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103 comments for is tramadol apap good for painComment #243: cheaptramadol ...Gender, occupational, and socioeconomic correlates of alcohol and drug abuse among U.S. rural, metropolitan, and urban residents". American Journal of Drug and Alcohol Abuse.
Tramadol is called Ultram in the U.S, it appears on the site under that name, but I've never heard it called that in England. I've been taking Tramadol for three years, and although it helped with the pain initially the side effects are dramatic. It now no longer helps the pain, but my body is completely addicted, so I'm attempting to come off them slowly. They make me tired a lot of the time, faint, nauseous, very dehydrated, I have to sleep for much longer periods, sleep is unpleasant and interrupted, and I get viruses very easily. I think it could be advisable to take Tramadol in very acute periods of RSD, but not long term. Lucy - Oxford, England I have been taking Pregabelin (Lyrica) for a number of weeks now, along with Tramadol. I am very aware that when I take a full dose of both drugs together I feel a very strange almost "spaced out" feeling. I feel unsteady on my feet and find it difficult to walk a few yards without having to hold on to something to steady myself. If I reduce the Pregabelin dose it is a bit better. I would be interested to hear from anyone with similar experiences when using both drugs. Andy - Taunton, Somerset, UK
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Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, headache, or weakness may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.To prevent constipation, maintain a diet adequate in fiber, drink plenty of water, and exercise. If you are taking tramadol regularly, it may be useful to start using a laxative right away instead of waiting until you become constipated. Consult your pharmacist for details regarding the correct use of laxatives (e.g., stimulant-type with stool softener).Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: mental/mood changes, unusual or extreme stiffness in the muscles, shaking (tremor), severe stomach/abdominal pain, change in the amount of urine, vision changes.Tell your doctor immediately if any of these rare but very serious side effects occur: slow/shallow breathing, seizures, fever/flu-like symptoms.A very serious allergic reaction to this drug (which may occur as early as the first dose) is rare. However, seek immediate medical attention if you notice any of the following symptoms: rash, itching, swelling (especially of the lips, tongue, or throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
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Nancy Campbell RVT said... Suz, the best relief for your friend is likely to be amuputation. The dose you mentioned for Tramadol is 1/10 of a pill so I'm am assuming you meant 50mg and with the Rimadyl which helps with any inflammation *some* relief may be afforded, but not what amputation is more apt to give. My heart goes out to you and your family. May you find peace and love in the days to come.
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Se ha comprobado que interactua con otros antidepresivos(IRSN ,IMAO)por lo tanto, no se deben tomar junto con Tramadol.
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Kathy said... Last week my dog could not get up so I called my vet. She said to give the dog Tramadol HCI 50 mg which I did. But I also gave the dog a previcox tablet for arthritis. Well, by that evening she begged to go out and I let her without supervision and she got into the neighbor's garabage! The next day she had diarrhea so I cut off the medicine. Our vet was also trying to determine if Lucy had Cushing Disease. The next day my dog died and I don't know if I mixed the wrong medicines, the dog got into the wrong garbage or the Cushing Disease did her in. She's had symptoms of the disease for over a year. I think she died of a heart attach because her chest heaved several times. What do you think she died of?
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At Tramadol, we offer a wide variety of prescription medications, all prescribed by our US Doctors, and all FDA approved. Many other sites offering these same medications are located out of the country, with shipping often taking upwards of two weeks. Being located in the US, our customers can be sure of the quality of the medication they are receiving, and can be sure that they will get it in a timely manner.
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Abdominal or stomach conditions (severe)—Tramadol may hide signs of other medical conditions.Addiction problems orSuicidal—Tramadol should not be used. Alcohol or drug abuse, or history of—May increase the serious side effects of tramadol.Epilepsy orHistory of seizuresIncreased risk for seizures caused by alcohol and drug withdrawal, brain or spinal cord infections, or head trauma—Risk of seizures may be increased. Head injury—Tramadol can hide signs of other medical conditions. Kidney disease orLiver disease—The chance of side effects may be increased. Your doctor will consider this when deciding on your doses.
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Metabolism: Tramadol is extensively metabolized after oral administration. Approximately 30% of the dose is excreted in the urine as unchanged drug, whereas 60% of the dose is excreted as metabolites. The remainder is excreted either as unidentified or an unextractable metabolites. The major metabolic pathways appear to be N- and O-demethylation and glucuronidation or sulfation in the liver. Only the one metabolite (mono-O-desmethyltramadol denoted M1) is pharmacologically active. Production of M1 is dependent on the CYP2D6 isoenzyme of cytochrome P-450.
The effects of long-term opioid intake on the development of tolerance, physical dependence and psychological addiction are reduced with tramadol use. In an experimental setting, it was demonstrated that even experienced opioid users could not recognise tramadol in lower doses as an opioid,
Tramadol may cause drowsiness and dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Tramadol with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Tramadol ; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness. Tramadol may cause dizziness; alcohol, hot weather, exercise, or fever may increase this effect. To prevent it, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of this effect. Tell your doctor or dentist that you take Tramadol before you receive any medical or dental care, emergency care, or surgery. Use Tramadol with caution in the ELDERLY; they may be more sensitive to its effects. Tramadol should not be used in CHILDREN younger than 16 years old; safety and effectiveness in these children have not been confirmed. PREGNANCY and BREAST-FEEDING: Tramadol has been shown to cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Tramadol while you are pregnant. Tramadol is found in breast milk. Do not breast-feed while taking Tramadol . When used for long periods of time or at high doses, Tramadol may not work as well and may require higher doses to obtain the same effect as when originally taken. This is known as TOLERANCE. Talk with your doctor if Tramadol stops working well. Do not take more than prescribed.
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Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Seek emergency medical attention if you think you have used too much of this medicine. A tramadol overdose can be fatal. Overdose symptoms may include drowsiness, shallow breathing, slow heartbeat, extreme weakness, cold or clammy skin, feeling light-headed, fainting, or coma.
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Tramadol or tramadol/paracetamol decreases pain intensity, produces symptom relief and improves function, but these benefits are small. Adverse events, although reversible and not life threatening, often cause participants to stop taking the medication and could limit tramadol or tramadol plus paracetamol usefulness.
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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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Con las primeras dosis de tramadol puede aparecer náuseas y vómitos que suelen desaparecer si se tumba durante un rato. Si estos efectos continúan, consulte a su médico o farmacéutico.
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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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Take Tramadol by mouth with or without food. If you miss a dose of Tramadol , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once. Ask your health care provider any questions you may have about how to use Tramadol .
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PRECAUTIONS: Tell your doctor your medical history, especially of: kidney disease, liver disease, seizure disorder, lung disease, history of drug or alcohol dependency, any allergies you may have. Limit alcohol as it may add to the dizziness or drowsiness effects caused by the medication. Because Tramadol may make you dizzy/drowsy, use caution performing tasks requiring alertness such as driving. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Tramadol is excreted into breast milk. Because the effects on a nursing infant are not known, consult your doctor before breast- feeding.
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Take this medication with a full glass of water. Tramadol can be taken with or without food, but take it the same way each time.
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Tramadol comes as a tablet and an extended-release (long-acting) tablet to take by mouth. The regular tablet is usually taken with or without food every 4-6 hours as needed. The extended-release tablet should be taken once a day. Take the extended-release tablet at about the same time of day every day, and either always take it with food or always take it without food. Take tramadol exactly as directed. Do not take more medication as a single dose or take more doses per day than prescribed by your doctor. Taking more tramadol than prescribed by your doctor may cause serious side effects or death.
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8:31 AM, Anonymous said... Just an update, my dog has moved his bowels (quite heartily) today. I will update whether or not this has fixed the situation or not later. Right now he still acts a little skittish and is still tender, but I am hoping that he will improve now that this has happened. If not, then I am back to square one on what is causing the pain, but I can probably rule out gastrointestinal if that didn't fix it. His stool was firm, but not dry. Basically normal, but a larger amount than usual.-TS
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6:31 PM, Anonymous said... We are seeing noticable improvments today. Our dog is still tender and will even squeal pretty good when he wakes up from a nap, or gets up too fast - but his behavior is markedly different. He seems so much more like his usual self. He had been going into a bathroom on the ground floor and sleeping most of the day. Tonight he came out and wanted to be on the couch with us again while we watched TV.We go to one prednisone per day now, and I have been easing back on the tramadol with only 4mg (instead of 5mg) per dose now. I'll try to ease that down as we get near the 14 days so that we run less of a risk of withdrawal symptoms. I'll update again in a few days or if anything changes.
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1:54 PM, Anonymous said... Well, my Beagle is having the same problems TS. She has a two narrowed disc spaces and we are trying our best to treat this at home.She is on Tramadol (3 -50 mg pills a day), Predisone (2 pills a day for 5 days and then 1 pill a day for 5 days). I do give her a 1/4 pill of Pepcid A/C with the Predisone, the neurologist seems to think it will help with any vomitting problems that could arise.All she has done is sleep. Which is great because for the past 5 days she has been panting, shivering and whining. Now we have not been able to get her to go BM. She never lost movement and her reflexes are great so the Dr. thought the disc was just putting very light pressure on the cord itself.I hope your pup gets better and I hope mine will to. It is so hard to see your baby in pain.
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I starting taking Tramadol in December 05. It was great; immediately I no longer had any pain and on the plus side I actually felt really well. The side affect of constipation was a small price to pay and went when I decreased to just 1 tablet a day. Two days ago I decided to completely stop taking Tramadol. For the past two days I have felt like I have flu with hot sweats, chills, shakes and a general feeling that my mind is not in sinc with any movement my body makes. Worse, last night I paced the floor for hours anxious, shaking and unable to relax enough to sleep, I felt terrible. Today, feeling worse, I had to come home from work and searched the internet for informaton about Tramadol and thankfully found this website. I took a Tramadol three hours ago and already I'm starting to feel "normal" again. I'm off to the Doctors tomorrow to start slowly decreasing the dose to get off this drug before it takes over completely. I did not expect withdrawal symptons as I was told by the specialist who put me on it that I could take it as long as I wanted as it was not addictive. I disagree; there should be a warning about Tramadol! Carol - Chester, UK
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4:42 PM, Anonymous said... I just brought my dog to the vet last sunday and the vet gave me tramadol 50mg one pill every 12 hours she is 57 lbs. I noticed when I gave her the pill she started to shack and she became disoriented and lost the function in her three legs. She can't walk now. A couple of days ago she was running and playing. When I called the vet to see if it was the tramadol he just made excuses and said she came in not being able to use her front paw or back legs. This was truley a lie. I asked how long it take the tramadole to ware off he said 24 to 48 hours. It has been 24 hours and she still cant walk. What do you know about tramadol and do you know if my dog will return back to normal.
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