramadol?

You should not take tramadol if you have ever been addicted to drugs or alcohol, if you are currently intoxicated (drunk), or if you have recently used any of the following drugs:
alcohol;

narcotic pain medicine;

sedatives or tranquilizers (such as Valium);

medicine for depression or anxiety;

medicine for mental illness (such as bipolar disorder, schizophrenia); or

street drugs.

Seizures have occurred in some people taking tramadol. Your risk of a seizure may be higher if you have any of these conditions:

a history of drug or alcohol addiction;

a history of epilepsy or other seizure disorder;

a history of head injury;

a metabolic disorder; or

if you are also taking an antidepressant, muscle relaxer, or medicine for nausea and vomiting.

Talk with your doctor about your individual risk of having a seizure while taking tramadol.

Before taking tramadol, tell your doctor if you are allergic to any drugs, or if you have:

kidney disease;

liver disease;

a stomach disorder; or

a history of depression, mental illness, or suicide attempt.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take tramadol.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tramadol may also cause serious or fatal side effects in a newborn if the mother uses the medication during pregnancy or labor. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Tramadol can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Tramadol should not be given to a child younger than 18 years of age.
Tramadol may be habit-forming. Tell your doctor if you feel the medicine is not working as well in relieving your pain. Do not change your dose without talking to your doctor. Do not stop using tramadol suddenly, or you could have unpleasant withdrawal symptoms such as anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Store tramadol at room temperature away from moisture and heat. Keep track of how many pills have been used from each new bottle of this medicine. Tramadol is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription
Seizure Risk
Seizures have been reported in patients receiving tramadol within the recommended dosage range. Spontaneous post-marketing reports indicate that seizure risk is increased with doses of tramadol above the recommended range. Concomitant use of tramadol increases the seizure risk in patients taking:

•Selective serotonin re-uptake inhibitors (SSRI antidepressants or anorectics),
•Tricyclic antidepressants (TCAs), and other tricyclic compounds (e.g., cyclobenzaprine, promethazine, etc.), or
•Other opioids.
Administration of tramadol may enhance the seizure risk in patients taking:

•MAO inhibitors (see also WARNINGS - Use with MAO Inhibitors),
•Neuroleptics, or
•Other drugs that reduce the seizure threshold.
Risk of convulsions may also increase in patients with epilepsy, those with a history of seizures, or in patients with a recognized risk for seizure (such as head trauma, metabolic disorders, alcohol and drug withdrawal, CNS infections). In tramadol overdose, naloxone administration may increase the risk of seizure.

Suicide Risk

•Do not prescribe ULTRAM ER for patients who are suicidal or addiction-prone.
•Prescribe ULTRAM ER with caution for patients taking tranquilizers or antidepressant drugs and patients who use alcohol in excess.
•Tell your patients not to exceed the recommended dose and to limit their intake of alcohol.
Serotonin Syndrome Risk

The development of a potentially life-threatening serotonin syndrome may occur with use of tramadol products, including ULTRAM ER, particularly with concomitant use of serotonergic drugs such as SSRIs, SNRIs, TCAs, MAOIs and triptans, with drugs which impair metabolism of serotonin (including MAOIs) and with drugs which impair metabolism of tramadol (CYP2D6 and CYP3A4 inhibitors). This may occur within the recommended dose. (See CLINICAL PHARMACOLOGY-Pharmacokinetics).

Serotonin syndrome may include mental-status changes (e.g., agitation, hallucinations, coma), autonomic instability (e.g., tachycardia, labile blood pressure, hyperthermia), neuromuscular aberrations (e.g., hyperreflexia, incoordination) and/or gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea
9 Responses
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401095 tn?1351391770
and i also hav to admit that i WORRY too much at times...working on it..hence my name
Helpful - 0
401095 tn?1351391770
but i know i wont see her for a while..i already know...she works 3-11 and i take my lunch to meet her at our gym...i texted her today...."not today"  and she will not meet me until she gets them again....and i do wish her so much luck...but like i said...this is over and over and over...i want to support her ,,,but now i just nod....i hope this is it....but i just can not take on this over and over stuff

obviously i have some guilt here as i try and be a good friend..and i know i am..but she is just not available most of the time......and i have to realize that this is out of my control
Helpful - 0
Avatar universal
it's amazing all the info.out there.sometimes i think we know more than the doctors.i think thats part of the problem.i forgot who,but somebody on this forum said all pain specialists should be given enough opiates for a period of time and then cut them off cold turkey so they know what its really all about.
Helpful - 0
199177 tn?1490498534
Worried they really are and then depression is soooo bad when you come off of them that makes it even harder to stop taking them  .Exercise durning wd seemed to help me the most I truly think.
Helpful - 0
401095 tn?1351391770
sad story so do not read if not in the mood

my friend/a feelow nurse who quit the tabs with me used trams for detox..then she quit those and never really kicked em..kicked the tabs but it became her new doc....i feel for her as she runs out of trams every 2 weeks and pops 8 at a time...she has told me so many times she was quitting...she told me 2 days once again while we were riding the bike at the gym...i said "how many did u take today" as she was very cheerful   she said 8 just an hour ago....how many do u have left i asked....11 she said,....how can u taper with 11 i ask...oh i will take those tomorrow and deal with it!   and she does...she goes into a deep hole and doesnt come out for 2 weeks till she gets more...when she said she was quitting..again...i looked at her like  yey right...felt bad about it and when we left i said call if u need help


sad but i know she wont as this is over and over and over...i do not mean to be negative but trams are difficult to kick..they make her "happy" and nothing else does
Helpful - 0
199177 tn?1490498534
This is stright from ultrams site Mechanism of Action
ULTRAM ER is a centrally acting synthetic opioid analgesic. Although its mode of action is not completely understood,
from animal tests, at least two complementary mechanisms appear applicable: binding of parent and M1 metabolite
to μ-opioid receptors and weak inhibition of reuptake of norepinephrine and serotonin
Helpful - 0
199177 tn?1490498534
here is some more info   Tramadol, a synthetic opioid of the aminocyclohexanol group, is a centrally acting analgesic with weak opioid agonist properties, and effects on noradrenergic and serotonergic neurotransmission. In addition, these opioid and nonopioid modes of action appear to act synergistically. Tramadol has been shown to provide effective analgesia after both intramuscular and intravenous administration for the treatment of postoperative pain.
Helpful - 0
Avatar universal
yes tramadol is a NARCOTIC-LIKE pain reliever,but not considered a narcotic or an opiate.i think it should be,alot of the posts on this forum are about tramadol(ultram). why isn't it considered an opiod,synthetic opiod or a narcotic,i don't know excecpt it does work on the same receptors as a narcotic.call any pharmacist and they can explain it.it has been a curious topic for a few days.
Helpful - 0
684343 tn?1231430840
I think it was very kind of you to put all the info up like that..I too read some unrealistic information on Tramadol on here, when i was out of vicidan and wanted to feel a lil "high"I would take tramadol..my doc was xanax-but sometimes i took a whole bunch of vicidan or tramadol...you are right it is addicting, i know first hand and my father is highly addicted to it as well.
Helpful - 0
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