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159 comments for tramadol hcl tevComment #189: is ultram 300 er more powerful than tramadol 50mg ...If your doctor has told you to take tramadol regularly, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
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11:47 AM, Anonymous said... My 8 mo. old female Sheltie is being spayed tomorrow. I am researching meds as I do not want her to come home on Rimadyl based on the reaction of our male Sheltie to Rimadyl. Would Tramadol be a suitable choice in this circumstance?
... Comment #72: tramadol with antidepressant ...In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.
Seizures have been reported in patients receiving ULTRAM within the recommended dosage range. Spontaneous post-marketing reports indicate that seizure risk is increased with doses of ULTRAM above the recommended range. Concomitant use of ULTRAM increases the seizure risk in patients taking:
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Tramadol undergoes serotonergic modulating properties of tramadol mean that it has the potential to interact with other serotonergic agents. There is an increased risk of
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insufflated. The efficiency of each method of administration varies from drug to drug.
The principal reason for the relatively low price of generic medicines is that these companies incur fewer costs in creating the generic drug, and are therefore able to maintain profitability while offering the drug at a lower cost to consumers. The costs of these generic drugs are so low that many developing countries can easily afford. For example Thailand is going to import millions of generic version pills of Plavix, a blood-thinning treatment to prevent heart attacks, costs just 3 US cents per pill from India, the leading manufacturer of generic drugs.
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analgesic effect of ULTRAM. Because carbamazepine increases tramadol metabolism and because of the seizure risk associated with tramadol, concomitant administration of ULTRAM and carbamazepine is not recommended.
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agilitydogmom said... My 10 year old 41 lb Aussie had traditional ACL surgery yesterday morning that included rerouting a third of the pattela fascia to create a new ligament and installing suture material for further reinforcement anchored through a hole drilled in the bone. They found that the cruciate ligament was severed and they also found a horseshoe tear in the meniscus. She came home the same day in the evening with a pain patch and a supply of tramadol and Rymadil. She had a small amount of bloody diarrhea as soon as she got home, which means she's now on a rice only diet and can't take the rymadil. Once the morphine shots wore off, she cried all night last night. It seems like the patch is not doing much.I am feeling like the dose they prescribed for the tramadol is not nearly enough (1/2 a 50mg pill, twice a day).I am wondering what the dose range is for tramadol and if the dose range has to be modified in a dog wearing the fentanyl pain patch.Thank you!
... Comment #27: tramadol for canines ...In vitro studies indicate that tramadol is unlikely to inhibit the CYP3A4-mediated
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... Comment #237: tramadol narcotic ...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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1:54 PM, Anonymous said... I am writing to ask for help on my almost 15 year old siberian husky, who has been pretty healthy until the last few months. She was attacked by another dog at the kennel, had her ear bitten up and has had multiple infections and fluid in it since, losing hearing and eye sight on the right side of face. She has had renal insufficiency since 2003, but done well with use of glucosamine and chondrotin for arthritis. She has had to be on NSAIDS (Rimadyl, then Deramaxx and Tramadol periodically) for pain and swelling related to this attack. About one month ago, after becoming dehydrated for refusing to eat because the kennel (first time staying at the owner's home since the attack), forgot to give her her Deramaxx making it painful to eat, her weight dropped, Hematocrit dropped from 40 to 35, and her kidney enzymes skyrocketed, with a BUN of 123, Creatinine of 5.23 and Phosphorus of over 7. Also, learned her thyroid had shot up to T-4=6.5; she had been diagnosed Hypothyroid in September after she developed a pacing/panting episode pattern during the night. She had improved on this with discontinuing Tramadol, moving from Rimadyl to Deramaxx and starting .8 of L-thyroxine, and I had been giving her two capsules each day of Calcium Lactate (a phosphurus binder). After her numbers were so high, she was prescribed Epakitin ( a prescription phosphorus binder) and her numbers all significantly dropped, bringing her BUN down to 69. Unfortunately, she fell on Thanksgiving weekend and hurt her tailbone, ending up the local emergency vets on fluids and drugged up with hydromorphine, causing her to fall over and over again hitting her tailbone. I got her out of there and drove to a veterinary medical school a few hours away. She was found to have a UTI and about 25% kidney function and no broken bones. She's on doxycycline for the UTI and also started on Enalapril for hi BP she developed after her fall. No One can check with an MRI for slipped disc because she can't tolerate general anesthesia because of the kidney failure. Her numbers were all high again. My vet and the med school are coordinating care for her since then. Her numbers came down last week after being back on Epakitin, being off all NSAIDS and off her L-thyroxine (she's back to Hypothyroid again). She's started pacing again and the vet recommmended Tramadol, and I finally convinced her to restart .4 L-thyroxine, but just read the comment by Anonymous 4:42 am, aboout Acepromazine (does this affect the kidneys?). My dog's kidney numbers went back up last week, which may be related to use of Tramadol again 50 mg b.i.d., eating human tuna fish without the Epakitin added, as my dog stopped eating her prescription food with all the meds added. Just found something she'll eat with the Epakitin in it, called Spot's Stew, low protein, natural canned food from the pet store, with some regular chicken pieces added to entice her. The pacing and panting continue and after reading this site, I'm going to try and give her the Tramadol in four 25 mg doses. Also, I'll call the vet on Monday to see what she thinks about the Acepromazine. The description of this dog that benefited sounds just like my Nikita, who will almost get laid down, and then pop back up to pace over and over again, during the night. We've had over a week of sleepless nights, so I'm desperate to here back thoughts of folks on this website. I can tell by reading you're all dog-lover's and educate yourself as much as you can on your pets. What I've learned is that it is not the protein in food causing problems with kidney function, but the phosphorus that clogs them up, so a good phosphorus binder is important to use to help your dog's kidneys. I started with the Calcium Lactate OTC Capsules, and now the Epakitin seems to help, but unsure how these other variables are affecting the enzyme tests. I will keep you and your pets in my prayers and ask you do the same for Nikita and me. I look forward to any ideas, feedback. Thanks. Sleepless in Bellevue!
... Comment #141: tramadol no prescription ...This medicine contains the active ingredient tramadol hydrochloride, which is a type of medicine called an opioid analgesic or painkiller. Opioid painkillers work by mimicking the action of naturally occurring pain-reducing chemicals called endorphins. Endorphins are found in the brain and spinal cord and reduce pain by combining with opioid receptors. Tramadol mimics the action of our natural endorphins by combining with the opioid receptors in the brain and spinal cord. This blocks the transmission of pain signals sent by the nerves to the brain. Therefore, even though the cause of the pain may remain, less pain is actually felt. Tramadol also works by enhancing the activity of neurotransmitters in the brain and spinal cord. Neurotransmitters are chemical compounds that act as chemical messengers between the nerve cells. Tramadol enhances the effect of the neurotransmitters serotonin and noradrenaline, and this action also helps relieve pain.
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Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
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"Orange Book", and annotates the list to show equivalence between the reference listed drug and the approved generic. The FDA also recognizes drugs using the same ingredients with different bioavailability and divides them into therapeutic equivalence groups. For example, as of 2006 diltiazem hydrochloride had four equivalence groups all using the same active ingredient but considered equivalent only within a group.
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μ opiate receptors, produce effects similar to those of other opioids (e.g., morphine or hydrocodone), although not nearly as intense due to tramadol's much lower affinity for the receptor. In addition to acting as an opioid, tramadol is also a very weak but rapidly acting
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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.
... Comment #127: tramadol no prescription overnight ...When a pharmaceutical company first markets a drug, it is usually under a patent that allows only the pharmaceutical company that developed the drug to sell it. Generic drugs can be legally produced for drugs where: 1) the
9:20 AM, Anonymous said... Our pom is slowly but steadily improving. Now my worry is that he is acting less and less like he is injured and he will do something stupid, like go up or down stairs and re-injure himself. That is a good thing though. Just have to keep an eye on him.-TSGreenville, SC
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Comment:Tramadol has provided relief of long-term arthritis pain for several yearsmuch better than any OTC I have tried.
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The principal reason for the relatively low price of generic medicines is that these companies incur fewer costs in creating the generic drug, and are therefore able to maintain profitability while offering the drug at a lower cost to consumers. The costs of these generic drugs are so low that many developing countries can easily afford. For example Thailand is going to import millions of generic version pills of Plavix, a blood-thinning treatment to prevent heart attacks, costs just 3 US cents per pill from India, the leading manufacturer of generic drugs.
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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?
panic attacks, severe anxiety, and paresthesias. Clinical experience suggests that withdrawal symptoms may be relieved by reinstitution of opioid
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Incidence 1% to less than 5%, possibly causally related: the following lists adverse reactions that occurred with an incidence of 1% to less than 5% in
Tramadol and its O-desmethyl metabolite (M1) are selective, weak OP3-receptor agonists. Opiate receptors are coupled with G-protein receptors and function as both positive and negative regulators of synaptic transmission via G-proteins that activate effector proteins. As the effector system is adenylate cyclase and cAMP located at the inner surface of the plasma membrane, opioids decrease intracellular cAMP by inhibiting adenylate cyclase. Subsequently, the release of nociceptive neurotransmitters such as substance P, GABA, dopamine, acetylcholine and noradrenaline is inhibited. The analgesic properties of Tramadol can be attributed to norepinephrine and serotonin reuptake blockade in the CNS, which inhibits pain transmission in the spinal cord. The (+) enantiomer has higher affinity for the OP3 receptor and preferentially inhibits serotonin uptake and enhances serotonin release. The (-) enantiomer preferentially inhibits norepinephrine reuptake by stimulating alpha(2)-adrenergic receptors.
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The molecular weight of tramadol hydrochloride is 299.8. Tramadol hydrochloride is a white, bitter, crystalline and odorless powder. It is readily soluble in water and ethanol and has a pKa of 9.41. The n-octanol/water log partition coefficient (logP) is 1.35 at pH 7. ULTRAM tablets contain 50 mg of tramadol hydrochloride and are white in color. Inactive ingredients in the tablet are corn starch, hydroxypropyl methylcellulose,
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... Comment #88: purchase tramadol no rx ...1 The success of tramadol is mainly a result of its favourable side effect profile, which differs significantly from that of other opioids.
4 In comparative studies in postoperative and post-trauma pain, tramadol 100 mg intramuscularly or intravenously was equivalent to 5–10 mg of morphine. However, in severe pain associated with either surgery or cancer, morphine was more effective than tramadol and remains the drug of choice. In acute and chronic non-malignant pain, oral tramadol 100 mg is comparable to a combination of paracetamol and codeine (1000 mg/60 mg). There have been few direct comparisons of tramadol with non-steroidal anti-inflammatory drugs, but efficacy appears to be similar.
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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
... Comment #26: tramadol efficacy ...Ultram may impair mental or physical abilities required for the performance of potentially hazardous tasks such as driving a car or operating machinery.
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Respiratory depression and constipation are less common with tramadol and less pronounced than with other opioids. However, respiratory depression can occur, in particular, after overdose and with impaired renal function. Unlike other opioids, tramadol is not usually associated with the development of tolerance, physical dependence or psychological addiction. In clinical trials the most common adverse reactions, in decreasing frequency, were nausea, dizziness, drowsiness, tiredness, fatigue, sweating, vomiting, dry mouth and postural hypotension. Tramadol may possibly increase the risk of seizures in those with a history of epilepsy or those on medication, which lowers the seizure threshold, but it appears that tramadol does not induce idiopathic seizures except at very high doses. Tramadol is contraindicated in users of MAO inhibitors as a safety precaution and, because of the risk of serotonin syndrome, should be used with caution in combination with SSRIs.
... Comment #6: buy tramadol now ...a tricyclic antidepressant such as amitriptyline (Elavil), nortriptyline (Pamelor), doxepin (Sinequan), imipramine (Tofranil), clomipramine (Anafranil), and others; a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate); an antipsychotic medication such as chlorpromazine (Thorazine), fluphenazine (Prolixin), haloperidol (Haldol), loxapine (Loxitane), mesoridazine (Serentil), perphenazine (Trilafon), thioridazine (Mellaril), thiothixene (Navane), and others; a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or citalopram (Celexa); a narcotic pain reliever such as codeine, fentanyl (Duragesic), hydromorphone (Dilaudid), meperidine (Demerol), hydrocodone (Vicodin, Lorcet, Lortab, others), morphine (MS Contin, MSIR, RMS, Roxanol, others), oxycodone (Roxicodone, Percocet, Percodan, others), propoxyphene (Darvon, Darvocet, others), and others; promethazine (Phenergan) or prochlorperazine (Compazine); bupropion (Wellbutrin, Zyban); or cyclobenzaprine (Flexeril). Do not take tramadol without first talking to your doctor if you are taking any of the medicines listed above.
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Some side effects can be serious. If you experience any of these symptoms or those listed in the SPECIAL PRECAUTIONS section , call your doctor immediately: seizures sores on the inside of your mouth, nose, eyes, or throat flu-like symptoms hives rash difficulty swallowing or breathing swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs hoarseness hallucinations (seeing things or hearing voices that do not exist)
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2 Oral bioavailability is high (85-100%) and permits easy conversion from the oral to the parenteral route and visa versa. Surprisingly, the efficacy of tramadol is not associated with the usual serious opioid side effects which can often be dose-limiting. Furthermore, unlike nonsteroidal anti-inflammatory drugs, tramadol has no serious adverse gastrointestinal effects, such as gastrointestinal bleeding. Numerous clinical trials have proven its efficacy and safety over a broad range of painful conditions, both acute and chronic; however, in severe pain morphine may be superior to tramadol.
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Christie Keith said... I'm so glad you came back with an update! Please let us know how she does!I didn't think it could possibly be the Tramadol, glad you sought out a new vet.
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At the beginning of the 21st century, legally prescribed psychoactive drugs used for legitimate purposes have been targeted by the US Justice System. In Florida, Richard Paey was sentenced to 25 years in prison for possession of painkillers he requires to eliminate the ecruciating pain in his back. Paey was recently pardoned after serving three years of the 25 year sentence. However, not everyone is as lucky as Paey. In California, Richard Gajewski, diagnosed with narcolepsy in 1979, was unable to get a prescription for Xyrem (sodium oxybate) from a San Mateo County physician. Instead, the physician, David Cecil Gershan,MD wrote "SPEED ABUSE" on Gajewski's medical record after Gajewski revealed that he had used Desoxyn (methamphetamine hydrochloride) prescribed by physicians for 14 years until he began using a healthfood store product that is now sodium oxybate. When Gajewski's medical records were transferred to a Santa Clara County clinic, he was unable to obtain housing assistance, leading his long-time domestic partner, Brian Weber, to take a loan at the bank where he worked to make backpayments on rent. The case has not yet gone to trial.
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No conclusion could be drawn on how tramadol or tramadol/paracetamol compared with available pharmacological treatments because of the limited number of studies that evaluated such therapies.
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Comment: Tramadol has provided relief of long-term arthritis pain for several yearsmuch better than any OTC I have tr ...
... Comment #107: tramadol mastercard ...Tramadol is used to relieve moderate to moderately severe pain. Tramadol extended-release tablets are only used by people who are expected to need medication to relieve pain around-the-clock for a long time. Tramadol is in a class of medications called opiate agonists. It works by changing the way the body senses pain.
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Venlafaxine and tramadol are relatively new compounds indicated for the treatment of depression and pain, respectively. These agents share a number of molecular and pharmacological features that may allow for broader and overlapping therapeutic indications for both drugs. Additionally, certain patient populations with coexisting depression and pain syndromes could potentially be treated with a single agent.
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While you are taking tramadol, do not consume alcohol or use 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.
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
... Comment #44: tramadol hydrochloride ...18-methoxycoronaridine has also been developed which has similar efficacy but less side effects, however this drug is still being tested in animals and human trials have not yet been carried out.
ardenm said... My 12 yr old Jack Russell was just diagnosed with a brain tumor. He was fine until about 3 weeks ago when he started falling, getting stuck in corners...etc. He is taking Prednisone once per day now. And was just precribed tramadol to help him sleep at night. Is it safe to take the 2 together ? if so, can I use the Tramadol for pain relief during the day too ? Thanks,Arden
In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.
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dizziness weakness headache nervousness or anxiety agitation shaking hands that you cannot control increased muscle tightness changes in mood drowsiness blurred vision heartburn or indigestion upset stomach vomiting diarrhea constipation itching sweating flushing dry mouth Some side effects can be serious. If you experience any of these symptoms, call your doctor immediately:
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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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