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7:56 PM, agilitydogmom said... Hi Nancy,Thanks so much for your reply. I was able to reach my vet and she authorized giving my dog up to 1/2 a 50 mg tramadol every four to six hours as needed. That really knocked down the pain and life is much more bearable for her now. Of course the leg still hurts like mad if it gets moved or bumped, but she seems to be able to rest comfortably. So far I am really impressed with this med. Even at that high dose she is not out of it. It does make her a little sleepy, which in her current condition is probably a good thing. But she can still get up and navigate properly to go out to go to the bathroom. Every day she seems a little better and I am now giving the pills every six hours instead of every four hours.My vet did say that Tramadol at high dosage is likely to cause constipation, but I feel like that's not nearly as bad of a problem as being in horrible pain. The pain patch you asked about had been applied that morning so it may not have reached full strength yet, which probably contributed to the difficult first night she had.Thanks again, your tramadol page was really helpful to me!
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ULTRAM should not be used in pregnant women prior to or during labor unless the potential benefits outweigh the risks. Safe use in pregnancy has not been established. Chronic use during pregnancy may lead to physical dependence and post-partum withdrawal symptoms in the newborn (see
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For many people, pain is a part of daily life. Since ancient times, people have tried various remedies to relieve pain, including the use of medicinal herbs and even surgery. Narcotics like opium became popular as pain relievers in the nineteenth century. Even heroin has a history of use as a pain medication. In fact, it was originally developed for that purpose. Of course, narcotics are addictive and they have many adverse side effects, including digestive problems, and severe mood disturbances. Narcotics can also interfere with breathing. A better alternative was needed.
8:08 AM, Anonymous said... Is tramadol a good fit for bursitis? I have an almos 11 year-old greyhound, approx. 80#. He has chronic bursitis in his shoulder. It seems to give him quite a bit of pain, either limping profoundly and/or refusing to put weight on the leg while standing. He also pants a lot, especially in the evening. He is currently taking deramaxx but he still pants and my sense is that the deramaxx is relieving the pain some, but not completely. The bursitis seems to get better for a while, and about the time he seems pretty normal in his movements, starts the heavy limping and panting again. I'm wondering if adding tramadol to the deramaxx would be a good protocol for this condition. Are there any other treatments for this condition that I could pursue. What do you think about homeopathic remedies, ointments, etc.?
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The second indication is for dosage titration in chronic pain where aspirin and/or paracetamol alone are inappropriate or have failed. For this indication two repeats may be prescribed, however no application for increased maximum quantities and/or repeats will be authorised. This is the only listing for tramadol which allows for repeats to be written without seeking approval from the Health Insurance Commission (HIC), and is specifically to facilitate dosage titration when initiating therapy with tramadol for chronic pain.
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ULTRAM may impair the mental and or physical abilities required for the performance of potentially hazardous tasks such as driving a car or operating machinery. The patient using this drug should be cautioned accordingly.
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cldh1522 said... Our geriatric dobe X had her first dose of tramadol last night at bedtime. A couple of hours later I noticed her awake and pantingsomething that has never happened beforeI'm sure as a result of the tramadol. I also noticed the panting after her dose this morning. I see panting listed as a side effect on another website. On the other hand, her pain seems to be somewhat diminished. Is there any reason to discontinue the meds because of this?
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Use caution when driving, operating machinery, or performing other hazardous activities. Tramadol may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
Nancy Campbell RVT said... It is listed as contraindicated on the label. I suggest you talk to a pharmacist or your vet. If your vet doesn't know you might suggest he talk to someone in the pharmacy department of a veterinary school or if they're a member of VIN he could post the question there.
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4:12 AM, Anonymous said... I just wanted to comment that although Tramadol is non-narcotic, it still can be addicting in humans. Long term use in animals have not yet been established but if the animal is on Tramadol for an extended period of time, weaning may be necessary to avoid withdrawls, such as with long term use with narcotics. Withdrawls in humans have been documented to be comparable to withdrawl from narcotics such as morphine. These withdrawls have been noted to last from 3 to 5 days in the moderate to severe stages with lingering effects for up to 14 days.Dr.Helena S., DVMCharlotte, NC
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Avoid using drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety). These drugs may slow your breathing or increase drowsiness when used together with tramadol.
M1 is the most significant since it has 200 times the μ-affinity of (+)-tramadol, and furthermore has an elimination half-life of nine hours, compared with six hours for tramadol itself. In the 6% of the population who have slow CYP2D6 activity, there is therefore a slightly reduced analgesic effect. Phase II hepatic metabolism renders the metabolites water-soluble and they are excreted by the kidneys. Thus reduced doses may be used in
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Food and Drug Administration offers a 180 day exclusivity period to generic drug manufacturers in specific cases. During this period only one (or sometimes a few) generic manufacturers can produce the generic version of a drug. This exclusivity period is only used when a generic manufacturer argues that a patent is invalid or is not violated in the generic production of a drug, and the period acts as a reward for the generic manufacturer who is willing to risk liability in court and the cost of patent court litigation. There is often contention around these 180 day exclusivity periods because a generic producer does not have to produce the drug during this period and can file an application first to prevent other generic producers from selling the drug.
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6:59 AM, Anonymous said... I have a 4 YO Irish Setter who was on Previcox for 6 months that caused a perferation in his digestive track that almost killed him. ONly the skills hands of a outstanding surgeon saved him. The surgeon placed him on Tremadol, 3 tabs twice daily. Now another vet says thats too much and that he should not be put on Tremadol for the long term. Ruben has spondylosis that is symptomatic. Can Tremadol be used long term? If not what else would you recommend? Thanks
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if you are pregnant, planning to become pregnant, or are breast-feeding if you are taking any prescription (especially depression medicines) or nonprescription medicine, herbal preparation, or dietary supplement if you have allergies to medicines, foods, or other substances if you are allergic to codeine, a codeine-related medicine (eg, hydrocodone, dihydrocodeine, oxycodone), morphine, or a morphine-related medicine (eg, hydromorphone) if you have a history of alcohol abuse, substance abuse, or suicidal thoughts or behaviors if you have or recently have had any head injury, brain injury or tumor, increased pressure in the brain, or infection of the brain or nervous system if you have a history of stomach or intestinal problems, asthma or other lung or breathing problems, epilepsy, seizures, or chronic inflammation or ulceration of the bowels if you have had recent abdominal surgery if you have heart problems, liver problems (eg, hepatitis), kidney problems, thyroid problems, enlargement of the prostate gland, or urinary problems Some MEDICINES MAY INTERACT with Tramadol . Tell your health care provider if you are taking any other medicines, especially any of the following:
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8:38 PM, Susan in Montana said... I have a question about Tramodoland Deramaxx, too, I guess. My vet had prescribed Deramaxx for our 10-year-old Golden Retriever's arthritis and I had been giving him the maximum dose since last summer. A few weeks ago I took him in to the vet. They did some blood tests and discovered elevated creatinin, indicating decreased kidney function. We did two more blood tests after that, finding that his creatinin was indeed elevated. The vet took him off the Deramaxx and put him on Tramadol. I am concerned because some websites say that Tramadol is not good if a dog has compromised kidney function. I am noticing also that he is now drinking more wateris this a good sign or a bad sign? Is the decreased kidney function from the use of Deramaxx permanent? Thanks so much for your help.
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paul said... We have a 4 mo. old Rat Terrier whose back legs twitch a lot and when she stands she bounces as if she cannot hold hewrself up erect on her hind legs. One vet thinks distemper, however no other signs, a second vet seems to thin k possible spinal injury, x rays do not prove or disprove. The vet who feels it is distemper prescribed Tramadol today 1/4 of 50mg 2xday, she weighs 7lbs. At times cries when trying to relax and go to sleep, it breaks your heart, any suggestions/solutions.Thanks
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Sandi Lavoie said... My 7 year old rottie named Nikki was diagnosed yesterday after bloodwork and X-rays with pancreatitis. She weighs 105 pounds. Yesterday my vet gave subcutaneous fluids, antibiotics and pepcid as a treatment plan but did not prescribe anything for the pain. After a sleepless night for both myself and Nikki, I called the vet this morning to let her know that Nikki was in pain and needed something to help with that. The vet prescribed tramadol 50mg TID. I am curious if this sounds to be an appropriate dosage for a dog Nikki's size? Also, could you give me ideas of possible side effects, if any, to look for. Nikki is no stranger to pain. By the time she was one years old, she had both back knees operated on. So when she started crying yesterday and her demeanor completely changed, I knew something was severly wrong with her. She received her first dose of tramadol two hours ago and is sleeping now. However, she seems to wake up and whine a bit. The whining is different than the crying she was doing yesterday and earlier this morning. I do not want to be a paranoid "mom" but the vet we saw yesterday was covering for Nikki's regular vet and she does not know Nikki well, nor do we know her. I want to do what is best for Nikki and always try to keep her first in my thoughts. If you could give me any suggestions, I would appreciate it very much.Thank you in advance for any comments you can pass on to me.
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7:30 PM, Anonymous said... My dog was prescribed Tramdol after surgery they said as needed for pain for 3-5 days. She did not seem to be that bad off,but then I read on-line better to give it before pain is severe, so I just gave it. Then my friend over says she is in pain, but he is an ass, and I do not think she was and I gave it again anyhow. She whines so so so bad and falls to sleep immediately, I gave her two doses today and I will not give it to her again. She hates it like she looks at me like Mama you drugged me again. I can tell she hates it the speciality hospital she was at, which is said to be the best in NY(LIVS) probably gave too hish a dose (.10 ml q 8h prn. But they did not put shake well or refrigerate on bottle, they also do not communicate at all with you, and she was in to be spayed and they decided to operate on her bladder b/c they found a "pocket". I did not authorize this procedure nor would I have she was not having any symptoms. Icannot get an answer to what was wrong, one Dr. says cystitis, the other says a pocket, the other says a birth defect - a hole. I ask specifically to Dr. Inferno: "are there any side effects/problems/symptoms I can expect and he says NO, I call twice later that day , finally get a call back, ask him about her posturing every twenty seconds, and no urine coming out, and he says that is normal, to be expected. I asked, why when I specifically asked earlier you did not say this, he just repeated it is normal, but she was not doing it at their hospital. I asked if they took her out of her crate to evaluate her at all, b/c she would most likely not do this on herself in a crate. No, they had not. She went from a perfectly healthy dog to a poor uncomfortable distressed little thing, and they claim they did the right thing. I feel like calling up "Dr." Infernaro and telling him, "Rosie is doing backflips and whistling Dixie", and he would, pre programmed, indicate that this is normal. I feel violated, raped, like I had and have no control over the life and health of my dog, they took away her quality of life and no one gives a shit. She is just 5.5 months old. I am getting myself so worked up already. And I just have to sit here and take it, there is no justice but vigilante justice. My puppy is my child, my baby, and these animals destroyed her. Tell me how you do surgery without authorization? How?
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cldh1522 said... Our geriatric dobe X had her first dose of tramadol last night at bedtime. A couple of hours later I noticed her awake and pantingsomething that has never happened beforeI'm sure as a result of the tramadol. I also noticed the panting after her dose this morning. I see panting listed as a side effect on another website. On the other hand, her pain seems to be somewhat diminished. Is there any reason to discontinue the meds because of this?
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12:03 PM, Anonymous said... My 5 year old lab/German Shepard mix died last night. I probably will never know why, but she was on Tramadol. She had a slipped disk at the base of her neck and Tramadol and Rimadryl were prescribed. That didn't work, so x-rays were taken and they then prescribed prednisone only. She was fine for a few days and then started walking funny. I called the vet and was told to put her back on the Tramadol. Within an hour, she started losing the use of her legs. She laid on her side (we kept rotating her) for two days and then she just passed. I guess I'll never know, but I somehow believe that the Tramadol didn't help her situation.
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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. How should I take tramadol?
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Tramadol has a dose-dependent efficacy that lies between that of codeine and morphine, with a parenteral potency comparable to that of pethidine, i.e. about 10-20% of the gold standard morphine.
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The effect of Ultram, if any, on the later growth, development, and functional maturation of the child is unknown.
I take Tramadol for Fibramyalgia. It's been like a God send. It's the only thing that has helped the pain . I would ask your doctor if you could try it. My doctor would NOT prescribe it until I went off my antidepressant Prozac. He put me on Cymbalta instead and I have had great results.
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