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Other preparations, such as Ryzolt, have tramadol in an extended-release form and are intended to manage moderate to severe pain in patients who need continuous, around-the-clock relief. Tramadol should be taken as prescribed, with no more than 300 mg in one day. Tramadol should not be stopped suddenly, or side effects from withdrawal could occur, including anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, and breathing problems. For more information, please consult with your health care practitioner and visit //www.everydayhealth.com/drugs/tramadol. Michelle McDermott, PharmD
A: Tramadol (Ultram) is a centrally acting analgesic with a unique, dual mechanism of action. It works as an opioid and also has weak inhibitory effects on the brain chemicals norepinephrine and serotonin. Withdrawal symptoms may include anxiety, sweating, nausea, tremors, diarrhea, upper respiratory symptoms, insomnia, pain, tingling, and rarely hallucinations. These symptoms can be worse in patients who have been previously dependent or chronically taking other opioid drugs (such as Vicodin). Experience suggests that withdrawal symptoms may be relieved by tapering the dosage of tramadol. The slower the tapering, the fewer withdrawal symptoms would be expected. With respect to the side effects you describe in your question, according to the package insert for tramadol, headache was reported in 18 percent and 32 percent of patients treated with immediate-release tramadol for seven and 90 days, respectively. Overuse of analgesics such as tramadol products by headache-prone patients frequently produces drug-induced rebound headache. In this case, overuse of tramadol products has been defined as taking three or more doses per day more often than three to five days per week. There is no information to suggest that tramadol can cause changes to the menstrual cycle. For more information, please consult with your health care provider and visit //www.everydayhealth.com/drugs/tramadol. Michelle McDermott, PharmD
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Other preparations, such as Ryzolt, have tramadol in an extended-release form and are intended to manage moderate to severe pain in patients who need continuous, around-the-clock relief. Tramadol should be taken as prescribed, with no more than 300 mg in one day. Tramadol should not be stopped suddenly, or side effects from withdrawal could occur, including anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, and breathing problems. For more information, please consult with your health care practitioner and visit //www.everydayhealth.com/drugs/tramadol. Michelle McDermott, PharmD
A: Tramadol (Ultram) is a centrally acting analgesic with a unique, dual mechanism of action. It works as an opioid and also has weak inhibitory effects on the brain chemicals norepinephrine and serotonin. Withdrawal symptoms may include anxiety, sweating, nausea, tremors, diarrhea, upper respiratory symptoms, insomnia, pain, tingling, and rarely hallucinations. These symptoms can be worse in patients who have been previously dependent or chronically taking other opioid drugs (such as Vicodin). Experience suggests that withdrawal symptoms may be relieved by tapering the dosage of tramadol. The slower the tapering, the fewer withdrawal symptoms would be expected. With respect to the side effects you describe in your question, according to the package insert for tramadol, headache was reported in 18 percent and 32 percent of patients treated with immediate-release tramadol for seven and 90 days, respectively. Overuse of analgesics such as tramadol products by headache-prone patients frequently produces drug-induced rebound headache. In this case, overuse of tramadol products has been defined as taking three or more doses per day more often than three to five days per week. There is no information to suggest that tramadol can cause changes to the menstrual cycle. For more information, please consult with your health care provider and visit //www.everydayhealth.com/drugs/tramadol. Michelle McDermott, PharmD
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