Tramadol: Difference between revisions
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*Respiratory Depression | *Respiratory Depression | ||
*Suicidal ideation | *Suicidal ideation | ||
*Seizures | *[[Seizures]] | ||
*Anaphylaxis | *[[Anaphylaxis]] | ||
*Serotonin syndrome | *[[Serotonin syndrome]] | ||
*[[Stevens-Johnson syndrome]] | *[[Stevens-Johnson syndrome]] | ||
Revision as of 18:21, 13 February 2021
General
- Type: Opioid
- Dosage Forms: PO, IM, IV, PR; immediate and extended release formulations; combination formulations with acetaminophen (Tramacet)
- Common Trade Names: Ultram, Ryzolt, Zytram
Adult Dosing
General
- Moderate to severe pain:
- 50-100mg PO q4-6h PRN
- Chronic severe pain:
- 100-300mg ER PO daily
Pediatric Dosing
- Not Currently recommended
Special Populations
- Pregnancy Rating: C
- Lactation Risk Categories: Probably safe
- Renal Dosing
- Adult: CrCL < 30: given q12h, max 200mg/day
- Pediatric: none
- Hepatic Dosing
- Adult: cirrhosis: 50mg q12h, max 100mg/day
- Pediatric: not defined
Contraindications
- Allergy to class/drug
- Asthma, acute
- Respiratory depression
- Severe hepatic impairment
- Severe renal impairment
- Acute alcohol intoxication
Adverse Reactions
Serious
- Respiratory Depression
- Suicidal ideation
- Seizures
- Anaphylaxis
- Serotonin syndrome
- Stevens-Johnson syndrome
Common
- Nausea
- Rash
- Headache
- Fatigue
- Xerostomia
- Constipation
- Tremor
- Insomnia
Pharmacology
- Half-life: 6.3 - 7.9 hour
- Metabolism: Liver
- Excretion: urine
- Mechanism of Action:exact mechanism unknown, binds to mu opioid receptors and weakly inhibits NE/Serotonin reuptake