• Thursday , 16 August 2018

Ultram (Tramadol)

Ultram (Tramadol) Dr H. Scheele
Drug Review



Generic Name: tramadol (TRAM a dol)
Brand Names: ConZip, Ultram
Dosage: 50mg, 100mg
Generic Tramadol is known for the effect it causes on spinal marrow and its apparent central action. Being synthetic opioid analgesic, this medication is responsible for:

  1. Facilitation of calcic and potassic channels opening
  2. Membrane hyperpolarization induction
  3. Inhibition of pain impulses transmission

Also known by the name of its active material, which is ultram, Tramadol inhibits catecholamines and stabilizes their content in CNS.

Generic ultram also causes the activation of kappa-, delta-, and mu- opioid receptors in cerebrum and gastrointestinal tract (to be more specific, in pre- and postsynaptic membrane of nociceptive system).

It is obvious that patients are not supposed to use Tramadol without a prescription. Without proper knowledge, it is possible to cause harm to one’s health due to misuse. Before you decide to buy ultram online, consult your physician ― it might save you from undesirable medical issues.

How does Tramadol work?

Generic Tramadol is notable for its considerable analgetic activity. Although ultram is not as potent as morphine, this pharmaceutical still has quick action of prolonged duration, comparing the same dosage of these two medications. As a result, it is usually used in bigger doses.

Tramadol quickly dissolves in gastrointestinal tract. Taking into account the oral administration, therapeutic concentration comes in approximately two hours, lasting for more than ten hours.

People aged 75 and older need to take smaller doses, because the maximum ultram concentration in blood increases, and its half-period is comparatively longer.

Safety precautions

Be sure to have a conversation with your physician about the expected treatment with Tramadol. You need to do that before you start the course of therapy, because it is important to determine whether you have an allergic reaction to ultram or other opiate. It is also recommended to check the list of its constituents. Also, do not forget to inform your MD about other drugs, food additives, or pharmaceuticals you take.

The consultation is required if you suffer specific illnesses as well. Here are some of them:

  • Hepatic or renal dysfunction
  • Intracranial pressure
  • Fainting sickness
  • Consciousness impairment (various genesis)
  • Abdominal emergencies
  • Opioid addiction
  • Craniocerebral trauma

The prescription of Tramadol for expectant mothers who are in their second or third trimester of pregnancy requires strict surveillance. As a rule, this pharmaceutical might be prescribed for them only in case when there are more benefits than risks.

What are the adverse reactions to Tramadol without a prescription?

Common negative effects include the following:

  1. Inertia
  2. Giddiness
  3. Constipation
  4. Headaches
  5. Dry mouth
  6. Diarrhea
  7. Menstrual irregularities

Allergic reactions might also happen, such as:

  • Exanthema
  • Nettle rash
  • Bullous eruption
  • Pruritus

Other adverse reactions might includewithdrawal syndrome (after a sudden discontinuation), drug dependence (when Tramadol is taken for a prolonged term), and dyspnea.

How does Tramadol interact with other pharmaceuticals?

Medics argue that it might be dangerous to use Tramadol with monoamine oxidase inhibitors. There is a possibility of the synergic effect in case a patient use the pharmaceuticals that have influence upon the central nervous system at the same time. It could be alcohol drinks, soporifics, sedative drugs, anxiolytics, neuroleptics, antidepressants, or anesthetic agents. The intensification of anodyne effect of increased sedative effect make it evident.

The simultaneous use of Tramadol and carbamazepine boosts the metabolism. In this case, a patient might decide that his or her doses are too small and take larger amount of medication.

There is an increased risk of spasms onset if a patient uses Tramadol synchronously with serotonin reuptake inhibitors, neuroleptics, or tricyclic antidepressants.


The administration of Tramadol is prohibited for people who are hypersensitive to any of its components.

General contraindications coincide with the contraindications to other opioids.

Patient should not use Tramadol and monoamine oxidase inhibitors concomitantly, as well as during two weeks after treatment discontinuation.

What are the symptoms of Tramadol overdose?

Remember that it becomes easier to overdose this drug when you are in a state of alcoholic intoxication.

Here are some common symptoms of such overdose:

  • Respiratory depression, up to apnoea
  • Convulsions
  • Miosis (pupil constriction)
  • Anuria
  • Coma

Be aware that Tramadol overdose might lead to the fatal outcome. Take this pharmaceutical in strict accordance with a prescription! In case you have noticed the signs of an overdose, seek for emergency medical aid as soon as possible.

How to buy Tramadol online legally?

Quite a number of online pharmacies offer Tramadol for sale, often selling it at a cheap price. You might even expect overnight delivery from some of them. That being said, you need to check your local law on whether it is legal to purchase ultram without a prescription online.

If yes, you can easily find an online pharmacy with a decent reputation and place your order. There is nothing complex about it: you just add the item to cart, select your preferable payment method (for example, via PayPal), and proceed further.

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