Tramadol: Uses, Dosage, Price, Side Effects, Precautions & More

What is Tramadol?

Tramadol is a synthetic analgesic which has a similar mechanism of working as morphine.
Other variants and compositions

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Uses of Tramadol

Tramadol is a painkiller which is used to relieve moderate to moderately severe pain.

How does Tramadol work?

• Tramadol is a pain killer and the mechanism of action is similar to morphine.
• Tramadol binds to receptors in the brain that transmits pain sensations to brain from every part of the body.

Tramadol Price in India

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How to take Tramadol?

• Tramadol is available in 2 forms – tablets and suspensions.
• Tramadol suspensions – Shake the bottle well before use. Measure the required dose using a measuring cup.
• Tramadol tablets should be swallowed as a whole and not broken, crushed or chewed.
• They should be taken after food and with plenty of fluids.

Common dosage of Tramadol

• The drug dosage is decided by the physician based upon:
  • Health status/medical condition of the patient
  • Severity of symptoms
  • Reaction to the first dose
  • History of allergy/drug reactions
• The usual adult dose is 50-100 mg orally every 4 to 6 hours as needed for pain.
• The maximum dose is 400 mg/day.
• Consult your doctor before administering in children below 12 years of age.
• Never use more than the recommended dose or for longer periods of time without doctor’s consent.

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When to avoid Tramadol?

• Allergy – Tramadol is not recommended if you have a known allergy to Tramadol.
• Tramadol should not be used in patients who are suicidal or addiction-prone.
• Tramadol should be cautiously used in patients at risk for respiratory depression or suffering from asthma, sleep apnea.
• Patients suffering from increased intracranial pressure or head injury.
• Patients suffering from mental/mood disorders such as confusion, depression.
• Patients with a habit or a history of substance abuse.
• Patients with difficulty in urination or enlarged prostate.
• Obese patients.
• Patients suffering from diseases of pancreas and gallbladder disease.
• Patients suffering from severe liver and kidney disease.
• Tramadol may complicate the clinical assessment of patients with acute abdominal conditions.

Side effects of Tramadol

All medicines have some side effects. Side effects are possible but do not always occur. Consult your doctor if you feel that you have any of them-

• Nausea
• Vomiting
• Loss of appetite, tiredness
• Weight loss
• Abdominal pain
• Flatulence
• Constipation
• Heartburn
• Diarrhoea
• Dry mouth
• Skin rash
• Dry skin
• Headache
• Light-headedness
• Dizziness, fainting
• Seizures
• Mood changes such as agitation
• Difficulty in urination
• Rarely, serotonin syndrome can also occur especially if you are also taking other drugs that increase serotonin.

Also Read: Methotrexate Side Effect

Effect on organs

Dose adjustment is needed in patients suffering from pre-existing liver or kidney disease.

Drug interactions to be careful about

Drug interaction refers to the effect of drugs on each other and on the human body after ingestion. Large numbers of medicines have shown to interact with each other. It is always advised that the patient must inform the physician about all the drugs/over the counter products/vitamin supplements used. You must also inform about the herbal products that you are consuming. Do not modify the drug regimen without your doctor’s approval.

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