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Buy Tramadol, Buy Tramadol Online
Brand name: Tramadol Other Brand name: Ultram Generic name: Tramadol HCI
To buy Tramadol / Ultram online please click here.... What is Tramadol ? How To take Tramadol Follow these instructions unless otherwise specified by your doctor. Remember to take your medication. Tramadol is administered orally. The tablets must be swallowed whole, not divided or chewed with sufficient liquid, preferably in the morning and in the evening. The tablets can be taken irrespective of food intake. Your doctor will indicate the duration of your treatment with Tramadol. Adults and children aged 12 years and over The recommended dose is 1 tablet of Tramadol (200 mg. of tramadol hydrochloride) twice a day, preferably morning and evening. Do not take more than 2 tablets of Tramadol per day unless indicated by your doctor. Children Tramadol should not be administered to children below the age of 12 years. Elderly In elderly patients (over 75 years of age), the elimination of the active ingredient may be slower. Therefore, your doctor may increase the dosage interval. Patients with hepatic or renal insufficiency Tramadol is not recommended in patients with a severe hepatic or renal disease. If you suffer moderate hepatic or renal insufficiency your doctor may increase the dosage interval. Tramadol should not be taken for longer than is strictly necessary. If prolonged treatment is essential, you doctor should assess you at regular intervals (and if necessary with interruptions during treatment), he / she will also decide whether you should continue taking Tramadol and the dosage to be taken. If you think that the effect of Tramadol is too strong or too weak, inform your doctor or pharmacist. If you take more Tramadol than you should: If you take more Tramadol than you should, consult your doctor or pharmacist immediately. An overdose due to high doses of Tramadol may cause contraction of the pupil, vomiting, a fall in blood pressure, a fast heartbeat, collapse, disturbed consciousness including coma (deep unconsciousness), epileptic fits and difficulties in breathing that may lead to respiratory arrest. In this case contact your doctor immediately. If you forget to take Tramadol: If you forget to take Tramadol, pain is likely to return. Do not take a double dose to make up for forgotten individual doses. Take the missed dose as soon as possible. Then continue taking the tablets as usual. Effects that may appear when the treatment with Tramadol is stopped: If you interrupt or stop the treatment with Tramadol abruptly, pain is likely to return. If you want to discontinue treatment with this medication because of its side effects, consult your doctor. Some patients on long-term therapy with potent analgesics may experience withdrawal symptoms when finalizing treatment. The risk of experiencing these withdrawal symptoms is low. However, if you feel agitated, anxious, nervous or shaky, hyperactive or have difficulty sleeping or digestion problems, consult your doctor. POSSIBLE SIDE EFFECTS As with all medications, Tramadol may have adverse effects. The most commonly reported adverse effects are nausea and vertigo. These effects were observed in more than 10% of the patients treated with Tramadol. Central and peripheral nervous system disorders: Common (1-10 %): headache and confusion. Rare (< 0.1 %): changes in appetite, paraesthesia, tremor, respiratory depression and convulsions. Gastrointestinal disorders: Common (1-10%): vomiting, constipation and dry mouth. Uncommon (< 1 %): retching; gastrointestinal irritation (a feeling of pressure in the stomach, bloating). In some isolated cases, increases in transaminases (liver enzyme values) have been reported in connection with the use of tramadol. Skin and appendages disorders: Common (1-10 %): increased sweating. Uncommon (< 1 %): dermal reactions (e.g. pruritus, skin rash, urticaria). Cardiovascular system disorders: Uncommon (< 1 %): palpitation, tachycardia, postural hypotension or cardiovascular collapse. Rare (< 0.1%): bradycardia, increase in blood pressure. Psychiatric disorders: Rare (< 0.1 %): hallucinations, confusion, sleep disturbance and nightmares. Other side effects that may occur, which vary individually in intensity and nature, include changes in mood, increase or suppression in activity and changes in cognitive and sensorial ability (e.g. decision behaviour, perception disorders). Dependence may occur. Other disorders: Rare (< 0.1%): blurred vision, muscle weakness, difficulty in passing urine and urinary retention; allergic reactions, from difficulty in breathing, bronchospasm, wheezing and oedema, to general allergic reactions. Symptoms of withdrawal reactions, similar to those occurring during opiate withdrawal, may occur as follows: agitation, anxiety, nervousness, insomnia, hyperkinesia, tremor and gastrointestinal symptoms. Worsening of asthma has been reported, though a causal relationship has not been established. If you notice any of these side effects or any other reaction not mentioned in this leaflet, please inform your doctor or pharmacist. Storage of Tramadol Tramadol recreational use and abuse As an opioid analgesic, Tramadol has been proposed as a possible recreational drug. However, due to the possibility of convulsions at high doses, recreational use is very dangerous. It can, however, via agonism of μ opioid 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. However, the metabolite M1 is produced after demethylation of the drug in the liver. The M1 metabolite has an estimated 200x greater affinity for the mu1, and mu2 opioid receptors. In addition to acting as an opioid, Tramadol is also a very weak but rapidly acting serotonin-norepinephrine reuptake inhibitor. When taken in amounts larger than normal therapeutic doses, Tramadol can cause seizures (typically tonic-clonic) and severe nausea, which could deter abuse to some extent. Tramadol has been known to produce severe withdrawal symptoms with abrupt cessation after prolonged use. In addition, Tramadol can help alleviate withdrawal symptoms from more addictive opiates, and is much easier to lower quantity of usage compared to opiates such as hydrocodone and oxycodone. Tramadol may also have large effect on sleeping patterns. High doseage may prevent sleeping. In addition, Tramadol is sometimes combined with stronger opiates to potentiate and prolong the effects. Tramadol is a weaker opioid than oxycodone or hydrocodone but has a longer half-life, so when combined it results in a longer duration of the euphoric effects. |
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