Tramadol Online

How and where to order Tramadol (Ultram generic) 50 mg, 100 mg tablets and capsules online on Narc Doggie website:

Shop:	MEDS DIRECT SHOP
Prices:	from $3.97 per pill
Forms:	Tramadol 50 mg, 100 mg tablets
Quantity:	30, 45, 60, 90, 120, 180 pills
Type:	Tramadol Sandoz brand Tramadol Cinfa brand Tramadol Aristo brand Tramadol Retard Stada brand Ultram generic
Payment:	Visa, Mastercard, Bitcoin
Delivery:	International delivery service
Shipping:	Worldwide, including USA, Europe, Canada, Australia

Tramadol (trade names include Ultram, Adamon, Contramal, Dolol, Dolotram, Domadol, Mandolgin, Monocrixo-LP, Nobligan, Nobligan Retard, Ralivia, Rybix ODT, Ryzolt, Sylador, Tiparol, Topalgic, Topalgic-LP, Tradolan, Tradonal, Tradonal Retard, Tramabeta, Tramabeta Long, Tramacip, Tramadol Actavis, Tramadol Arrow Generiques, Tramadol Asta Medica, Tramadol Biogaran, Tramadol CT-Arzneimittel, Tramadol Cinfa, Tramadol Hexal, Tramadol Lannacher, Tramadol Mepha, Tramadol Mylan, Tramadol Ratiopharm, Tramadol Sandoz, Tramadol Stada, Tramadol Teva, Tramadol Zydus, Tramadol-LP, Tramadol Retard Hexal, Tramadolor, Tramadolor-ID, Tramadolor Long, Tramagetic, Tramagit, Tramahexal, Tramal, Tramal Long, Tramal Retard, Tramal-SR, Tramapine, Tramundal, Tramundin, Tramundin Retard, Ultram-ER, Zamadol, Zamudol, Zamudol-LP, Zumalgic, Zydol, Zydol-SR, Zytram, Zytram-XL) is an pain relief drug from opioid analgesics pharmacological group. This medication is used to relieve acute and chronic moderate to moderately severe pain; for the treatment of back pain, fibromyalgia, anxiety, depression, obsessive compulsive disorder, restless legs syndrome (RLS), syringomyelia, vulvodynia, pain caused by surgery and chronic conditions such as joint pain or cancer, painful HIV-associated neuropathy; as an analgesic during labour. Tramadol HCl works by decreasing the brain's perception and response to pain.

Ultram (Tramadol Hydrochloride) tablets

Recent posts:

Tramadol Hydrochloride medications

Tramadol Hydrochloride drugs

Tramadol Hydrochloride medicines

Tramadol Hydrochloride combinations

Related medications:

Acetaminophen (Paracetamol)

Acetaminophen, Butalbital, Caffeine (Fioricet)

Acetaminophen, Codeine (Narcogin Forte)

Acetaminophen, Tramadol (Ultracet)

Aspirin, Caffeine (Anacin)

Caffeine, Ergotamine (Cafergot)

Codeine (Ultracode)

Dezocine (Dalgan)

Diclofenac (Voltaren)

Dihydrocodeine (DHC)

Ibuprofen (Motrin)

Mefenamic Acid (Ponstel)

Meptazinol (Meptid)

Paracetamol, Tramadol (Padolten)

Sumatriptan (Imitrex)

Tapentadol (Nucynta)

Tilidine (Valoron)

Pharmacological and medical categories:

Anti anxiety medications

Antidepressants

Cancer drugs

Opioid analgesics

Pain relief medicines

Supportive care therapy

ATC codes:

N - Nervous system

N02 - Analgesics

N02A - Opioids

N02AX - Other opioids

N02AX02 - Tramadol

ICD-10 codes:

Neoplasms - C00-D49

Mood [affective] disorders - F30-F39

Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders F40-F48

Obsessive-compulsive disorder - F42

Other extrapyramidal and movement disorders - G25

Restless legs syndrome - G25.81

Other and unspecified polyneuropathies - G62

Pain, not elsewhere classified - G89

Other acute postprocedural pain - G89.18

Other and unspecified diseases of spinal cord - G95

Syringomyelia and syringobulbia - G95.0

Dorsalgia - M54

Other soft tissue disorders, not elsewhere classified - M79

Fibromyalgia - M79.7

Pain and other conditions associated with female genital organs and menstrual cycle - N94

Preterm labor - O60

Vulvodynia - N94.81

Pain, not elsewhere classified - R52

Other medical care - Z51

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:

You can purchase here tablets: Tramadol Hydrochloride 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 were dizziness/vertigo, nausea, constipation, headache, somnolence, vomiting and pruritus.

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.

Pregnancy categories:

C - Australia

C - United States (Risk cannot be ruled out)

Salts and other forms:

Tramadol Base

Tramadol Hydrochloride

Tramadol Hydrochloride Monohydrate

Synonyms, international and chemical names:

2-(Dimethylaminomethyl)-1-(3-methoxyphenyl)-cyclohexan-1-ol

Clorhidrato de Tramadol

Cyclohexanol, 2-((dimethylamino)methyl)-1-(m-methoxyphenyl)-

Hidrocloruro de Tramadol

Tramadool

Tramadol Chlorhydrate

Tramadol Clorhidrato

Tramadol HCl

Tramadol HCl H2O

Tramadol Hidrocloruro

Tramadol Hidroklorida

Tramadol Hydrochlorid

Tramadolhydrochlorid

Tramadolhydrochloride

Tramadolhydroklorid

Tramadoli Hydrochloridum

Tramadolihydrokloridi

Tramadolis

Tramadolo

Tramadolum

Tramodol

Brands, generics, trade names:

Adamon - Zydus Cadila, Asta Medica, German Remedies

Adamon Long - Zydus Cadila, Asta Medica, German Remedies

Adolonta - Grunenthal

Biodol - Niche Generics

Contramal - Abbott, Grunenthal, Continental Pharma, Formenti Farmaceutici, Sarabhai Piramal Pharma, Teva

Dolodol - Cantabria Industrial Farmaceutica, Ethix Healthcare

Dolol - Nycomed

Dolotram - Sun Pharmaceutical Industries

Domadol - Unichem Laboratories, Antah Pharma, Healol Pharmaceuticals

Ecodolor - Sandoz, Ecosol

Larapam - Sandoz

Mabron - Medochemie, Derek Marketing, Komedic, Medline, Thailand, Morningside Healthcare, Star Medical Supplies

Mandolgin - Sandoz, DuraScan Medical Products

Monocrixo-LP - Therabel Pharma

Nobligan - Abbott, Grunenthal, Altana Pharma, Janssen, Norpharma, Pfizer, Piramal Healthcare, Roche

Nobligan Retard - Abbott, Grunenthal

Opiate - Sanify Healthcare

Opidol-SR - Solace Biotech

Orozamudol - Meda

Pengesic - Hovid, Goldplus Universal, Metro Drug Distribution

Pharmadol - Pharmaland 1982

Ralivia - Biovail Pharmaceuticals, Valeant Pharmaceuticals

Rybix ODT - Ethypharm, Victory Pharma

Ryzolt - Purdue Pharma, Confab Laboratories, Labopharm

Sefmal - Unison Laboratories, Age D'or Healthcare, Firma Welfare Instrument, Health Alliance International, Medispec

Supridol - Neon Laboratories

Sylador - Sanofi-Aventis

Takadol - Expanscience Laboratoires

Timarol - Chile Laboratorios

Timasen - Asta Medica

Tiparol - AstraZeneca

Topalgic - Sanofi-Aventis

Topalgic-LP - Sanofi-Aventis

Trabilin - Mepha, Mepharm Malaysia

Tradolan - Lannacher Heilmittel, Nordic Drugs

Tradonal - Meda

Tradonal Retard - Asta Medica, Viatris

Tradosik - Sanbe Farma

Tralgit - Zentiva

Tralic - Andromaco Laboratorios

Tramabene - Ratiopharm

Tramabeta - Betapharm Arzneimittel

Tramabeta Long - Betapharm Arzneimittel

Tramacet - Makbro Healthcare

Tramacip - Cipla

Tramadol - Actavis, Alphapharm, Apotex, Arrow Generiques, Asta Medica, Biogaran, Cinfa Laboratorios, CT-Arzneimittel, EG Labo, Eon Labs, GlaxoSmithKline, Hexal, IVAX, KRKA, Lannacher Heilmittel, Meda, Mepha, Merck, Mylan, Pliva, Polfa, Qualimed Pharma, Ranbaxy, Ratiopharm, Sandoz, Sanofi-Aventis, Stada, Sun Pharmaceutical Industries, Teva, Watson Pharmaceuticals, Zentiva, Zydus Pharmaceuticals

Tramadol-LP - Sandoz

Tramadol Retard - Apotex, Helvepharm, Hexal, KRKA, Mepha, Mylan, Ratiopharm, Sandoz, Stada, Teva

Tramadolor - Mepha

Tramadolor-ID - Hexal, Mepha

Tramadolor Long - Hexal, Mepha

Tramagetic - Leiras, Azupharma, Nycomed, Sandoz

Tramagit - Krewel Meuselbach

Tramahexal - Hexal, Sandoz

Trama-Klosidol - Bago Laboratorios

Tramal - Sanofi-Aventis

Tramal Long - Sanofi-Aventis, Grunenthal

Tramal Retard - Sanofi-Aventis, DKSH, Formenti Farmaceutici, Grunenthal, MediQuest, Mundipharma, Zuellig Pharma

Tramal-SR - Sanofi-Aventis, CSL, Grunenthal

Tramapine - Pinewood Laboratories

Tramatas - Intas Pharmaceuticals

Tramazac - Zydus Cadila, Pharmadica

Tramedo - Alphapharm

Tramium - S.M.B. Laboratoires

Tramundal - Mundipharma

Tramundin - Mundipharma, Zuellig Pharma

Tramundin Retard - Mundipharma, DKSH, Zuellig Pharma

Ultram - Janssen

Ultram-ER - Janssen, Biovail Pharmaceuticals, Ortho McNeil Pharmaceuticals, PriCara

Ultramol - Aristo Pharmaceuticals

Urgendol - Mundipharma, Win Medicare

Veldrol - Collins Productos Farmaceuticos

Xymel - Clonmel Healthcare

Zaledor - Medipharm

Zamadol - Meda, Macleods Pharmaceuticals, Viatris

Zamudol - Meda, Viatris

Zamudol-LP - Meda

Zumalgic - Erempharma Laboratoires

Zydol - Grunenthal, Arrow Pharmaceuticals, Aspen, CSL, Pfizer

Zydol-SR - Grunenthal, Aspen

Zytram - Purdue Pharma, Pharmaco, New Zealand, Zambon, Zytras Lifesciences

Zytram-XL - Purdue Pharma, Pharmaco, New Zealand, Zambon

APIs used in medicine in combinations with tramadol:

Aceclofenac

Acetaminophen (Paracetamol)

Celecoxib

Chlorzoxazone

Clonixin

Dexketoprofen

Diclofenac

Dicyclomine

Domperidone

Gabapentin

Ibuprofen

Ketorolac Tromethamin

Here is a list of popular medications containing tramadol 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	Capsules; Oral; Tramadol Hydrochloride 50 mg Drops; Oral; Tramadol Hydrochloride 100 mg / ml Injectable; Injection; Tramadol Hydrochloride 50 mg / ml Tablets, Effervescent; Oral; Tramadol Hydrochloride 50 mg Tablets, Retard; Oral; Tramadol Hydrochloride 150 mg Tablets, Retard; Oral; Tramadol Hydrochloride 200 mg Tablets, Retard; Oral; Tramadol Hydrochloride 300 mg Tablets, Retard; Oral; Tramadol Hydrochloride 400 mg	Meda Aspen Asta Medica Metro Drug Distribution Sigma Pharmaceuticals Temmler Pharma Transfarma Unico Health Care Products Viatris
Tramadolor	Capsules; Oral; Tramadol Hydrochloride 50 mg Drops; Oral; Tramadol Hydrochloride 100 mg / ml Injectable; Injection; Tramadol Hydrochloride 50 mg / ml Suppositories; Rectal; Tramadol Hydrochloride 100 mg Tablets, Modified Release; Oral; Tramadol Hydrochloride 100 mg Tablets; Oral; Tramadol Hydrochloride 50 mg Tablets, Soluble; Oral; Tramadol Hydrochloride 50 mg	Hexal Lek Mepha Sandoz
Tramal	Capsules; Oral; Tramadol Hydrochloride 50 mg Drops; Oral; Tramadol Hydrochloride 100 mg / ml Injectable; Injection; Tramadol Hydrochloride 50 mg / ml Injectable; Injection; Tramadol Hydrochloride 100 mg / ml Suppositories; Rectal; Tramadol Hydrochloride 100 mg Tablets, Dispersible; Oral; Tramadol Hydrochloride 50 mg Tablets; Oral; Tramadol Hydrochloride 50 mg	Grunenthal Altana Pharma BioCSL Byk Chemotrade CSL DKSH Experimental Production MBP RK NPK Formenti Farmaceutici Janssen MediQuest Minapharm Pharmaceuticals Mundipharma Nippon Shinyaku Orion Pharma Pfizer Pharmacare Pharos Chemie Sanofi-Aventis Searle Stada Takeda Pharmaceutical Tec-O-Pharm Teriak Laboratoires Pharmaceutique UniMed & UniHealth Vianex Zentiva Zuellig Pharma
Ultram	Injectable; Injection; Tramadol Hydrochloride 50 mg / ml Tablets, Buccal; Oral; Tramadol Hydrochloride 50 mg Tablets; Oral; Tramadol Hydrochloride 50 mg Tablets; Oral; Tramadol Hydrochloride 100 mg	Janssen Micro Labs Ortho McNeil Pharmaceuticals PriCara

References:

Tramadol main article on Wikipedia: https://en.wikipedia.org/wiki/Tramadol

Tramadol compound on PubChem: https://pubchem.ncbi.nlm.nih.gov/compound/Tramadol

Tramadol Hydrochloride compound on PubChem: https://pubchem.ncbi.nlm.nih.gov/compound/Tramadol-hydrochloride

Tramadol on DrugBank: https://www.drugbank.ca/drugs/DB00193

Tramadol Hydrochloride on DrugBank: https://www.drugbank.ca/salts/DBSALT000181

Tramadol FAQ on MedlinePlus (revised 11/15/2020): https://medlineplus.gov/druginfo/meds/a695011.html

Tramadol Hydrochloride Watson Laboratories tablets drug label info on DailyMed (revised March 30, 2007): https://dailymed.nlm.nih.gov/dailymed/lookup...

Ultram (Tramadol Hydrochloride) coated tablets drug label info on DailyMed (revised July 16, 2020): https://dailymed.nlm.nih.gov/dailymed/lookup...

Tramadol containing drugs on Drugs-About.com: https://drugs-about.com/ing/tramadol.html

Tramadol for sale on Pharma Doctor: https://pharma-doctor.com/tramadol.html

Tramadol international drug names on Drugs.com: https://www.drugs.com/international/tramadol.html

Ultram (Tramadol Hydrochloride) tablets official prescribing information from the U.S. FDA (revised March 2008): https://www.accessdata.fda.gov/drugsatfda_docs/label...

Ultram-ER (Tramadol Hydrochloride) extended-release tablets for oral use official prescribing information and medication guide from the U.S. FDA (revised 08/2017): https://www.accessdata.fda.gov/drugsatfda_docs/label...

Ultram (Tramadol Hydrochloride) tablets CIV official prescribing information and medication guide from the U.S. FDA (revised 08/2017): https://www.accessdata.fda.gov/drugsatfda_docs/label...

Ultram (Tramadol Hydrochloride) tablets for oral use prescribing information and medication guide from Janssen pharmaceutical company (revised 07/2020): http://www.janssenlabels.com/package-insert/product-monograph...

Tramal (Tramadol Hydrochloride) tablets and Tramal-SR (Tramadol Hydrochloride) sustained-release tablets product information from PDR (revised 12 August 2020): https://labeling.seqirus.com/PI/AU/Tramal/EN/Tramal-Product-Information.pdf

Tramadol HCl capsules 50 mg package information leaflet from Accord Healthcare on Medicines.org.uk (revised 05/2020): https://www.medicines.org.uk/emc/files/pil.6116.pdf

Revised: June 2021