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Q: Does anyone know anything about the medication Tramadol?
I was perscribed 50mg of Tramadol for my migraines. I was wondering if anyone has taken it before and what should I expect (i.e. can I function normally). There are a lot of warnings and so that is why I am curious to find out more about it. Thank you in advance!

A: Tramadol, which is in a class of medication called Opiate Narcotic Analgesics, is used to alleviate moderate to severe pain. Tramadol works by lessening your body`s sense of pain. It is also used in treating pain caused by joint pains, surgery and other chronic conditions such as cancer.

Tramadol works like a narcotic pain reliever. While Tramadol treats moderate to severe pain, Tramadol extended-release works by treating moderate to chronic pain (designed particularly for around-the-clock treatments).

Tramadol can also be used for other purposes when your doctor recommends its use and prescribes it to you.

Q: Tramadol hcl is my new pain medication, but I am having some problems with it.?
I get kind of nauseated and almost sick to my stomach every time I take it, which has been like only, twice. Could I only be adjusting to the medication? It wasn’t as bad as yesterday- I’ve tried their suggestions on the medication side affects sheet. Any advice for me? I don’t want to be sick to my stomach every day! Not only gross, but rather annoying too. Please help!

A: try putting the meds in the middle of a piece of
banana,this should get the them past the stomach

Q: My doc gave me Tramadol for my period cramps will this medication work or do i need something else?
i suffer frm really bad period cramps i need some relief…

A: Tramadol seems a bit extreme for dysmenorrhoea. It can also be habit forming. It’s a bit like morphine. Common side effect is constipation which could exacerbate your pain, but senna could help with this.
Look into Magnesium supplements, Zinc,and Omega 3, there is some research out there that these are beneficial. Also has your doc tried you on hormone contraception, many of our patients have a mirena coil fitted. Obviously last two not options if you are wanting to try for children.

Having said that, Tramadol is a strong pain killer that will definately help your pain. Just not sure it’s a good long term option.

Q: if tramadol is an SSRI, why would they prescribe it as a medication for people in chronic pain?
and then also put the same patient on a second SSRI and an SSI all at once? Are the doctors chemically illiterate and can’t see it’s an OD of serotonin?
why did yahoo post this one question twice?

A: Read Toxdoc’s answer to your previous post.

Q: Any known heart disorders caused by the drug tramadol in recorded use of the medication?

A: Well, Tramadol is part gamma opioid agonist and part SNRI. Because it does have that SNRI component, then it poses the same type risks as other drugs which function as an SNRI. One major complication in regards to the heart would be increased blood pressure and heart rate. This is actually quite common. So if those parameters are not monitored and assessed by the prescribing physician on a regular basis, then a patient could develop heart disease as a result of un-managed high blood pressure.

If you or someone you know is taking tramadol and feel that you are experiencing heart palpitations, irregular heart rhythm or increased heart rhythm, then you need to call the prescribing clinician ASAP and have he or she make a determination as to the risks involved. It may be necessary to change the medication to a more traditional opioid agonist, or if it is vital that the patient remain on the tramadol, then it may be necessary to counter those effects with other medications to treat the high blood pressure.

Q: is tramadol medication stronger than percocets?

A: Tramadol is a unique analgesic. It does have very limited opiate properties, mostly due to its active metabolites. It is chemically an antidepressant (an SNRI). It also has unique anti-inflammatory actions that act differently from NSAID’s (ibuprofen, naproxen, Toradol) and steroids (prednisone, Medrol). It is not a controlled substance in almost every country. Some US states have put the drug under schedule IV control (the same level as Valium, Ambien, Phenobarbital, Darvocet). It has a very small chance of causing abuse and dependence. Yet there are people who are abusing the drug (and the rate is growing). It is very risky to exceed the maximum dose of 400 mg/day because Tramadol often causes seizures at high doses.

Percocet is a combination of Oxycodone (a narcotic) and acetaminophen (aka Paracetamol). All oxycodone drugs are typically used for severe pain. All drugs with oxycodone (Percocet, Percodan, Roxicet, Oxy-IR and OxyContin) are a schedule II drug in the US, schedule I in Canada, and Class A in the United Kingdom. Basically that means that the governments have placed the drug under the highest level of control due to its risk of abuse. Oxycodone is well know for abuse and has become a favourite drug for many. Oxycodone has nearly the same ‘power’ as Morphine. Tramadol is about 10% as strong as Morphine.

Q: medication tramadol 50mgs fast release?
could anyone tell me what is in tramadol as i had an opperation and have been on these tablets for some time now. they make me very nervious and jumpy is there anyone out there who would no what is in these tablets….

A: tramadol
Generic Name: tramadol (TRAM a dol)
Brand Names: Ultram, Ultram ER

What is tramadol?
Tramadol is a narcotic-like pain reliever.

Tramadol is used to treat moderate to severe pain. Tramadol extended-release is used to treat moderate to severe chronic pain when treatment is needed around the clock.

Tramadol may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about tramadol?
You should not take tramadol if you have ever been addicted to drugs or alcohol.
Seizures (convulsions) have occurred in some people taking tramadol. You may be more likely to have a seizure while taking tramadol if you have a history of seizures or head injury, a metabolic disorder, or if you are taking certain medicines such as antidepressants, muscle relaxers, or medicine for nausea and vomiting.

Take tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Do not take more than 300 milligrams of tramadol in one day.

Seek emergency medical attention if you think you have used too much of this medicine. A tramadol overdose can be fatal. Overdose symptoms of a tramadol overdose may include drowsiness, shallow breathing, slow heartbeat, extreme weakness, cold or clammy skin, feeling light-headed, fainting, or coma. Tramadol may be habit-forming and should be used only by the person it was prescribed for. Tramadol should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. Tramadol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Do not stop using tramadol suddenly, or you could have unpleasant withdrawal symptoms such as anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Do not crush the tramadol tablet. This medicine is for oral (by mouth) use only. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhalation or injection can cause life-threatening side effects, overdose, or death.

What should I discuss with my healthcare provider before taking tramadol?
You should not take tramadol if you have ever been addicted to drugs or alcohol, if you are currently intoxicated (drunk), or if you have recently used any of the following drugs:
alcohol;

narcotic pain medicine;

sedatives or tranquilizers (such as Valium);

medicine for depression or anxiety;

medicine for mental illness (such as bipolar disorder, schizophrenia); or

street drugs.

Seizures have occurred in some people taking tramadol. Your risk of a seizure may be higher if you have any of these conditions:

a history of drug or alcohol addiction;

a history of epilepsy or other seizure disorder;

a history of head injury;

a metabolic disorder; or

if you are also taking an antidepressant, muscle relaxer, or medicine for nausea and vomiting.

Talk with your doctor about your individual risk of having a seizure while taking tramadol.

Before taking tramadol, tell your doctor if you are allergic to any drugs, or if you have:

kidney disease;

liver disease;

a stomach disorder; or

a history of depression, mental illness, or suicide attempt.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take tramadol.

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?
Take tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Follow the directions on your prescription label. Do not take more than 300 milligrams of tramadol in one day.

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.

Do not crush the tramadol tablet. This medicine is for oral (by mouth) use only. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhalation or injection can cause life-threatening side effects, overdose, or death. Do not crush, chew, break, or open a controlled-release, delayed-release, or extended-release tablet or capsule. Swallow the pill whole. Breaking or opening the pill may cause too much of the drug to be released at one time.
If you use the tramadol extended-release tablet, the tablet shell may pass into your stools (bowel movements). This is normal and does not mean that you are not receiving enough of the medicine.

Tramadol may be habit-forming. Tell your doctor if you feel the medicine is not working as well in relieving your pain. Do not change your dose without talking to your doctor. Do not stop using tramadol suddenly, or you could have unpleasant withdrawal symptoms such as anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Store tramadol at room temperature away from moisture and heat. Keep track of how many pills have been used from each new bottle of this medicine. Tramadol is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.

What happens if I miss a dose?
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.

What happens if I overdose?
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.

What should I avoid while taking tramadol?
Do not drink alcohol while you are taking tramadol. Alcohol may cause a dangerous decrease in your breathing when used together with tramadol. Cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety can add to sleepiness caused by tramadol. Tell your doctor if you regularly use any of these other medicines. Tramadol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Tramadol side effects
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using tramadol and call your doctor at once if you have any of these serious side effects:
seizure (convulsions);

a red, blistering, peeling skin rash; or

shallow breathing, weak pulse.

Less serious side effects may include:

dizziness, drowsiness, weakness;

nausea, vomiting, constipation, loss of appetite;

blurred vision;

flushing (redness, warmth, or tingly feeling); or

sleep problems (insomnia).

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect tramadol?
You may be more likely to have a seizure (convulsions) if you take tramadol while you are using certain other medicines. Do not take tramadol without telling your doctor if you also use any of the following medications:

an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam); or

an antidepressant such as amitriptyline (Elavil), citalopram (Celexa), clomipramine (Anafranil), desipramine (Norpramin), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), imipramine (Tofranil), nortriptyline (Pamelor); paroxetine (Paxil), or sertraline (Zoloft).

Before taking tramadol, tell your doctor if you also use:

carbamazepine (Tegretol);

warfarin (Coumadin);

digoxin (Lanoxin, Lanoxicaps);

ketoconazole (Nizoral);

erythromycin (E-Mycin, E.E.S., Ery-Tab);

rifampin (Rifadin, Rimactane, Rifater);

St. John’s wort;

quinidine (Quinaglute, Quinadex, Cardioquin, Quinora); or

drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety).

This list is not complete and there may be other drugs that can interact with tramadol. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Q: will tramadol interact with neurontin orofacial pain medication?
I have tmj and am takinga 300mg capsule of neurontin to manage pain however I used to take tramadol and it worked swell . Tonight I am going for a sleep study and am in much pain and would like a fair study conducted for sleep apnea so I need to know if I can take tramadol now also to eliminate the pain I am in

A: Tramadol has a fantastic synergy with Neurontin (Gabapentin). Combining these two will provide increased pain relief and there are no adverse reactions with combining these two. There are warnings about Tramadol yes. These are related to Tramadol’s purported SSRI activity. So it would be risky mixing Tramadol with an SSRI antidepressant or with drugs that lower the seizure threshold (eg. Wellbutrin, Elavil etc.). But with Gabapentin, no. There are a lot of benefits to this combination.
As for facial pain medication, I can’t answer that unless you tell me the name of the medication.

Neurontin has a synergy with other opioids like Morphine and Oxycodone as well. Hope this helps. Here are links to some helpful studies done on this combination:
1) http://content.karger.com/ProdukteDB/produkte.asp?Doi=85700
2) http://cat.inist.fr/?aModele=afficheN&cpsidt=16952189
3) http://www.medscape.com/viewarticle/502254

Please remember to always verify the information you get here. You can find these studies via Google, by simply typing in “Tramadol” and “Gabapentin”

Q: can you have a reaction to a medication called Tramadol hcl acctamimophen?

A: You can have a reaction to any medication. Even the ones that say reactions are rare.

Q: what’s in Tramadol medication (the ingredients)?

A: Tramadol is a Non-narcotic pain reliever. Works well for some and not for others (just like all pain meds). I prefer it because it works great for me. Tramadol is the active ingredient and sometimes they put in tylenol with it. If yours is just tramadol and your not allergic to tylenol, you could take a tylenol with it and they seem to work better together than either when used alone.

Q: What medication is tramadol?
I was told to use tramadol, when I get the stabbing pains on my right side before and during my periods

A: It is an opioid analgesic (pain killer). It is often called a pseudo-opioid because it only has mild opioid actions and it acts as an antidepressant. It is chemically an SNRI class antidepressant but it also as the mild opioid activity and there are some unique anti-inflammatory actions. It is not a controlled substance although there are have some instances of abuse. It is very good for neuropathic pain (not what you have) and surprisingly very effective for mild- moderate pain. Some people find Tramadol to be more effective than codeine or hydrocodone (Vicodin, Norco, Lortab). I think it is a very impressive drug because it has an extremely low abuse rate and the multiple actions of the drug synergize to become significant.

It does sound like it might be a good drug for you. It is commonly prescribed for an acute problem like yours. You need a prescription for it and I absolutely recommend it. One possible side effect is that it can cause effects similar to an amphetamine. This is a result of the antidepressant actions that increase serotonin and norepinephrine. It can catch a lot of people off guard and Tramadol can also cause sedation.

Q: Help I’m having a medication withdrawal from Tramadol (Ultram)!?
I been up to 600mg a day. What do I do?! I am thinking about going to urgent care today to see if a doctor will help me through these withdrawals.

I work full time. No I can’t do rehab… I’m willing to ween off this medication or take other med’s to help the withdrawal. I just want off this drug.
Thanks guys. So far everyone has been very helpful?

I get it its stupid. If you guys just knew the feeling.

A: Here’s your answer coming from a Vicodin addict 3 years ago. No your not stupid this drug tramadol produces a powerful addictive euphoria. I quit cold turkey without rehab. I did have to take time off work though because you’re going to get flu-like symptoms. You should try to get prescribed an anti depression or anti anxiety Med to help you through. I took Xanax which helped with restless legs, anxiety, and sleep. It also helped with my anger outbursts from withdrawal. Get an anti depressant or get St Johns wort, kava kava, or Valerian root to help with anxiety. Take a vitamin supplement along with Imodium for the terrible diarrhea take as much as needed. Also have access to hot showers, baths, or a hot tub to relax and help achy muscles. Lots of rest I used a herb melatonin for sleep which can be bought at Walmart. Also use a high dose of ibuprofen or aleve for fevers, aches, and chills. The goal is to get to day 4-5 then use vitamin B 6 with L-tryosine for restoring energy. Drink lots of fluids and try to eat when you can also use tums or pepto bismol for upset stomach and acid reflux. Eat bananas for leg cramps and day 6-7 you should start to feel normal so try to get exercise atleast 30 minutes of walking or cardio. After that you completed the physical part now you will have to battle the psychological part of your body craving and relapsing. Tons of will power and support along with prayer get involved with hobbies or friends take your mind off of getting high. Life is so much better without painkillers/muscle relaxers to get through a day. The best thing out of all this advice was Xanax or some type of anti depressant/anti anxiety medication. Best of luck to you! Remember if you relapse you start all over again then I would suggest rehab or counseling. I have been sober from these terrible addictive drugs for 3.5 years and life is so much better even with natural pain which we all have if I can do it so can you!!! Look up the Thomas Recipe which I used for my withdrawal journey out of hell!!!!

Q: ok so i got RA anyone out there have RA and taking percocet or tramadol for the pain i need a new medication?
my pain has worsened and my dr is acting like everything is ok i need new meds and am thinking of a new dr for pain management any suggestions?

A: I have RA too, and I’ve had Tramadol shots and I think they’re wonderful. But if your pain is not being managed, then you need to make someone listen to you. Are you seeing a rheumatologist or just your regular family doctor? If you aren’t seeing a rheumatologist, then I highly recommend you find one. What other meds are you taking? Has your doc put you on Predisone or any similar steroid? You shouldn’t take it forever, but it can really be a big help when you’re hurting and need some immediate relief.

Q: Has anyone taken the medication Tramadol or Ultram though out your entire pregnancy?
I am very well aware that you not to take medication other than Tylenol for pain however I am curious to know if despite that has anyone had to still take this medicine during their pregnancies.

(PLEASE DON’T ANSWER IF YOU ARE JUST GOING TO QUOTE THE CATAGORY C INFORMATION AND STATE EXACTLY WHAT I HAVE JUST MENTIONED.)

I would really appreciate people’s personal experiences with this drug. If anyone out there has taken this medication throughout your entire pregnancy can you please tell me about it? How did your pregnancy go? Did it cause any harm to your child? There is not a lot of research on this exact medication during pregnancy through out the entire pregnancy and I wanted to get as much research as possible to gather for myself and others that have been concerned with this.

Thank you very much

A: I was on tramadol/ultram for stomach pain prior to my pregnancy and took it about 5 times after pregnancy because I didn’t know i was pregnant. I told the Dr and he said that they will monitor the baby while i am pregnant and that the risk to my baby will be increased risk of seizures from the use of the meds while pregnant. The way Tramadol works is numbing the nerves in your brain so you can’t feel the pain. The longer you take it the more risk there is to the baby in regards to seizures and brain problems. They aren’t sure how much other problems it can cause but they do know there is increased risk of seizures. Right now I am only 18 wks pregnant so I can’t tell you how this will affect my baby for sure only what the Dr’s have told me repeatedly about the meds. The Dr told me the largest risk is use during first trimester but that there is still a large risk during pregnancy. He showed me some research that had been done recently on Tramadol that shows that babies born after repeated use of Tramadol are more likely to have seizure disorders and other learning problems and some have shown signs of heart problems as well. It isn’t worth the risk.

Q: has anyone taken Tramadol for nightmares? If so, what was your result from this medication.?
I have been given Tramadol by my doctor for problems with nightly nightmares but the medication makes me feel so weighed down like I am falling 100 feet and not stopping.

A: This is a brain drug prescribed by psychiatrist,sure they’ll knock you out but did the doc tell you they are dangerous that you have to have your blood checked allot.probably not,one drug to make you have another problem more money in their pocket,get on an old drug such as Valium,ativan,these will calm you and lights out..good luck

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