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(for veterinary information only)

BRAND NAME: ULTRAM

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BACKGROUND:

The search for the relief of pain has existed for centuries if not millennia. It has long been known that the opiates are able to produce excellent analgesia as well as feelings of euphoria,

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. Unfortunately, they are also habit forming, cause respiratory depression, sedation, and hallucinations. As science has examined the brain, several types of opiate receptors have been found such that stimulation of different receptors is responsible for the different effects of the opiates. For example, the “mu” and “delta” receptors account for analgesia (pain relief), euphoria, cheapest prices for tramadol online, addiction, reduction in heart rate, and respiratory depression. The “kappa” receptors cause dysphoria (unpleasant feelings), constricted pupils, and sedation. The “sigma” receptors account for hallucinations,

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. In the laboratory, it is possible to create opiates that stimulate only some receptors and not others. With delicacy it is possible to create a drug that creates analgesia and euphoria without being addictive or sedating. Tramadol represents such a drug.

In veterinary medicine there has been a recent explosion in the development of non-steroidal anti-inflammatory medications for the control of animal pain, particularly pain associated with canine arthritis,

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. These medications act by inhibiting cyclo-oxygenase (abbreviated "COX"), hydrocodone diarhea, an enzyme that leads to production of assorted inflammatory biochemicals. Suppressing this enzyme, suppresses the pain as well as the inflammation. Unfortunately, cyclo-oxygenase also helps produce some much needed biochemicals and it becomes tricky to suppress production of inflammatory products while keeping the helpful ones,

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. Occasionally, a dog will develop a reaction to one of these anti-inflammatory medications or will develop a liver or kidney problem which is incompatible with their use. These dogs still require pain management and for these patients, a “mu” agonist like tramadol may be just the ticket.

Tramadol can be used separately or in combination with non-steroidal anti-inflammatory drugs and can also be used in cats (whereas non-steroidal anti-inflammatory drugs have limited use).

HOW THIS MEDICATION IS USED:


Tramadol can be used for pain relief in both dogs and cats. (Most non-steroidal anti-inflammatory drugs are not safe for feline use so tramadol provides a nice choice for cats with chronic pain issues).


Tramadol is given two to three times daily.

SIDE EFFECTS:

Side effects are considered rare but we list the following for completeness:



Upset stomach is occasionally observed with tramadol.


Pupil constriction and panting may occur with this medication.


Tramadol has some ability to suppress coughing.


Decreased heart rate may result but should not be problematic.


Constipation may be a side effect.


Overdose may manifest as seizures, pinpoint pupils, and mental alterations,

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. Seek veterinary assistance at once should any of these occur.

If a pet develops apparent sedation or bizarre behavior, the tramadol dose should be reduced.

INTERACTIONS WITH OTHER DRUGS:

The beauty of this pain reliever is that it is compatible with all the COX -inhibiting non-steroidal anti-inflammatory drugs, possibly even synergizing with them. It is also compatible with joint pain nutriceuticals such as glucosamine, MSM, cheapest prices for tramadol online, chondroitin sulfate etc.

Tramadol is NOT compatible with Deprenyl,

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. Animals taking deprenyl either to control Cushing’s Syndrome or to control senility may not take any sort of narcotic medication including tramadol. Similarly, tramadol is not compatible with other psychoactive drugs such as serotonin reuptake inhibitors, tricyclic antidepressants, or monoamine oxidase inhibitors. If you are not sure if your pet is on one of these medications, hydrocodone intoxication, check with your veterinarian.

Tramadol may not be compatible with SAMe, a liver and joint support nutriceutical,

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. Until further studies are performed, these two treatments should not be used together.

Tramadol can induce sedation when combined with amitraz, the active ingredient in the Preventic tick control collar and also in Promeris Canine, a flea and tick control product. Amitraz is also sometimes used in the treatment of demodectic mange.

CONCERNS AND CAUTIONS:

Tramadol is not passed to nursing young and should be an acceptable pain reliever for a lactating mother.



Tramadol is removed from the body by the liver (70%) as well as via kidney excretion (30%). Should disease be present in either of these systems, tramadol tropfen, a dose reduction may be necessary.


A human product called “Ultracet®” is available. It contains acetaminophen in addition to tramadol,

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. This product is NOT safe for cats at any dose and requires specific veterinary instruction if it is to be used in dogs. Never use your own medication on your pet.

Tramadol can cause seizures in humans and thus should be used cautiously in animals with a history of seizures.

If discontinuing tramadol after long term use, it is recommended that it be tapered off rather than abruptly discontinued.

Page last updated: 5/2/2011




Rx Tramadol

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Rx Tramadol Histroy and Information

Rx Tramadol is a synthetic opioid and was developed by the German pharmaceutical company Grьnenthal GmbH in the late 1970s. It is often categorized as an opioid, hydrocodone diarhea, although it is chemically not related to the opioid class of drugs. Rx Tramadol is usually marketed as the hydrochloride salt (tramadol hydrochloride).

Rx Tramadol Uses

Rx Tramadol is used to relieve moderate to moderately severe pain. Tramadol also may be used to treat pain caused by surgery and chronic conditions such as cancer or joint pain. Rx Tramadol works by decreasing the brain's perception and response to pain. Tramadol also reduces the size or magnitude of the pain signal passed from one nerve to another. Tramadol is sometimes prescribed for other uses, drug interaction between ativan and tramadol, ask your doctor or pharmacist for more information.

How to Take Rx Tramadol

Take Rx Tramadol by mouth as prescribed. It is usually taken every 4 to 6 hours as needed. Use Tramadol exactly as prescribed. Do not increase your dose, use it more frequently or use it for a longer period of time than prescribed because this drug can be habit-forming. Also, if used for an extended period of time, do not suddenly stop using Tramadol without your doctor's approval,

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. When used for extended periods, Rx Tramadol may not work as well and may require different dosing. Consult your doctor if the medication stops working well.

Rx Tramadol Warnings

You should not take Rx Tramadol if you have ever been addicted to drugs or alcohol, cheapest prices for tramadol online, if you are currently intoxicated (drunk), or if you have recently used any of the following drugs:


alcohol

narcotic pain medicine

sedatives or tranquilizers (such as Valium)

medicine for depression or anxiety

medicine for mental illness (such as bipolar disorder, cheapest prices for tramadol online, schizophrenia) or

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Seizures have occurred in some people taking Rx Tramadol. Your risk of a seizure may be higher if you have any of these conditions:



a history of drug or alcohol addiction

a history of epilepsy or other seizure disorder

a history of head injury

a metabolic disorder or

if you are also taking an antidepressant, muscle relaxer, tramadol tropfen, or medicine for nausea and vomiting. Talk with your doctor about your individual risk of having a seizure while taking Rx Tramadol Online. If you have any of these other conditions, cheapest prices for tramadol online, you may need a dose adjustment or special tests to safely take Rx Tramadol:



kidney disease

liver disease

a stomach disorder or

a history of depression, mental illness, or suicide attempt

FDA pregnancy category C,

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. Rx Tramadol may be harmful to an unborn baby. Tramadol may also cause serious or fatal side effects in a newborn if the mother uses the medication during pregnancy or labor. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Rx Tramadol can pass into breast milk and may harm a nursing baby,

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. Do not use Rx Tramadol without telling your doctor if you are breast-feeding a baby. Tramadol should not be given to a child younger than 18 years of age.

More Rx Tramadol Warnings and Precautions

You should not take Tramadol Online if you have ever been addicted to drugs or alcohol. Seizures (convulsions) have occurred in some people taking Tramadol. You may be more likely to have a seizure while taking Tramadol if you have a history of seizures or head injury, drug interaction between ativan and tramadol, a metabolic disorder, or if you are taking certain medicines such as antidepressants, muscle relaxers, or medicine for nausea and vomiting,

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. Take Tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Do not take more than 300 milligrams of Rx Tramadol in one day. Seek emergency medical attention if you think you have used too much of this medicine. A Rx Tramadol overdose can be fatal,

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. Symptoms of a Rx Tramadol overdose may include drowsiness, shallow breathing, cheapest prices for tramadol online, slow heartbeat, extreme weakness, cold or clammy skin, feeling light-headed, fainting, or coma. Tramadol may be habit-forming and should be used only by the person it was prescribed for. Rx Tramadol should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. Rx Tramadol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert,

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. Do not stop using tramadol suddenly, or you could have unpleasant withdrawal symptoms such as anxiety, cheapest prices for tramadol online, sweating, tramadol tropfen, nausea, diarrhea, tremors, chills, hallucinations, cheapest prices for tramadol online, trouble sleeping, or breathing problems. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Do not crush the Rx Tramadol tablet. Rx Tramadol is for oral (by mouth) use only,

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. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using Tramadol by inhalation or injection can cause life-threatening side effects, overdose, or death.

Rx Tramadol Missed Dose

Take the missed dose as soon as you remember it,

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. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose of Tramadol to make up for a missed one.

Rx Tramadol Possible Side Effects

Although side effects from Rx Tramadol Online are not common, they can occur. Rx Tramadol may cause dizziness, weakness, incoordination, hydrocodone intoxication, nausea or vomiting, stomach upset, drug interaction between ativan and tramadol, constipation, cheapest prices for tramadol online, headache, drowsiness, anxiety, irritability, cheapest prices for tramadol online, dry mouth, or increased sweating. If any of these effects persist or worsen, inform your doctor,

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. Notify your doctor if you develop any of these serious effects while taking Rx Tramadol: chest pain, cheapest prices for tramadol online, rapid heart rate, skin rash or itching, mental confusion, hydrocodone diarhea, disorientation, cheapest prices for tramadol online, seizures, tingling of the hands or feet, trouble breathing. In the unlikely event you have an allergic reaction to this drug, seek immediate medical attention,

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. Symptoms of an allergic reaction include:

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,
rash, itching, cheapest prices for tramadol online, swelling, hydrocodone diarhea, dizziness, breathing trouble. If you notice other effects not listed above, contact your doctor or pharmacist.

Rx Tramadol Storage

Store Tramadol at room temperature between 59 and 86 degrees F (15 to 30 degrees C) away from heat and light. Do not store in the bathroom,

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. Keep this and all medications out of the reach of children.

Rx Tramadol Overdose

Seek emergency medical attention. Symptoms of a Tramadol overdose include difficulty breathing; shallow, weak breathing, and seizures.

More Rx Tramadol Information

Do not drink alcohol while taking Tramadol Online Rx,

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. Alcohol may cause a dangerous decrease in breathing and/ or liver problems when used during treatment with Tramadol. Use caution when driving, operating machinery, or performing other hazardous activities. Tramadol may cause dizziness or drowsiness,

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. If you experience dizziness or drowsiness, avoid these activities. Avoid sleeping pills, tranquilizers, cheapest prices for tramadol online, sedatives, and antihistamines except under the supervision of your doctor. These drugs may increase drowsiness caused by Rx Tramadol.

Rx Tramadol Disclaimer

This Rx Tramadol Online information is for your information purposes only, it is not intended that this information covers all uses, cheapest prices for tramadol online, directions, drug interactions, precautions, or adverse effects of your medication,

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. This is only general information, purchase tramadol no creditcard, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, cheapest prices for tramadol online, either expressed or implied, is made in regards to this information.





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