Tramadol is an opiod synthetic analgesic. It affects not only a central nervous system, but also a spinal cord. The drug also gives a fast and strong analgesic effect. In its activity, Tramadol is second only to morphine. It can be used as prescribed by the doctor and under his/her supervision.
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Description and composition
Tramadol belongs to the strong psychotropic drugs. Analgesic effect is observed 15-30 minutes after the administration and lasts for 6 hours. The drug can be prescribed as a separate medication or in combination with paracetamol. Tramadol is included in the list of narcotic drugs.
Tramadol is a fairly strong drug, so you need to take it strictly according to the indications. The duration of therapy should be determined by the doctor. Unauthorized medication intake can lead to serious and devastating consequences. At the time of therapy with Tramadol, you should refuse from driving a car and performing the work that requires high concentration.
Tramadol is an opioid agonist; therefore, it can cause mental and physical dependence. The International Convention classifies this drug as narcotic. Therefore it can only be purchased with a doctor’s prescription. This drug is prescribed only if non-opioid painkillers don’t affect the body.
Indications and contraindications
The drug is prescribed for elimination of severe and moderate pain syndrome. It relieves symptoms of various etymologies. Most often, Tramadol is used in the following clinical situations:
severe pain resulting from an injury;
neuralgia with pain syndrome.
Contraindications to the use of Tramadol
Absolute contraindications include the following conditions:
hypersensitivity to the components of the drug;
propensity to psychoactive substance abuse;
renal and liver failure;
use of MAO inhibitors.
Patients with traumatic brain injury, high intracranial pressure and epilepsy must take the drug with caution. Under the influence of anesthesia, Tramadol can only be administered under the supervision of a doctor and in reduced doses. The drug can’t be combined with other narcotic analgesics. It is forbidden to drink alcohol during the treatment with Tramadol.
There are several medicinal forms of the drug. Each of them has its features of admission. Drops for oral use can be prescribed to the patients over the age of 14. The optimal single dosage is 20 drops. The drops must be taken with a liquid or on sugar. If the expected therapeutic effect doesn’t appear after an hour, the dose must be repeated.
For children aged 1-14, the dosage is calculated depending on their weight (1−2 mg of the drug per 1 kg of the body weight). Repeated reception is allowed only after 4-6 hours.
According to the instructions for the use of Tramadol in ampoules, you can’t use more than 0.4 g of the drug per day. The only exception is pain removal in cancer patients or a pronounced postoperative pain syndrome. In these cases, daily dose can reach 0.6 g.
The medicine can be taken in the form of suppositories. Daily dose is 0.1 g for patients aged 14 years or over. An interval between the use of suppository should be from 4 to 6 hours.
Tramadol can be used for intravenous, intramuscular or subcutaneous injection. Standard dosage for injection for adults and teenagers aged 14 or older is 50−100 ml of the drug. If analgesia doesn’t occur an hour after the drug administration, re-introduction of 50 mg of solution is possible.
Pregnant women can’t take Tramadol for a long period. Otherwise, it can lead to withdrawal symptoms and addiction in fetus. If there is a need to use the drug during the lactation period, it should be taken into account that the substance can get into the breast milk in a small amount.