Florida Senate Rejects Measure Requiring Ultrasounds Before Abortion At Any Stage

Florida's Republican-controlled Senate voted 20-20 to reject a House-approved bill ( SB 2400 ) on Wednesday that would have required physicians to perform an ultrasound on all women seeking abortion, Miami Herald reports. The House had approved a companion bill ( HB 257 ) last month.

According to Herald , behind-the-scenes maneuvering that led to the tie vote pitted Senate Republican leader Dan Webster ( R ) , who sponsored the bill, against former Senate President Jim King ( R ) , who built a coalition of seven Republican moderates and 13 Democrats to defeat it. King said, " Unless we ovulate or have ovulated, we have no business as males interfering with your female decision on reproduction. " He added, " A woman making a decision that she wants to abort, that decision should be honored. " One Democrat and 19 Republicans voted for bill ( Caputo/Gilpatrick, Miami Herald , 5/1 ) .

Florida already requires ultrasounds for women seeking abortions in second or third trimester. The measure would have extended the requirement to women seeking abortions in the first trimester of pregnancy. Under measure, women would have been required to view ultrasound images unless they signed a waiver. Women who could prove they were survivors of rape, incest or human trafficking would have been exempted from viewing images ( Kennedy, Orlando Sentinel , 5/1 ) .

Webster argued that the measure only extended state's existing ultrasound requirement and that most abortion clinics already perform ultrasounds prior to abortions to determine age of fetus ( Colavecchio-Van Sickler, St. Petersburg Times , 4/30 ) . Opponents said that measure was an attempt to create another hurdle to accessing abortion by requiring women to pay for ultrasounds, which can cost several hundred dollars, Herald reports ( Miami Herald , 5/1 ) . Opponents also said measure might infringe on doctor-patient relationship. Gov. Charlie Crist ( R ) did not say whether he would have signed the measure, according to the Sentinel ( Orlando Sentinel , 5/1 ) .

Reprinted with kind permission from http: //www. nationalpartnership. org. We can view the entire Daily Women's Health Policy Report, search archives, or sign up for email delivery here. The Daily Women's Health Policy Report is a free service of National Partnership for Women & Families, published by The Advisory Board Company.

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What you have to know before use Tramadol.

uses of Tramadol

Tramadol is used to relieve ongoing, moderate pain in people who need all-day pain relief ( " around the clock " dosing ) . It is similar to narcotic pain medications. It works on certain nerves in 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 the 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 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 first signs of pain occur. If we wait until the pain has worsened, medication mayn't work as well.

Follow your doctor's or pharmacist's instructions for 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 you're 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 the 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. Do not increase your dose, take it more frequently, or use it for a longer time than prescribed. Properly stop the medication when so directed.

When used for an extended period, Tramadol mayn't 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 you 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 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 the 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 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 you 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 you're using Tramadol.

Caution is advised when using Tramadol in the 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 isn't recommended for use for long periods or in high doses late in pregnancy because of possible serious harm to your baby. Discuss 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 we 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 the dosage of any medicine before checking with them first.

Tramadol shouldn't be used with the 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 we are 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 we 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 the 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 does not contain all possible interactions. Therefore, before using Tramadol, tell your doctor or pharmacist of all products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

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