Tramadol is a drug that belongs to the group of opioid narcotic analgesics. The drug is able to have a pronounced analgesic effect that persists for a long time. Its mechanism of action is mixed. The drug has a central type of action that has a bright analgesic effect.
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Indications for use
The medicine Tramadol is indicated for use if there is a need to relieve severe pain that occurs:
● With various diagnostic and therapeutic manipulations.
● With malignant tumors.
● With myocardial infarction.
● With neuralgia.
● In the postoperative period.
● in the post-traumatic period.
The optimal pharmacological form of the drug is determined by the doctor, taking into account the intensity of the pain syndrome. It is important to take into account the source of pain.
Tramadol in oncology is prescribed by experts, as a rule, in the form of injections. In order to achieve the best effect, an increase in the dose is allowed. It is unacceptable to use the drug for a long time, as this can provoke addiction, and the therapeutic effect in such cases is minimal.
In some cases, the use of the drug in dentistry, neurology, and rheumatology is acceptable. However, in any case, the expediency of its appointment is determined only by the attending physician.
The use of an opioid analgesic during pregnancy is strictly prohibited since tramadol hydrochloride adversely affects the development of the fetus. Small doses of the active ingredient are able to penetrate into breast milk, and therefore the use of the drug in the lactation period is prohibited.
Contraindications for use
In accordance with the instructions for the use of Tramadol, its use is contraindicated if the patient has the following pathological and physiological conditions:
● Hypersensitivity to any component included in the composition.
● lactation period.
● Pregnancy.
● Age up to a year.
● In parallel with drugs that are monoamine oxidase inhibitors.
● With the parallel use of psychoactive substances by the patient.
● Insufficiency of hepatic activity.
● Severe renal insufficiency.
● CNS or respiratory depression.
It is important to exercise caution when using the medication if patients have such disorders as:
● Tendency to addiction.
● Pain in the abdomen.
● epileptic syndrome.
● Seizures.
● Increased cranial pressure.
● Condition after TBI.
● Confusion of consciousness of any genesis.
● Violations of the kidneys, liver.
Medication use
Tramadol injections and tablets should only be used as directed by a physician. The duration of the therapeutic course, the scheme of application, dosage, and pharmacological form are determined individually.
Adult patients are prescribed one tablet or capsule. They must be taken as a whole, washed down with clean water without gas in large quantities. In the absence of the desired effect within an hour, a repetition of the reception is allowed.
For the relief of severe pain, a single dosage is doubled. The effect after application of the drug lasts up to 8 hours. It is allowed to take no more than 8 units of the drug in tablet or capsule form per day.
Negative impacts
Against the background of the use of the drug Tramadol, some negative reactions may develop, including:
● Vomit.
● Diarrhea.
● Sweating.
● Asthenia.
● Skin itching.
● Weakness.
● Nausea.
● Pain in the head.
● Vertigo.
In some rare cases, under the influence of Tramadol, patients develop:
● Violation of vision.
● Urinary retention.
● Epigastric pain.
● Tremor of the limbs.
● Hypotension.
● Weight loss.
In extremely rare cases, the patient may suffer from the appearance of hallucinations.
Interaction with other medicines
The combination of Tramadol with ethanol provokes respiratory depression in the patient. There are clinical data on the occurrence of epileptic seizures with the parallel use of the drug with MAO inhibitors. Such a combination of drugs can provoke life-threatening consequences for the patient.
Overdose
With an overdose of opioid medication, respiratory depression occurs, convulsive conditions develop. The victim should be hospitalized to provide the necessary assistance, which consists in conducting active ventilation of the lungs. If severe symptoms do not accompany the state of overdose, the patient’s condition can be stabilized by washing the stomach and taking enterosorbents.
Additional Information
Tramadol is strictly forbidden to use with other narcotic drugs. Together, they can cause a completely unpredictable reaction that can lead to death.
It is noted that patients who take carbamazepine for a long time are less sensitive to the active component of Tramadol. They are usually prescribed it in an increased dosage or are looking for another effective drug.