Tramadol Chemical Equation

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Tramadol is a very effective medicine that cures all kinds of pains in your body but you need to be very cautious and alert while you have this medicine. Tramadol has got its own sets of advantages as well as disadvantages. If taken properly, according to the prescription and keeping in mind the don’ts, then the result will be very effective for your health. However, if mistakes are made then it might lead to a major side effect.

So, a person needs to be alert while on a tramadol course. It is imperative to know all about the correct doses, side effects and usage procedure. You can get a lot of information related to tramadol from the internet, however, the best possible way would be to contact a pharmacist or a health care professional. This way, there is no chance of getting misleading information.

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Once the doctor analyzes the health condition then only he will prescribe this medicine. But, during the course of your medicine, stay away from alcohol or drugs.

Tramadol is just meant for adult use only, so a person below the age of 18 must not even think of having it.

At times it is quite impossible to hide medicines at home, so while you are having tramadol you must keep a record of how many tablets you are consuming in a day. This will help you to find out if anyone apart from you is resorting to tramadol in the house.

Without a doctor’s permission nobody should have tramadol, as it can lead to death also. So, keep you and your family safe by storing the medicine in a secured place and you must keep a record of the number of tablets you are consuming, so that no one can steal and consume these medicines.

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You must not advice anyone else to have this medicine or pass it their way. The medicines must be taken only after being prescribed by the doctor. If you give your medicine to somebody else then you will be liable for the negative consequences. If a person consumes tramadol without the doctor’s consent then it can lead to severe health problems and even can cause death.

Keep the medicine in such a place where it is out of reach of small children. They can be extremely harmful for small kids.

Don’t ever store Tramadol in your bathroom. If your tramadol has exceeded its expiry date or in case you do not want to use the medicine then you must discard it in a safe place. Do not put this discarded medicine in the dustbin or flush it away. For more information about how to discard these types of medicines, you can take the help of your pharmacist.

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If you are under medication of MAO inhibitors like parnate, eldepryl, emsam, marplan, nardil, selegiline, linezolid, isocarboxide, furazolidone, tranylcypromine, rasagiline, imoclobemide, procarbazine etc then you must not take tramadol. You must stop having the MAO inhibitors two weeks before you start having tramadol and once you are over with the course of tramadol after two weeks then you can again start your MAO inhibitors.

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Moreover, if you have been using any herbal products for your health then also you need to discuss this with the doctors before you start having the tramadol dosage.

If you want to avoid the risk of the serotonin syndrome then you must avoid other drugs. Your doctor must have complete information of your entire medication process and medical case history. If you are taking medicines for increasing the level of serotonin then also you need to discuss this with the doctor.

Tramadol Interactions

If you are under the strong medication of lithium, Street drugs, Citalopram, Dextromethorphan, Paroxetine, Sibutramine, Duloxetine, Migraine attack medicines like Triptans, Venlafaxine, Sumatriptan then you must avoid the use of tramadol as it might increase the chances of serotonin syndrome.

If you are having medicines like Phenothiazines, Isoniazid, Amitriptyline, Theophyline then you must avoid tramadol as in these cases if the particles of tramadol get mixed with the above medicines then it can lead to severe seizures.

There are certain drugs which will remove the tramadol medicine from your body such as Macrolide, Azole Antifungals, seizure related antibiotics, rifamycins and St john wort. These remove the tramadol particles from your body and thus you won’t get proper result of tramadol, moreover the conjunction of tramadol with other drugs can lead to severe side effects.

Anti drowsiness medicines like diphenhydramine, medicines that cure problem like anxiety like diazepam, seizure antibiotics like phenytoin, sleeping pills like zolpidem and cyclobenzaprine, which is a muscle pain reliever, can cause major problems if you are taking them with tramadol. So, if you are on a course of any of these medicines then you must inform your doctor and wait for his or her permission to have tramadol. Also, if you have normal medicines for cough and cold then you must read the labels of the medicines carefully. Some of these medicines may have ingredients that can lead to drowsiness. And, if you are already having tramadol then the side effects can be more potent.

Medicines that work as Antidepressant like Celexa, Elavil, Norpramin, Anafranil, Tofranil, Lexapro, Luvox, Zoloft, Pamelor, Paxil etc affect the work of tramadol badly.

Tegretol, lanoxin, nizoral, coumadin, lanoxicaps, St john wort, Rifater, Ery-tab, Rifadin, e-Mycin, Rimactane, E.E.S, Quinora, Quinaglute, pain medicines and cold medicines which causes drowsiness, seizures medicines, medicines that work for depression and also for anxiety should be avoided while taking Tramadol.

These are some of the medicines that have an adverse affect on the human body if consumed with tramadol. So, if you are taking any of these medicines make sure that you inform your doctor beforehand.

If a person has problems like epilepsy, history of seizure problems or facing disorders of metabolis, trauma of head, or drugs or alcohol withdrawal problem then they can face severe seizure problems if they intake TRAMADOL.

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Moreover, alcoholic patients, patients with depression or suicidal attitude, those who consume antidepressant drug or tranquilizers should not go on an TRAMADOL course. It is very risky and many unwanted death incidents have happened. These kinds of patients must have non narcotic analgesics; and tramadol must be used in a safe mode as prescribed by their doctors.

Tramadol Warning

• If an individual has a breathing or nervous system problem then tramadol should be avoided.

• People with a medical history of hypothyroidism, problem in the stomach as well as in the intestine, sudden depression and mood swings, muscle problem or spinal problems, problem in the adrenal gland, enlarging the prostate or narrowing of urethral that causes problem while urinating, pancreas problem, problem in lungs, kidney and liver, intake of huge amount of alcohol, brain damage, seizure problem, mental disorder, problem in the adrenal gland, bower problem etc. should make it clear to the doctor before taking to tramadol. All of these medical conditions can become more dangerous if supplemented with tramadol. The side effects could border on being extremely fatal.

• The medicine can increase the risk of seizures and the symptoms of serotonin syndrome if it used along with serotonergic agents and other drugs. This can damage the power of the metabolic clearing system of the medicine.

• A person must stop the intake of alcohol if they are on a daily tramadol course.

• After having a dose of tramadol, one should not engage in activities like driving or other physical activities, as tramadol can cause a bit of drowsiness. So, any sort of physical activity may have fatal consequences, for example an accident.

• If tramadol causes dizziness and a tendency of lightheadedness, then all physical activities should be done at a slow pace with no overtly jerking movements. For example, movements such as sitting up after sleeping or walking should be done carefully.

• If the patient is above the age of 50 then this medicine can cause a breathing problem and even can drowsiness. Therefore, people on the other side of 50 need to be cautious while taking this medicine.

• Pregnant women should ideally not be put on a course of tramadol. However, if circumstances force otherwise, then it is to be taken in small doses and after consulting a doctor. The medicine can cause problems like diarrhea and irritability in pregnant women.

• Tramadol might also get into the breast milk during pregnancy. Though, there has been no known side effect on infants being breast fed, still it is best to do what the doctor says.

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Sometimes serious side effects occur not only due to tramadol, but due to a reaction to a combination of it with some other medicine. It can lead to the serotonin syndrome which causes problems like sudden change of mood, anxiety, twitchy muscles and unrecognized fever.

Tramadol Side Effects

The first time intake of tramadol also can bring along problems like rash, swelling, breathing problem, dizziness etc. A person finding himself at such a juncture should consult the doctor before taking the second dose.

Tramadol can cause other normal side effects like insomnia, problem in vision, flushing, feeling of drowsiness or weakness even dizziness, vomiting tendency, constipation problem, nausea, appetite loss problem. However, the normal side effects of tramadol can be cured. For constipation problem, a dietary change could be made and more fibers should be included in the diet. One also needs to drink a lot of water and follow a proper work out session everyday. Constipation is a very common side effect of tramadol and if you are told to consume tramadol everyday then from the first day itself you can have a laxative. This will help in countering a side effect like constipation.

In US, a study was conducted in order to recognize the side effects related to the tramadol tablets. Here, in this study, almost 550 patients were put on tramadol medication. Out of this number 375 people were above the age of 65. A proper chart system was maintained. Under, one chart, the patient were diagnosed after 7 days, in these 7 days the patients were given tramadol everyday. Then after 30 days another chart was prepared where patients were provided with tramadol for 30 days. In the same way, a third chart was prepared after 90 days were patients were medicated with tramadol for 90 days. In the 7 days chart, one patient had 26% of dizziness and vertigo problem but after 30 days, according to the chart, the same patient had 31% of vertigo/dizziness problem. So, here you can see that there was almost a 5% of increase in the side effect in just 30 days. In the regular course of time the level of side effects kept on increasing from the 7^th day till the 90^th day.

So, here it can be said that, once you start consuming tramadol, the level of side effects will keep on increasing in due course of time. The common side effects are problems in the gastrointestinal system and central nervous system. However, it would be wrong to believe that only the intake of tramadol leads to increase in side effects, because as mentioned earlier, it can be the result of a combination of tramadol with other normal drugs.

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If you do not adhere to the instructions and consume a more than sufficient amount of Tramadol, you will need immediate medical help. This is because Tramadol intake beyond the prescribed amount can lead to overdose of this strong medicine which can prove to be lethal. It is possible that you might feel drowsy and light-headed after an overdose. Other symptoms include slow heartbeat, weakness, cold and sweaty skin, low breathing level, fainting, seizures, cardiac arrest and hypotension. In extreme cases the patient might even go into a coma. Therefore, always keep medical assistance handy in case of an overdose.

The treatment for an overdose includes massage for cardiac incase of cardiac arrest, supply of vasopressors, oxygen, pulmonary edema, controlling ventilation and patent airway reestablishment.

There are no specific medicines that will control the symptoms of tramadol overdose, only sometimes medicines like naloxone are used. But, with this medicine the risk of seizure gets increased. In fact it has been seen that it could correctly treat the overdose effect of tramadol in animals. In animals only medicines like benzodiazepines or barbiturates can be effective. Even powerful medicines like hermodialysis could not help to solve the problem of tramadol overdose because even if you consume this medicine daily still it will only remove 7% of the over dosage effect.

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