Many people shrink from the use of opioid analgesics, and therefore they experience deep physical and moral sufferings during painful syndrome. But there are rather safe drugs which do not cause side effects and medical addiction even among opioid analgesics. This refers to Tramadol.
Tramadol is a synthetic opioid analgesic which is used to arrest a severe physical pain. Despite belonging to the group of the narcotic products, its action is safer than the action of morphine and codeine, and a bind to the opioid receptors is by ten times lower.
Tramadol arrests pain by means of the central inhibition of the painful syndrome. It binds to the opioid receptors but it provides a light stimulating action, and therefore a human does not have euphoria after the use of the therapeutic dose of Tramadol. At the same time, Tramadol enhances a pain threshold by means of binding to the spinal cord where it blocks a movement of the pain impulses through the central nervous system.
Due to such specific action, Tramadol provides a very fast effect (a pain reduction occurs in 20-25 minutes after the use of the pill) and is well tolerated. It is impossible to completely eliminate the development of the abstinent syndrome after the use of Tramadol but a chance of the “painful withdrawal” is lower in comparison with the use of other analogical drugs.
Indications for the use
- A painful syndrome of middle and high severity of any origin: vascular, neurological, traumatic, inflammatory pain
- The reduction of the pain during specific medical procedures including painful diagnostics
- Pain inhibition after surgical procedures
- Pain during metastasis in oncology patients
In what dose is Tramadol taken?
Bear in mind that Tramadol is a narcotic analgesic and its administration should be under doctor’s supervision, or strictly according to the instructions. The nonobservance of the dosage regimen and rules for the use of the pills can lead to the negative adverse effects.
Using Tramadol in pills, a working one-time dose is 50 mg. The length of the action of a one-time dose of Tramadol is just 5-6 hours, and therefore it is allowed taking up to 200 mg within a day.
In extraordinary circumstances, the daily dose of Tramadol can be increased up to 400 mg (2 pills of Tramadol 50 mg every 6 hours) during the increased painful syndrome. Such high dose can be used for a short period under the doctor’s control.
The Tramadol overdose is characterized by the following symptoms: collapse, coma, apnea, respiratory center depression, vomiting, convulsions, and epilepsy. If the overdose is suspected, go to a doctor and have a gastric lavage.
- Tramadol is incompatible with diazepam, diclofenac, nitroglycerine
- The simultaneous use of Tramadol with any products inhibiting the functions of the central nervous system increase the influence on the nervous system, and this may lead to the side effects
- Using barbiturates with Tramadol, the analgesic effect is increased as well as the load to the central nervous system, and therefore it is better to refuse from the simultaneous use of these products
- Do not take Tramadol during diseases of the respiratory system which are caused by the airways obstruction
- The use of Tramadol is impossible if a patient is under 16 years old
- Pregnant women should refuse from the use of Tramadol
Tramadol is used carefully in the minimal effective dose during epilepsy.