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How and where to order Ultram (Tramadol Hydrochloride) 50 mg, 100 mg, 200 mg, 225 mg tablets and capsules online:
Indications and usage:
Ultram (Tramadol Hydrochloride) is an opioid agonist indicated in adults for the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate.
Limitations of use
Because of the risks of addiction, abuse, and misuse with opioids, even at recommended doses, reserve Ultram for use in patients for whom alternative treatment options [e.g., non-opioid analgesics]:
Have not been tolerated or are not expected to be tolerated.
Have not provided adequate analgesia, or are not expected to provide adequate analgesia.
Dosage and administration:
Use the lowest effective dosage for the shortest duration consistent with individual patient treatment goals.
Initiate the dosing regimen for each patient individually, taking into account the patient's severity of pain, patient response, prior analgesic treatment experience, and risk factors for addiction, abuse, and misuse.
Monitor patients closely for respiratory depression, especially within the first 24-72 hours of initiating therapy and following dosage increases with Tramadol and adjust the dosage accordingly.
Start at 25 mg/day and titrate in 25 mg increments as separate doses every 3 days to reach 100 mg/day (25 mg four times a day). Thereafter the total daily dose may be increased by 50 mg as tolerated every 3 days to reach 200 mg/day (50 mg four times a day). After titration, Tramadol (Ultram) 50 to 100 mg can be administered as needed for pain relief every 4 to 6 hours not to exceed 400 mg/day.
Severe renal impairment: increase the Ultram (Tramadol) dosing interval to 12 hours, and limit maximum daily dose to 200 mg.
Severe hepatic impairment: Recommended dose is 50 mg every 12 hours.
Do not abruptly discontinue Ultram in a physically-dependent patient because rapid discontinuation of opioid analgesics has resulted in seriouswithdrawal symptoms, uncontrolled pain, and suicide.
Dosage forms and strengths:
Tramadol Hydrochloride tablets and capsules 50 mg, 100 mg, 200 mg, 225 mg.
Overdosage:
Acute overdosage with tramadol can be manifested by respiratory depression, somnolence progressing to stupor or coma, skeletal muscle flaccidity, cold and clammy skin, constricted pupils, seizures, bradycardia, hypotension, cardiac arrest, and death. Deaths due to overdose have been reported with abuse and misuse of tramadol. Review of case reports has indicated that the risk of fatal overdose is further increased when tramadol is abused concurrently with alcohol or other CNS depressants, including other opioids.
In the treatment of tramadol overdosage, primary attention should be given to the re-establishment of a patent airway and institution of assisted or controlled ventilation. Supportive measures (including oxygen and vasopressors) should be employed in the management of circulatory shock and pulmonary edema accompanying overdose as indicated. Cardiac arrest or arrhythmias may require cardiac massage or defibrillation.
Contraindications:
Children younger than 12 years of age.
Postoperative management in children younger than 18 years of age following tonsillectomy and/or adenoidectomy.
Significant respiratory depression.
Acute or severe bronchial asthma in an unmonitored setting or in the absence of resuscitative equipment.
Known or suspected gastrointestinal obstruction, including paralytic ileus.
Hypersensitivity to tramadol, any other component of this product or opioids.
Concurrent use of monoamine oxidase inhibitors (MAOIs) or use of MAOIs within the last 14 days.
Warnings and precautions:
Serotonin syndrome: may be life-threatening. Can occur with use of tramadol alone, with concomitant use of serotonergic drugs, with drugs that impair metabolism of serotonin or tramadol.
Risk of seizure: can occur at the recommended dose of tramadol pills. Concomitant use with other drugs may increase seizure risk. Risk may increase in patients with epilepsy, a history of seizures, and in patients with a recognized risk for seizures.
Risk of suicide: do not prescribe for suicidal or addiction-prone patients.
Adrenal insufficiency: if diagnosed, treat with physiologic replacement of corticosteroids, and wean patient off the opioid.
Life-threatening respiratory depression in patients with chronic pulmonary disease or in elderly, cachectic, or debilitated patients: monitor closely, particularly during initiation and titration.
Severe hypotension: monitor during dosage initiation and titration. Avoid use of tramadol in patients with circulatory shock.
Risks of use in patients with increased intracranial pressure, brain tumors, head injury, or impaired consciousness: monitor for sedation and respiratory depression. Avoid use of Ultram (Tramadol Hydrochloride) tablets in patients with impaired consciousness or coma.
Information for patients:
Patients should be informed that Tramadol (Ultram) may cause seizures and/or serotonin syndrome with concomitant use of serotonergic agents (including SSRIs, SNRIs, and triptans) or drugs that significantly reduce the metabolic clearance of tramadol.
This medication may impair mental or physical abilities required for the performance of potentially hazardous tasks such as driving a car or operating machinery.
Ultram should not be taken with alcohol containing beverages.
Tramadol should be used with caution when taking medications such as tranquilizers, hypnotics or other opiate containing analgesics.
The patient should be instructed to inform the physician if they are pregnant, think they might become pregnant, or are trying to become pregnant.
The patient should understand the single-dose and 24-hour dose limit and the time interval between doses, since exceeding these recommendations can result in respiratory depression, seizures and death.
Adverse reactions, side effects:
The most common incidence of treatment-emergent adverse events ( >= 15.0%) in patients from clinical trials with tramadol were dizziness/vertigo, nausea, constipation, headache, somnolence, vomiting and pruritus.
To report suspected side effects of Ultram (Tramadol Hydrochloride) pills, contact Janssen pharmaceutical company or your local FDA.
Drug interactions:
Mixed agonist/antagonist and partial agonist opioid analgesics: avoid use with Ultram (Tramadol) pills because they may reduce analgesic effect of this drug or precipitate withdrawal symptoms.
Use in specific populations:
Pregnancy: may cause fetal harm.
Lactation: breastfeeding not recommended.
Where to buy tramadol online:
To purchase Ultram (Tramadol HCL) 50 mg, 100 mg capsules and tablets from reliable online pharmacies and drugstores at low prices please use resources described above on this webpage.
Here is a list of popular medications containing tramadol hydrochloride as a main active pharmaceutical ingredient; their trade names, forms, doses, companies - manufacturers, distributors, suppliers, researchers and developers:
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| Prices: | from $2.75 per pill |
| Forms: | 50 mg, 100 mg, 200 mg, 225 mg capsules and tablets |
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Indications and usage:
Ultram (Tramadol Hydrochloride) is an opioid agonist indicated in adults for the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate.
Limitations of use
Because of the risks of addiction, abuse, and misuse with opioids, even at recommended doses, reserve Ultram for use in patients for whom alternative treatment options [e.g., non-opioid analgesics]:
Dosage and administration:
Dosage forms and strengths:
Tramadol Hydrochloride tablets and capsules 50 mg, 100 mg, 200 mg, 225 mg.
Overdosage:
Acute overdosage with tramadol can be manifested by respiratory depression, somnolence progressing to stupor or coma, skeletal muscle flaccidity, cold and clammy skin, constricted pupils, seizures, bradycardia, hypotension, cardiac arrest, and death. Deaths due to overdose have been reported with abuse and misuse of tramadol. Review of case reports has indicated that the risk of fatal overdose is further increased when tramadol is abused concurrently with alcohol or other CNS depressants, including other opioids.
In the treatment of tramadol overdosage, primary attention should be given to the re-establishment of a patent airway and institution of assisted or controlled ventilation. Supportive measures (including oxygen and vasopressors) should be employed in the management of circulatory shock and pulmonary edema accompanying overdose as indicated. Cardiac arrest or arrhythmias may require cardiac massage or defibrillation.
Contraindications:
Warnings and precautions:
Information for patients:
Adverse reactions, side effects:
The most common incidence of treatment-emergent adverse events ( >= 15.0%) in patients from clinical trials with tramadol were dizziness/vertigo, nausea, constipation, headache, somnolence, vomiting and pruritus.
To report suspected side effects of Ultram (Tramadol Hydrochloride) pills, contact Janssen pharmaceutical company or your local FDA.
Drug interactions:
Mixed agonist/antagonist and partial agonist opioid analgesics: avoid use with Ultram (Tramadol) pills because they may reduce analgesic effect of this drug or precipitate withdrawal symptoms.
Use in specific populations:
Where to buy tramadol online:
To purchase Ultram (Tramadol HCL) 50 mg, 100 mg capsules and tablets from reliable online pharmacies and drugstores at low prices please use resources described above on this webpage.
Here is a list of popular medications containing tramadol hydrochloride as a main active pharmaceutical ingredient; their trade names, forms, doses, companies - manufacturers, distributors, suppliers, researchers and developers:
| Trade name of the drug | Pharmaceutical forms and doses | Companies |
| Tradonal | ||
| Tramadolor | ||
| Tramal | ||
| Ultram |
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