Tramadol - old and new surprising facts about the notorious synthetic opioid.
Human body is a wondrous thing. After the long and complicated process of evolution our bodies are able of fighting back considerable difference of temperatures, heal big wounds and knit broken bones. They are able of coping with numerous infections, regenerating different injuries and restoring after hard nervous stress and strain. If we fail to avoid health issues pain is the first price you have to pay.
Every single burn, bruise and scratch in our life is entailed with pain. This awful throbbing sensation is the most hated feeling in the world, with all that we would not be able to survive without pain. Believe it or not but it is pain that makes us clever and more attentive to the needs of our body. It is the best keeper of our health that is always there for you - sleepless and alert. You will not be able to forget about your injury and hurt yourself even if you fall asleep. You will have no opportunity of ignoring your bad tooth until things turn totally wrong because pain won’t let you to! Absence of physical pain would have made us too thoughtless to pay the slightest attention to our health and well-being. Do you still hate pain, the best and the most reliable friend of yours?
But sometimes pain becomes entirely excruciating and humans think it more desirable to pass away than to tolerate an awful nightmare like that. No wonder the mankind kept looking for meds able of soothing pain. Today we have the power of chemistry and contemporary pharmacology in addition to natural stuffs to create safe and highly effective ways of surviving pain.
Analgesic medications these days are different and plentiful. Some of them are extracts of natural ingredients, others are purely chemical compounds; there are also many combinations of the two. Tramadol is one of them. It is a centrally-acting analgesic used in fighting back moderate to moderately severe pain. This medications is rather new - it was produced German pharmaceutical company Grünenthal GmbH in the late 1970s. It was a successful synthetic analog of Codeine, the phenanthrene alkaloid and opioid. Just like Codeine, Tramadol proved to be a full-fledged prodrug, too. Unlike Codeine, turned in our bodies to Morphine, Tramadol is metabolized into M-1. Both substances act upon the human opiate receptors or μ1 and μ2 receptors. Tramadol is also good for releasing serotonin in human brain and inhibiting the effect of norepinephrine.
Tramadol can avoke euphoria and respiratory depression, because it is a very addictive opioid having serotonergic and noradrenergic effects and influencing the μ-opioid receptors exclusively. This unique characteristic feature of Tramadol and its major metabolites makes this medication stand alone among other substances of the opioid drug class - even Morphine does not possess this extent of receptor subtype selectivity!
As we have told you before Tramadol, just like codeine and other opioids, are generally applied to cure moderate to moderately severe painful states as well as the main types of neuralgia. When doctors first found out Tramadol effect on the noradrenergic and serotonergic systems of personalities they believed the medicine could be effective for fighting back the symptoms of depression, anxiety and phobias. However the addictiveness of Tramadol kept it from becoming a popular tranquilizer. Today Tramadol is sometimes used these purposes but only when other treatments failed. In this case rigid Tramadol dosage control and regular psychiatrist consultations are necessary!
Tramadol ways are not that easy. Being highly effective, the medicine can have side effects and from strong addiction, that is why there are always people who are ready to misuse. The German company Grünenthal GmbH has been constantly charged of producing Tramadol, which is very addictive and can have severe side effects, while the company is not informative enough and states that the med showed little abuse liability in preliminary tests. Later in May 2009, the US FDA wrote a warning letter to the company of Johnson & Johnson, because they promoted Tramadol overstating the efficacy of the drug, and minimizing the possible serious risks. The 2010 Physicians Desk Reference contains a number of manufacturer warnings, which were not present in prior years. They included strict warnings about:
- the addictive potential of Tramadol,
- the possibility of difficulty breathing,
- a new extended list of side effects including more serious cases,
- a fact that Tramadol should not to be applied instead of opiate medications for addicts,
- a warning that Tramadol should not to be used to withdraw addict patients from opiate drugs,
- a fact that Tramadol should not to be used to manage long-term opiate addiction.
Tramadol is produced as:
- solutions for both intravenous and intramuscular injections. The injection solutions are used in patient-controlled analgesia cases either as the sole agent or with another opioid agent such as Morphine;
- capsules which are believed to protect your stomach better;
- tablets (regular, extended release, chewable etc);
- suppositories for rectal administration;
- powders for compounding;
- liquids both with and without alcohol for oral and sub-lingual administration.
As a rule you can purchase Tramadol online as the tramadol hydrochloride for oral administration.
The usual dosage of Tramadol is 50 mg generic tablets made by several pharmaceutical companies. Effective pain-killing conjunctions with APAP such as Paracetamol and Acetaminophen are also widely available as Ultracet drug. In this case the tablet contains smaller dose of Tramadol (37.5 mg) and larger dose of APAP (325 mg).
Tramadol is a med with easily recognizable unpleasant taste which is mildly bitter. All the same, it is less bitter than other opioids such as Morphine and Codeine. The top safe dosage of Tramadol for oral administration is 400 mg a day and 600 mg of Tramadol for parenteral administration.
To be on the safe sade you should never reach the biggest dosage of Tramadol! For instance, Ultracet tablets with 37.5 mg of tramadol and 325 mg of APAP in it is capped at 8 tablets a day, that is 300 mg of Tramadol. Ultram ER tablets containing Tramadol are available in 100, 200, and 300 mg/day doses, too.
It is very harmful to take Tramadol if:
- you are over 75 years old or under 18 years old;
- you have severely reduced renal (kidney) or hepatic (liver) functions;
- you take other opioids such as oxycodone, methadone, fentanyl, morphine.
Please, visit your doctor before purchasing Tramadol no rx - he or she will tell you about the safest way of taking Tramadol or will give you the reasons why you should not start this medication at all.
It is wrong to say that healthcare providers and pharmacists know everything about Tramadol. This unique drug is still being clinically tested. So, Tramadol proves to be effective and safe in managing diabetic neuropathy, post-herpetic neuralgia, fibromyalgia, restless leg syndrome, Anti-Depressant withdrawal aid (especially for Venlafaxine or Effexor), migraine headache, obsessive-compulsive disorder and premature ejaculation.
You will be shocked to find out that Tramadol is one of the most reliable and efficient pills available to veterinarians for treating animals in pain. For instance, Tramadol may be used to survive post-operative, injury-related, and chronic pain in dogs, cats and other mammals. It is less harmful than some non-steroidal anti-inflammatory substances that may be lethal for animals. Tramadol dosage for animals for effective analgesia is 1-4 mg/kg. Overdosing can be fatal!
Pregnancy and breastfeeding Tramadol warning: please, note that Tramadol is extremely dangerous for the unborn baby! According to FDA classification it is a FDA pregnancy category C medicine that must not be taken by pregnant women unless the potential benefits of Tramadol outweigh the serious risks!
If the future mother starts the med during pregnancy, Tramadol causes serious and even deadly side effects in newborn babies including neonatal withdrawal. Tramadol is known to pass into breast milk that is not you should not breastfeed your nursing baby if you follow the course of Tramadol therapy!
The common adverse reactions of Tramadol are:
- nausea and vomiting, constipation, diarrhea, indigestion;
- sweating;
- drowsiness (less than with natural opioids);
- dizziness, fatigue;
- headache;
- dry mouth;
- seizures (very seldom in less than 1% of patients).
Please, bear in mind that almost 71% of all Tramadol patients experience some of the side effects listed above!
Tramadol withdrawal signs are also rather severe. They are usual for patients who followed the course of Tramadol therapy for a long time taking high doses of the drug. Men and women who took Tramadol as general pain killer can experience uncontrollable nervous tremors and muscle contracture if they dropped the med too quickly. Anxiety and other similar sensations are also possible when you give up Tramadol. Some patients develop respiratory depression common for opioid withdrawal. Some physicians point out negative effects of opioids on cognitive functioning and personality.
As you can see, Tramadol is a fantastic way out if you are in pain, but it can become addictive if you take in too long and in large amounts. If you keep asking yourself where can I get Tramadol online, please, see your doc to find out the safest way of taking and stopping Tramadol before swallowing the first tablet. Think twice! Maybe you can handle without any opioids at all?
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