Tramadol - pro and contra.

uses of Tramadol Tramadol is used to relieve ongoing, moderate pain in people who need all-day pain relief ( " around clock " dosing ) . It is similar to narcotic pain medications. It works on certain nerves in the brain that control how we experience pain.

how to use of Tramadol Take Tramadol by mouth, either always with food or always without food, usually once daily or as directed by your doctor. If nausea occurs, consult your doctor or pharmacist about ways to decrease it ( e. g. , antihistamines, lying down for 1 to 2 hours with as little head movement as possible ) .

Swallow Tramadol whole. Don't crush, chew, or split the tablet. Doing so would release Tramadol into your bloodstream all at once, possibly causing serious ( sometimes fatal ) side effects.

The dosage is based on your medical condition and response to treatment. To reduce the risk of side effects, your doctor may tell we to gradually increase your dose when starting long-acting Tramadol. The maximum recommended dose is 300 milligrams a day.

If we have severe kidney disease ( e. g. , on dialysis ) or severe liver disease ( e. g. , cirrhosis ) , regular-release Tramadol is recommended instead of long-acting form.

Pain medications work best if they're used as the first signs of pain occur. If we wait until pain has worsened, medication mayn't work as well.

Follow your doctor's or pharmacist's instructions for the safe use of non-narcotic pain relievers ( e. g. , acetaminophen, ibuprofen ) . Ask your doctor or pharmacist for more details regarding your treatment.

Tramadol may cause dependence, especially if it has been used regularly for an extended time or if it has been used in high doses. In such cases, withdrawal reactions ( e. g. , anxiety, sweating, sleeplessness, shaking, diarrhea, rapid breathing ) may occur while use Tramadol if we suddenly stop Tramadol. Also, if we are taking regular doses of narcotic medications for ongoing pain ( e. g. , cancer pain ) , starting Tramadol may cause a withdrawal reaction. To prevent withdrawal reactions when stopping extended, regular treatment with Tramadol, gradually reduce dosage as directed. Consult your doctor or pharmacist for more details, and report any withdrawal reactions immediately.

Rarely, abnormal drug-seeking behavior ( addiction ) is possible with Tramadol. Don't increase your dose, take it more frequently, or use it for a longer time than prescribed. Properly stop medication when so directed.

When used for an extended period, Tramadol may not work as well and may require different dosing. Talk with your doctor if Tramadol stops working well.

Tell your doctor if your pain doesn't decrease or if it worsens.

side effects of Tramadol Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, headache, or weakness may occur while use Tramadol. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

To prevent constipation, maintain a diet adequate in fiber, drink plenty of water, and exercise. If we are taking Tramadol regularly, it may be useful to start using a laxative right away instead of waiting until we become constipated. Consult your pharmacist for details regarding the correct use of laxatives ( e. g. , stimulant-type with stool softener ) .

Remember that your doctor has prescribed Tramadol because he or she has judged that benefit to we is greater than risk of side effects. Many people using Tramadol don't have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

Tell your doctor immediately if any of these rare but very serious side effects occur:

A very serious allergic reaction to Tramadol ( which may occur while use Tramadol as early as the first dose ) is rare. However, seek immediate medical attention if we notice any of following symptoms:

This isn't a complete list of possible side effects. If we notice other effects not listed above, contact your doctor or pharmacist.

precautions of Tramadol Before taking long-acting Tramadol, tell your doctor or pharmacist if we are allergic to it; or to other narcotics ( e. g. , codeine ) ; or if we have any other allergies.

Tramadol shouldn't be used if we have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if we have:

Before using Tramadol, tell your doctor or pharmacist your medical history, especially of:

Tramadol may make we dizzy or drowsy. Use caution while driving, using machinery, or doing any activity that requires alertness. Avoid alcoholic beverages because they may increase risk of Tramadol's side effects.

To reduce dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Before having surgery, tell your doctor or dentist that we are using Tramadol.

Caution is advised when using Tramadol in elderly because they may be more sensitive to its effects, especially slow/shallow breathing and drowsiness.

During pregnancy, Tramadol should be used only when clearly needed. It's not recommended for use for long periods or in high doses late in pregnancy because of possible serious harm to your baby. Discuss the risks and benefits with your doctor. Infants born to mothers who have been using Tramadol for an extended time may have seizures or withdrawal symptoms such as irritability, abnormal/persistent crying, or diarrhea. Tell your doctor immediately if you notice any of these symptoms in your newborn.

Tramadol passes into breast milk. While there have been no reports of harm to nursing infants, consult your doctor before breast-feeding.

interactions of Tramadol Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Don't start, stop, or change dosage of any medicine before checking with them first.

Tramadol shouldn't be used with following medications because very serious ( possibly fatal ) interactions may occur while use Tramadol:

Avoid taking MAO inhibitors within 2 weeks before, during, and after treatment with Tramadol.

If you're currently using any of these medications listed above, tell your doctor or pharmacist before starting Tramadol.

Before using Tramadol, tell your doctor or pharmacist of all prescription and nonprescription/herbal products we may use, especially of:

Also report use of drugs that might increase seizure risk when combined with Tramadol such as isoniazid ( INH ) , phenothiazines ( e. g. , thioridazine, chlorpromazine, promethazine ) , theophylline, or tricyclic antidepressants ( e. g. , amitriptyline ) , among others. Consult your doctor or pharmacist for details.

Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as certain antihistamines ( e. g. , diphenhydramine ) , anti-anxiety drugs ( e. g. , diazepam ) , anti-seizure drugs ( e. g. , phenytoin ) , medicine for sleep ( e. g. , zolpidem ) , muscle relaxants ( e. g. , cyclobenzaprine ) .

Check labels on all your medicines ( e. g. , cough-and-cold products ) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

This document doesn't contain all possible interactions. Therefore, before using Tramadol, tell your doctor or pharmacist of all products we use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

Where to buy Tramadol

Recipients Of Clinical Centers Of Excellence Awards Announced By American Pain Society

The American Pain Society ( APS ) , http: //www. ampainsoc. org/, has announced recipients of its second annual Clinical Centers of Excellence in Pain Management Awards recognizing the nation's outstanding pain care centers. Six multidisciplinary pain programs were recognized. They are:

• Dartmouth Hitchcock Medical Center, Richard Barrett Pain Management Center, Lebanon, NH

• Pediatric Pain Management Center at Oregon Health & Science University, Portland

• Productive Rehabilitation Institute of Dallas for Ergonomics ( PRIDE )

• Stanford Pain Center, Palo Alto

• University of Minnesota Fairview Pain and Palliative Care Center, Minneapolis

• UW Health Pain Care Services, Madison, Wis.

" In our second year, Clinical Centers Excellence Awards drew applicants from every part of the country with excellent performance in relieving suffering and restoring everyday function to those who lives are burdened with persistent pain, " said APS President Judith Paice, Ph. D. , R. N. , F. A. A. N. , director, cancer pain program, Northwestern University Feinberg School of Medicine. " We were impressed by quality of the submitted programs. As a pain care professional, I am deeply gratified to see such outstanding outcomes being achieved by multidisciplinary pain care teams nationwide. "

Paice added that Clinical Centers of Excellence Awards also support the ongoing advocacy mission of APS for multidisciplinary pain care. " The awards honor pain care teams for delivering optimal and exemplary care for those with myriad chronic-pain disorders, post-surgical pain, trauma-induced pain and pain from cancer and other life-threatening conditions, " Paice added.

A recurring quality of leading pain programs, according to Paice, is success in helping patients enhance overall function and quality of life. " Combining cognitive-behavioral and physical therapies with medications and other approaches is major advantage of multidisciplinary approach. We treat whole person, not just the pain. The award recipients and other centers are proving every day that integrated, multidisciplinary pain care yields best long-term outcomes - medically, psychologically and socially, " she said.

Among achievements of CCOE recipients recognized by APS, include:

• Creation and maintenance of a huge pain patient data base, derived from client surveys, which allows doctors to follow progress of individual patients or groups over time. The database was instrumental in landing a $10 million grant to build a palliative care facility. ( Dartmouth Hitchcock Medical Center )

• A strong mix of medical and behavioral care and physical rehabilitation services to help children with chronic pain go back to school and resume their lives. ( Oregon Health & Science University )

• The nation's leading pain program focused on occupation health with an 85- 90 percent success rate from aggressive physical rehabilitation that enables patients to go back to work. ( PRIDE )

• An strong emphasis on translational research in which outcomes achieved in treating most challenging pain patients help faculty advance scientific knowledge about pain and develop new research initiatives, ( Stanford Pain Center )

• An innovative medication management program that helps patients reduce their doses of pain medications by resolving anxiety and fears about lowering medication use. ( Fairview Pain and Palliative Care Center )

• An aggressive continuous improvement and quality management program that constantly measures patient satisfaction, safety and outcomes to provide high quality care based on science and compassion. ( UW Health )

About American Pain Society

Based in Glenview, Ill. , the American Pain Society ( APS ) is a multidisciplinary community that brings together a diverse group of scientists, clinicians and other professionals to increase knowledge of pain and transform public policy and clinical practice to reduce pain-related suffering. APS was founded in 1978 with 510 charter members. From outset, the group was conceived as a multidisciplinary organization. APS has enjoyed solid growth since its early days and today has approximately 3, 200 members. The Board of Directors includes physicians, nurses, psychologists, basic scientists, pharmacists, policy analysts and others.

Source: Chuck Weber American Pain Society

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