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Chronic pain has almost reached epidemic levels in the USA, with 8 out of 10 Americans reporting that they experience regular and sometimes chronic pain in various body parts. The causes of pain could be anything from injury, surgery, or some medical condition. Chronic or acute pain sufferers struggle every day with physical discomfort, making their daily tasks challenging. In addition, they may also struggle with problems such as insomnia, emotional stress, and depression.
So what is the most effective solution for pain? Pain is not always curable, but there are several ways to treat it. The most common pain treatment involves pain medications. This blog discusses Tramadol medication for pain relief in detail.
What is Tramadol?
Order Tramadol online to treat your pain because Tramadol is an FDA-approved drug for pain relief. Tramadol drug is a centrally acting synthetic opioid analgesic used for the treatment of moderate to severe pain. It is structurally related to morphine and codeine. Due to Tramadol’s good tolerability profile and multimodal mechanism of action, Tramadol is generally considered a lower-risk opioid option for treating pain.
There are two forms of tramadol medicine: extended-release and immediate release. The immediate-release form of Tramadol is not for use as an “as needed” medication; instead, this form is for the pain of less than a week duration. For pain lasting more than one week, the extended-release form of Tramadol is the therapeutic choice — the indication for extended-release Tramadol is for pain control under 24-hour management or an extended period. The extended-release and immediate-release Tramadol both come in capsule form. The extended-release formulation of Tramadol should not be crushed, chewed, dissolved, or spit before administration. Administration of both Tramadol formulations can be without regard to food. However, the administration of the extended-release formula should be at a consistent time each day.
The half-life of Tramadol is about six hours. The time for the Tramadol drug to reach peak concentration for the extended-release form is 12 hours and 1.6 to 1.9 hours for the immediate release form.
What are the medical uses of Tramadol?
In addition to providing pain relief, Tramadol is also used off-label for several purposes. Off-label, the Tramadol drug is helpful for premature ejaculation and restless leg syndrome (RLS) refractory to other medication. For the off-label Tramadol use for premature ejaculation, both sporadic and daily use of Tramadol is effective for treating the condition. Patients usually indicate a preference for “as needed” therapy for premature ejaculation because of the lack of side effects compared to daily use of Tramadol.
What is the mechanism of action of Tramadol?
Tramadol is an opioid drug, and, like other opioids, it selectively binds to various opiate receptors in the central nervous system (CNS). The liver enzyme, CYP2D6, converts Tramadol drug to its active metabolite M1, which has a stronger affinity for the mu receptor when compared to the inactive form. Tramadol drug does not bind to the mu receptor as much as morphine. Along with the partial agonist activity of Tramadol medication on the opioid receptors, Tramadol also inhibits the reuptake of serotonin and norepinephrine. Therefore, it also acts as a selective serotonin/ norepinephrine reuptake inhibitor (SNRI).
Dosages of Tramadol
- Extended Release strengths: 100 mg, 200 mg, 300 mg
- Immediate Release strength: 50 mg
Usual Adult Dose of Tramadol for Pain:
Adults (17 years or older): Tramadol 50 mg to 100 mg orally every 4 to 6 hours as required for pain
-For patients not needing a rapid onset of analgesic effect: Initial dose: 25 milligrams orally once a day; titrate in 25 milligrams increments every three days to reach a dose of 25 milligrams four times a day; after that, increase by 50 milligrams as tolerated every three days
Maximum Tramadol dosage: 400 milligrams per day.
Usual Adult Dose of Tramadol for Chronic Pain:
Tramadol Extended-Release (ER):
18 years or older (tramadol-naïve): 100 milligrams orally once a day -Individually titrate in 100 milligrams increments every five days to an effective dose that minimizes adverse reactions
-Maximum Tramadol dosage: 300 mg per day
Tramadol for dogs
Veterinarians commonly dispense Tramadol medication to manage pain in dogs. For pain relief, the usual dose of Tramadol for dogs is 0.45 to 1.8 mg per lb of pet’s weight given by mouth every eight to twelve hours.
Side Effects of Tramadol
The organs most commonly affected due to Tramadol drug are the neuromuscular, central nervous system, and gastrointestinal. The cardiovascular system, genitourinary, dermatologic system, endocrine, and visual system are also affected by Tramadol. The most prevalent Tramadol side effects are nausea, vomiting, dizziness, constipation, drowsiness, and headache. They usually occur during the initial treatment with Tramadol rather than maintenance doses of the drug.
Severe Tramadol side effects include respiratory depression, which can result in death. Due to the potential side effect of respiratory depression, patients must not use benzodiazepines, alcohol, or other CNS depressants at the same time. Concurrent use of Tramadol with these drugs can exacerbate respiratory depression and lead to death.