What is Tramadol
Tramadol is a halfway acting manufactured narcotic pain relieving and SNRI (serotonin/norepinephrine reuptake-inhibitor) that is basically identified with codeine and morphine. Because of its great bearableness profile and multimodal system of activity, tramadol is commonly viewed as a lower-chance narcotic choice for the treatment of moderate to extreme agony. It is viewed as a Step 2 choice on the World Health Organization’s agony stepping stool and has around 1/tenth of the power of morphine.
Tramadol contrasts from other conventional narcotic prescriptions in that it doesn’t simply go about as a μ-narcotic agonist, yet additionally influences monoamines by regulating the impacts of synapses engaged with the balance of agony, for example, serotonin and norepinpehrine which actuate dropping torment inhibitory pathways.Tramadol’s consequences for serotonin and norepinephrine mirror the impacts of other SNRI antidepressants, for example, duloxetine and venlafaxine.
Tramadol exists as a racemic blend comprising of two pharmacologically dynamic enantiomers that both add to its pain relieving property through various components and are likewise themselves processed into dynamic metabolites: (+)- tramadol and its essential metabolite (+)- O-desmethyl-tramadol (M1) are agonists of the μ narcotic receptor while (+)- tramadol restrains serotonin reuptake and (- )- tramadol represses norepinephrine reuptake. These pathways are correlative and synergistic, improving tramadol’s capacity to adjust the view of and reaction to torment.
Tramadol has likewise been appeared to influence various other torment modulators inside the focal sensory system just as non-neuronal provocative markers and invulnerable mediators.Due to the expansive range of targets engaged with agony and irritation, it’s not amazing that the proof has demonstrated that tramadol is compelling for various torment types including neuropathic torment, post-employable torment, lower back torment, just as torment related with work, osteoarthritis, fibromyalgia, and malignant growth. Because of its SNRI action, tramadol additionally has anxiolytic, stimulant, and hostile to shuddering impacts which are on the whole as often as possible found as comorbidities with pain.
Like other narcotic prescriptions, tramadol represents a hazard for advancement of resistance, reliance and misuse. Whenever utilized in higher portions, or with different narcotics, there is a portion related danger of overdose, respiratory misery, and demise. Be that as it may, not at all like other narcotic prescriptions, tramadol use likewise conveys a danger of seizure and serotonin disorder, especially whenever utilized with other serotonergic meds.
Different forms of Tramadol
Tramadol comes in the forms listed below;
- Fast-acting tablets – these contain 50mg of tramadol
- Slow-acting tablets – these contain 50mg, 75mg, 100mg, 150mg, 200mg, 300mg or 400mg of tramadol
- Fast-acting capsules – these contain 50mg of tramadol
- Slow-acting capsules – these contain 50mg, 100mg, 150mg or 200mg of tramadol
- Drops that you swallow – these contain 100mg of tramadol in 1ml of liquid with an injection (usually given in hospital)
- An injection (usually given in hospital)
- Soluble tablets – these contain 50mg of tramadol
- Tablets that dissolve in the mouth – these contain 50mg of tramadol
Tramadol drops, injections and some tablets and capsules are fast-acting. They start to work within 30 to 60 minutes. They’re used for pain that is expected to last for only a short time. You may be told to take fast-acting tramadol only when you need it for pain or on a regular basis. Always follow the instructions given to you by your doctor.
Some tramadol tablets and capsules are slow-release. This means the tramadol is gradually released into your body over either 12 or 24 hours. This type of tramadol takes longer to start working but lasts longer. It’s used for long-term pain.
Your doctor will decide the right dose for you, depending on how sensitive you are to pain and how bad your pain is. Your dose may need to be changed several times to find what works best for you. In general, you will be prescribed the lowest dose that relieves your pain.
How to take it
Fast-acting tramadol comes as capsules, drops and 2 different tablets – soluble and dissolve-in-the-mouth tablets:
- Capsules: swallow each capsule whole with plenty of water
- Drops: mix the drops into a glass of water then drink the whole contents of the glass
- Soluble tablets: dissolve each tablet in 50ml (1/2 cup) of water and drink
- Dissolve-in-the-mouth tablets: make sure your hands are dry before handling the tablet. Take the tablet out of the blister pack and put it on your tongue. Suck the tablet, do not chew it. After it has melted, swallow or have a drink of water. You can also dissolve the tablet in a glass of water if you prefer.
Slow-release tramadol comes as tablets and capsules. It’s important to swallow slow-release tramadol tablets and capsules whole with a drink of water.
When to take it
When to take it depends on the type of tramadol that you have been prescribed:
- Fast-acting tablets and capsules – usually 3 to 4 times a day
- Drops – usually 3 to 4 times a day
- Slow-release tablets and capsules – usually 1 or 2 times a day
If you’re 65 and over, or you have liver or kidney problems, you may be asked by your doctor to take tramadol less often.
You can take your tramadol at any time of day but try to take it at the same time every day and space your doses evenly. For example, if you take tramadol twice a day and have your first dose at 8 am, take your second dose at 8 pm.
What if I forget to take it?
This will vary depending on which type of tramadol you are taking.
If you forget to take a dose, check the information on the patient information leaflet inside the packaging or ask your pharmacist or doctor for advice on what to do.
Warning: Never take 2 doses at the same time to make up for a forgotten one.
If you forget doses often, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.
What will happen if I stop taking it?
If you need to take tramadol for a long time your body can become tolerant to it.
This isn’t usually a problem but you could get unpleasant withdrawal symptoms if you stop taking it suddenly.
If you want to stop taking tramadol, talk to your doctor first. Your dose will usually be reduced gradually so you don’t get unpleasant withdrawal effects.
Tramadol can cause unpleasant withdrawal symptoms if you come off it suddenly, such as:
- Feeling agitated
- Feeling anxious
What happens if I took over dose of tramadol
Taking too much tramadol can be dangerous.
If you’ve taken an accidental overdose you may feel very sleepy, sick or dizzy. You may also find it difficult to breathe. In serious cases you can become unconscious and may need emergency treatment in hospital.
The amount of tramadol that can lead to an overdose varies from person to person.
If you’ve taken 1 extra dose by mistake, check the information that comes with the medicine packaging or ask your pharmacist or doctor for advice. Generally, you shouldn’t get any symptoms and you can take your next dose as usual.