Tramadol is a synthetic opioid pain medication or analgesic that is prescribed in the treatment of moderate to severe pain. The pill was approved by FDA in the year 1995 and the extended release formulation of the same was approved in the year 2005. Tramadol can be used in the treatment of both chronic and acute type of pain. Nearly 20% of the total population suffers from pain. Pain cannot be explained it can only be felt by the person experiencing it. This is an unpleasant feeling that is felt when brain recognizes the signals sent by the body. Tramadol increases the levels of neurotransmitters serotonin and norepinephrine. By increasing their levels the drug gives a feeling of delight and relief. By taking tramadol a person can feel relaxed and have a peaceful sleep. Though it is not a narcotic (mostly an illegal drug that affects the mood), tramadol provides narcotic like pain relief. This is a potent pain killer that can be given for a person to relieve themselves from pain that is caused post-surgery. The effect of tramadol is such that one can buy generic tramadol online for the treatment of anxiety, depression, neuropathic pain, migraine headaches and osteoarthritis.
How effective is Tramadol in relieving pain?
The efficacy of Tramadol is more in the treatment of pain. The pain killing effect of this pill can be felt within an hour upon intake of the pill. The maximum effect of this pill is felt during the second to fourth hour after consuming it. The drug is very effective as it acts directly on the brain. The drug works by changing the way in which the brain perceives pain. It reduces the pain felt by the body as well as brain. When used in the treatment of moderate pain, the pill has equivalent effectiveness as morphine. Unlike other drugs it has a very low chance of addiction and maintains high safety standards. Tramadol also does not affect the cardiac functioning as other pain killers if tramadol is taken as recommended by the physician. This is the one pill that can also be used for other functions also other than being used only as a pain killer.
How generic Tramadol is different from its brand version?
There are minimal differences between generic and brand tramadol. Tramadol is primarily an active ingredient whereas ultram is a tablet that contains the active part. Since the generic tramadol is manufactured only by aping the brand one it is available at a reasonably low cost. They have equal therapeutic value and also possess the same active ingredient as the branded variant. There may be dissimilarities between them as they are manufactured by different manufacturers. The pharmaceutical companies manufacturing brand tramadol spend a lot in making the tablet whereas there is no investment cost needed in the preparation of generic tramadol. But the effectiveness of the medicine is same regardless of generic or branded formulation. The generic variant also has to follow the quality standards and other conditions that are set by the FDA. The dosage strength and route of administration is also the same in both the cases. The generic variant should also comprise of the same amount of the active ingredient. So the difference is mostly only in the cost as it is very low than the branded counterpart. There are also few differences in the shape, color and packaging of the medicine. Hence it is better to consult a physician get clear details about the medical condition and then commence their treatment with generic tramadol that has the similar beneficial effects as the brand tramadol.
Tramadol dosage information
The drug is available in liquid, capsules, extended release formulation and injection dosages. The dosage strength of tramadol starts with 25mg and can be taken three to four times a day. Mostly 50mg of this pill is prescribed and the maximum dosage of this pill is 100mg which is 25mg taken 4 times a day. In case of patients taking tramadol with liver damage, 100mg of this pill is the maximum dosage for a day. For elders above the age of 70 and patients with kidney disease the maximum dosage of this pill should not exceed 200mg. Tramadol can be taken in a time interval of 4 to 6 hours with or without taking food. For better results, a person is advised to take Tramadol at the same time every day.
Should I be concerned if I missed a dose of Tramadol?
There are chances for a person to miss a dose of tramadol as the medicine may be prescribed to be taken more than thrice. In that case he has to take the tramadol pill as soon as he recognizes. A person should refrain from taking the missed dose and continue with his regular dosing regimen if it is already time for the next dose. Do not double dose on tramadol in order to make up for the missed dose as there are more possibilities for harmful side effects to be felt.
What to do if one overdoses on Tramadol?
Overdosing on tramadol may lead to difficulty in breathing and it may even be fatal. An individual is supposed to get the help of a medical expert when he experiences any of the overdosing symptoms like extreme weakness, lack of consciousness, dizziness, fainting and reduced heartbeat. Since the effects of the pill can be witnessed in a person even after few days it is better to get immediate help when the medicine is overdosed. These effects can be felt especially when a person is taking tramadol without a prescription. To avoid such consequences it is mandatory that the person consults a physician and takes only the correct dosage of the medicine that is prescribed for him.
How to store Tramadol safely?
Tramadol should be placed in such a location that it is away from excessive heat and moisture. The pill has to be stored in an airtight container that is tightly closed. Also any individual who is on treatment with tramadol should ensure that there is no possibility for children or pets to take these drugs. The medicine should be placed at a room temperature ranging from 59°F to 86°F. It is better to dispose the medicine when it is no longer required or when it is found to be outdated.
Precautions to take before using Tramadol
The following people are advised to be cautious when taking Tramadol
- An individual who has stomach or metabolic disorder
- Any person who has a history of drug addiction or head injury
- A person suffering from breathing problem or severe asthma
- An individual who is already taking medications for the treatment of migraine headaches, muscle spasms, mental illness, nausea and vomiting.
- A person who already has kidney or liver disease, or allergic to the ingredients of this drug.
- This drug should not be taken by people who are not prescribed with it. So a patient taking this drug is advised to not share the medicine with others.
- An unborn baby may become dependent on this medicine if it is taken by a pregnant woman. So pregnant women should consult a doctor before taking tramadol to avoid withdrawal symptoms in the unborn fetus.
Alcohol interactions with Tramadol
Alcohol is not advised to be taken when a person is on treatment with Tramadol. Both alcohol and tramadol cause depressant effects in the central nervous system. Taking tramadol along with alcohol has been found to increase the side effects that are caused in the nervous system which include dizziness, difficulty in concentrating and drowsiness. At times the person may also experience difficulties like loss of thinking and decision making ability. A person who is on treatment with this medicine is advised by his physician to refrain from doing activities that require focus like driving or operating machines. Elders over the age of 60 and people with a history of drug induced liver or renal damage consuming alcohol and tramadol simultaneously experience dangerous side effects that can even be mortal.
Other drugs to be avoided while taking Tramadol
Tramadol interacts with several prescription and over-the-counter drugs and certain other drugs that include,
- Antibiotics like erythromycin and linezolid
- Medicines that are used in the treatment of depression which includes monoamine oxidase (MAO) inhibitors, tricyclic antidepressants and selective serotonin reuptake inhibitors like citalopram and fluoxetine.
- Anti-anxiety medications like paroxetine and sertraline
- Anti-seizures like carbamazepine
- Antiarrhythmic medication like quinidine
- Medicines that are used in the treatment of migraine headaches
- Antifungal medications like ketoconazole
- Medicines that are used in the treatment of bipolar disorder as well as schizophrenia
- Other pain killers like oxycodone
- Muscle relaxants that include cyclobenzaprine
- Blood thinners
- Medicines that are used in the treatment of heart disease like digoxin.
What are the side effects of taking Tramadol?
Most common side effects
The most common side effects that are triggered while taking Tramadol are constipation, nausea, headaches and dizziness. These side effects occur in the initial stage of the treatment and will settle down once the body gets used to the medicine. But if these side effects are found to prevail for a longer duration of time the individual is supposed to consult a physician and continue the tramadol therapy only after getting clear guidelines from the physician.
Rare Side effects
There are few side effects that occur only on a rare basis when using Tramadol but need more medical attention. These side effects include
- Trouble in breathing
- Fast heartbeat
- Suicidal thoughts
- Swelling of face
- Loss of consciousness
These severe side effects if occur should be brought to the knowledge of the physician immediately. In general elders over the age of 60 who are prescribed with tramadol are liable to side effects like constipation that is caused due to problems in digestion.
Can long-term consumption of Tramadol cause addiction?
There are possibilities for an individual to get addicted to Tramadol unknowingly if the medicine is used often. Mostly people who take Tramadol to acquire relief from chronic pain get addicted to the drug. Long term use of Tramadol causes tolerance that is characterized by adaptive nature of the body of the person taking the pill. Once they develop tolerance they start taking Tramadol in large quantity to get relieved from pain and believe that they get relief only when the pill is taken in larger doses. The patients taking tramadol for a prolonged duration of time may also develop physical dependence and they feel they can function properly only in the presence of the drug. Prolonged intake of the pill also causes impairment in thinking. The side effects that occur due to tolerance and physical dependence may lead to tramadol addiction. To avoid addiction, it is advised to take tramadol only as directed by the physician.
From where can one get Tramadol without a prescription?
One can buy no prescription from a brick and mortar store but the chances are low. An online pharmacy is the best place to buy your Tramadol without a prescription. Due to the demand of the medicine it is made available in many online drug portals. Though one can buy generic tramadol without a prescription from an online pharmacy, it is safe to get the medicine only after getting it prescribed from an authorized health care provider. Online health care providers are available in many authorized pharmacies and they provide the patients with prescription upon analyzing their health condition. They eliminate the need of obtaining prescription directly from a physician. By getting these online prescriptions the patients need not worry about the dosage or course of treatment of tramadol as it will be informed by the online medical expert. Also while buying this med from an offline medical store a person may get confused about the dosing regimen or other details that are told by the physician. In this case he has to consult the doctor again and get the medicine prescribed. But when the purchase is made thorough an online pharmacy the person can clarify his doubts regardless of the time from an online medical expert.
Why is it necessary to choose an authentic online pharmacy when buying generic Tramadol?
It is important to choose an authentic online pharmacy to buy your tramadol as the medicines will be available in good quality only when they are purchased from a reliable online drug store. The customer can stay relaxed without worrying about the delivery or condition of Tramadol as a good online pharmacy aims in delivering the meds in a condition that makes them to shop again from them. Because when the purchase is made from a fake online pharmacy there are chances of only getting the money from a customer and delaying or not even providing the medicines. As there are more possibilities to get duplicate drugs if ordered from a fake online pharmacy it is important to check the details about the pharmacy and identify a reliable one and then place the order. Upon identifying a genuine online pharmacy a person can be confident that he is taking tramadol exactly as prescribed by his physician. Also people who buy tramadol pills frequently are provided with offers and discounts that are intimated through mail or text messages. So a customer can get their medicines at a reasonable price and at high quality only when they buy the prescribed Tramadol from an authenticated online pharmacy.