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Tramadol 100mg

$209.00$699.00

Buy Tramadol 100mg Online Without Prescription. Tramadol is a potent pain drug used to treat moderate to severe pain that is unresponsive to other pain medications. Tramadol is a synthetic opioid that reduces pain by acting on the brain and spine (the central nervous system). The extended-release version of tramadol is used to alleviate pain around-the-clock. This type of tramadol is not intended for usage as required to treat pain.

  • Molar mass: 263.38 g/mol
  • Formula: C16H25NO2
  • Metabolism: Liver-mediated demethylation and glucuronidation via CYP2D6 & CYP3A4
  • Pronunciation: tra’ ma doll
  • Duration of action: 6 hours
  • Metabolites: O-desmethyltramadol, N-desmethyltramadol
  • Onset of action: Less than 1 hour (by mouth)
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Description

Buy Tramadol 100mg Online – Tramadol 100mg Without Prescription

Buy Tramadol 100mg Online Without Prescription. Tramadol is a potent pain drug used to treat moderate to severe pain that is unresponsive to other pain medications. Tramadol is a synthetic opioid that reduces pain by acting on the brain and spine (the central nervous system). The extended-release version of tramadol is used to alleviate pain around-the-clock. This type of tramadol is not intended for usage as required to treat pain.

  • Molar mass: 263.38 g/mol
  • Formula: C16H25NO2
  • Metabolism: Liver-mediated demethylation and glucuronidation via CYP2D6 & CYP3A4
  • Pronunciation: tra’ ma doll
  • Duration of action: 6 hours
  • Metabolites: O-desmethyltramadol, N-desmethyltramadol
  • Onset of action: Less than 1 hour (by mouth)

Warnings

  • Seizures have been reported in patients taking tramadol. Your risk of seizures is higher if you are taking higher doses than recommended. Seizure risk is also higher in those with a seizure disorder or those taking certain antidepressants or opioid medications.
  • Tramadol should not be used if you are suicidal or prone to addiction.
  • You should not take tramadol if you have severe breathing problems, a blockage in your stomach or intestines, or if you have recently used alcohol, sedatives, tranquilizers, narcotic medication, or an MAO inhibitor (isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others).
  • Tramadol can slow or stop your breathing, and may be habit-forming. MISUSE OF THIS MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or other person using the medicine without a prescription. Keep this medicine where others cannot get to it.
  • Tramadol should not be given to a child younger than 12 years old, or anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids. Ultram ER should not be given to anyone younger than 18 years old.
  • Taking tramadol during pregnancy may cause life-threatening withdrawal symptoms in the newborn.
  • Fatal side effects can occur if you use this medicine with alcohol, or with other drugs that cause drowsiness or slow your breathing.

Before taking this medicine

You should not take tramadol if you are allergic to it, or if you have:

Tramadol should not be given to a child younger than 12 years old. Ultram ER should not be given to anyone younger than 18 years old. Do not give this medicine to anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids. Seizures have occurred in some people taking tramadol. Your seizure risk may be higher if you have ever had:

  • head injuryepilepsy or other seizure disorder;
  • drug or alcohol addiction; or
  • a metabolic disorder.

To make sure tramadol is safe for you, tell your doctor if you have ever had:

  • breathing problems, sleep apnea;
  • liver or kidney disease;
  • urination problems;
  • problems with your gallbladder, pancreas, or thyroid;
  • a stomach disorder; or
  • mental illness, or suicide attempt.

If you take tramadol during pregnancy, your kid might be born with life-threatening withdrawal symptoms and may need many weeks of medical therapy. Before taking tramadol if you are nursing, see your doctor. Inform your physician if you see extreme sleepiness or sluggish breathing in your breastfeeding infant.

How should I take tramadol?

  • Take tramadol exactly as prescribed by your doctor. Follow the directions on your prescription label and read all medication guides. Never use tramadol in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to take more of this medicine.
  • Never share tramadol with another person, especially someone with a history of drug addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medicine where others cannot get to it. Selling or giving away this medicine is against the law.
  • Stop taking all opioid medications when you start taking tramadol.
  • Tramadol can be taken with or without food, but take it the same way each time.
  • Swallow the capsule or tablet whole to avoid exposure to a potentially fatal overdose. Do not crush, chew, break, open, or dissolve.
  • Measure liquid medicine with the supplied syringe or a dose-measuring device (not a kitchen spoon).
  • Never crush or break a tramadol tablet to inhale the powder or mix it into a liquid to inject the drug into your vein. This practice has resulted in death.
  • You may have withdrawal symptoms if you stop using tramadol suddenly. Ask your doctor before stopping the medicine.
  • Store at room temperature away from moisture and heat. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.
  • Do not keep leftover tramadol. Just one dose can cause death in someone using it accidentally or improperly. Ask your pharmacist where to locate a drug take-back disposal program. If there is no take-back program, mix the leftover medicine with cat litter or coffee grounds in a sealed plastic bag throw the bag in the trash.

Dosing information

Usual Adult Dose for Pain:

Adults (17 years or older): 50 to 100 mg orally every 4 to 6 hours as needed for pain
-For patients not requiring rapid onset of analgesic effect: Initial dose: 25 mg orally once a day; titrate in 25 mg increments every 3 days to reach a dose of 25 mg four times a day; thereafter increase by 50 mg as tolerated every 3 days
Maximum dose: 400 mg per day.

Usual Adult Dose for Chronic Pain:

Extended-Release (ER):
18 years or older (tramadol-naive): 100 mg orally once a day
-Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions
-Maximum Dose: 300 mg/day

For patients CURRENTLY receiving Immediate-Release (IR) Tramadol:
Initial Dose: Calculate 24-hour IR requirement and initiate with a total daily ER dose rounded down to the next lowest 100 mg increment orally once a day

Conversion from other Opioids: Discontinue all other around the clock opioid drugs prior to initiating therapy
-Initial dose: 100 mg ER orally once a day
-Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions
-Maximum Dose: 300 mg/day.

Usual Geriatric Dose for Pain:

Dose selection should be cautious generally starting at the low end of the dose range

Over 75 years:
Maximum dose of Immediate-release: 300 mg per day.

Usual Geriatric Dose for Chronic Pain:

Dose selection should be cautious generally starting at the low end of the dose range

Over 75 years:
Maximum dose of Immediate-release: 300 mg per day.

Usual Pediatric Dose for Pain:

Tramadol is not recommended for use in pediatric patients

17 years or older: See Adult Dose.

What happens if I miss a dose?

Since tramadol is used for pain, you are not likely to miss a dose. Skip any missed dose if it is almost time for your next dose. Do not use two doses at one time.

What happens if I overdose?

Seek immediate medical treatment or dial 1-800-222-1222 to reach the Poison Help line. An overdose may be lethal, particularly in the case of unprescribed use by children or other individuals. Symptoms of an overdose may include extreme sleepiness, pinpoint pupils, slowed respiration, or cessation of breathing.

Your physician may advise you to carry naloxone (a drug used to counteract an opioid overdose) at all times. A caregiver may administer naloxone if you stop breathing or do not wake up. Your caretaker must still seek emergency medical assistance and may be required to administer cardiopulmonary resuscitation (CPR) on you while waiting for assistance to come. Naloxone is available for purchase from pharmacies and municipal health departments. Ensure that anybody caring for you is aware of the location of your naloxone and how to administer it.

What should I avoid while taking tramadol?

Do not drink alcohol. Dangerous side effects or death could occur. Avoid driving or hazardous activity until you know how tramadol will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.

Tramadol side effects

If you have symptoms of an allergic reaction to tramadol (hives, difficulty breathing, swelling in the face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling), seek immediate medical attention. Tramadol may slow or halt breathing, and death is possible. If you experience slowed breathing with lengthy pauses, bluish lips, or difficulty waking up, the person caring for you should provide naloxone and/or seek emergency medical treatment.

Tramadol may cause serious side effects. Call your doctor at once if you have:

  • noisy breathing, sighing, shallow breathing, breathing that stops during sleep;
  • slow heart rate or weak pulse;
  • a light-headed feeling, like you might pass out;
  • seizure (convulsions); or
  • low cortisol levels – nauseavomiting, loss of appetite, dizziness, worsening tiredness or weakness.

Serotonin syndrome is characterized by the following symptoms: agitation, hallucinations, fever, sweating, shivering, rapid heart rate, muscular rigidity, twitching, lack of coordination, nausea, vomiting, or diarrhea. Severe breathing difficulties may be more prevalent in elderly individuals and those who are debilitated, have wasting syndrome, or have persistent respiratory diseases.

Common side effects of tramadol may include:

  • constipation;
  • nausea and vomiting;
  • stomach pain;
  • dizziness;
  • drowsiness;
  • tiredness;
  • headache;
  • itching.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect tramadol?

You may get breathing difficulties or withdrawal symptoms if you begin or stop using certain other medications. Inform your physician if you are concurrently using an antibiotic, antifungal medication, heart or blood pressure medication, seizure medication, or medication to treat HIV or hepatitis C. Combining tramadol with other substances may be hazardous. Inform your physician if you also use:

  • medicine for allergies, asthma, blood pressure, motion sickness, irritable bowel, or overactive bladder;
  • other opioid medicines;
  • a benzodiazepine sedative like Valium, Klonopin, or Xanax;
  • sleep medicine, muscle relaxers, or other drugs that make you drowsy; or
  • drugs that affect serotonin, such as antidepressants, stimulants, or medicine for migraines or Parkinson’s disease.

This list is insufficient. Other pharmaceuticals, including prescription and over-the-counter medications, vitamins, and herbal supplements, may interact with tramadol. Not every potential interaction is mentioned here. Combining tramadol with other substances may be hazardous. Inform your physician if you also use:

  • medicine for allergies, asthma, blood pressure, motion sickness, irritable bowel, or overactive bladder;
  • other opioid medicines;
  • a benzodiazepine sedative like Valium, Klonopin, or Xanax;
  • sleep medicine, muscle relaxers, or other drugs that make you drowsy;
  • drugs that affect serotonin, such as antidepressants, stimulants, or medicine for migraines or Parkinson’s disease.
  • drugs that affect serotonin levels in your body – a stimulant, or medicine for depression, Parkinson’s disease, migraine headaches, serious infections, or nausea and vomiting.

This list is not complete. Many other drugs may affect tramadol. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

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