Tramadol hydrochloride
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Tramadol hydrochloride is a prescription medication used to treat moderate to severe pain. It is classified as an opioid analgesic, although it is considered to have a lower potential for abuse compared to other opioids. Tramadol hydrochloride works by altering the way the brain and nervous system respond to pain.
Mechanism of Action[edit | edit source]
Tramadol hydrochloride functions by binding to the mu-opioid receptor in the brain, which helps to reduce the perception of pain. Additionally, it inhibits the reuptake of serotonin and norepinephrine, neurotransmitters that play a role in pain modulation.
Indications[edit | edit source]
Tramadol hydrochloride is indicated for the management of moderate to moderately severe pain in adults. It is often prescribed for conditions such as chronic pain, post-surgical pain, and pain associated with arthritis.
Dosage and Administration[edit | edit source]
Tramadol hydrochloride is available in various forms, including immediate-release and extended-release tablets. The dosage is typically individualized based on the severity of pain and the patient's response to treatment. It is important to follow the prescribing physician's instructions to minimize the risk of side effects and dependence.
Side Effects[edit | edit source]
Common side effects of tramadol hydrochloride include:
Serious side effects may include:
Contraindications[edit | edit source]
Tramadol hydrochloride is contraindicated in patients with:
- Severe respiratory depression
- Acute or severe bronchial asthma
- Known or suspected gastrointestinal obstruction
- Hypersensitivity to tramadol or any component of the product
Interactions[edit | edit source]
Tramadol hydrochloride can interact with other medications, including:
- Monoamine oxidase inhibitors (MAOIs)
- Selective serotonin reuptake inhibitors (SSRIs)
- Serotonin-norepinephrine reuptake inhibitors (SNRIs)
- Other opioids
- Alcohol
Warnings and Precautions[edit | edit source]
Patients should be monitored for signs of respiratory depression, especially within the first 24-72 hours of initiating therapy or following a dosage increase. Tramadol hydrochloride should be used with caution in patients with a history of substance abuse or mental health disorders.
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Contributors: Prab R. Tumpati, MD