Tramadol differs from other traditional opioids in that it not only acts as a mu opioid agonist, but also affects monoamines such as serotonin by regulating neurotransmitters linked to pain regulation And norepinephrine, they activate the pathways pain removal down. The effect of tramadol on serotonin and norepinephrine mimics the effects of other SNRI antidepressants (such as duloxetine and venlafaxine).
How to use Tramadol 200mg
According to your doctor’s instructions, taking this medication by mouth usually requires pain relief every 4 to 6 hours. If you have nausea, you can take it with food. Consult your doctor or pharmacist for other ways to reduce nausea (for example, lie down for 1 to 2 hours to minimize head movement). The dosage depends on your state of health and your response to treatment. To reduce the risk of side effects, your doctor may ask you to start using this medicine in small doses and then gradually increase the dose. Follow the doctor’s instructions carefully.
Side Effects of Tramadol 200mg
If you have serious side effects, please tell your doctor immediately, including: interruption of breathing during sleep (sleep apnea), mental / emotional changes (e.g. restlessness, hallucinations), severe abdominal / abdominal pain, difficulty insufficient urination and adrenal signs (for example, loss of appetite, abnormal fatigue, weight loss).
Storage of Tramadol 200mg
Store this medicine in a tight box at room temperature. Keep this medicine away from children’s.
Precautions of Tramadol 200mg
This mediation is always used under some conditions. Tell the doctor if you have:
- Allergies to tramadol hydrochloride or any other ingredient in the medication
- Allergy to medicines called opioid antagonists (e.g. codeine, morphine)
- Drink alcohol or take another drug that affects the brain. These include: Certain pain relievers, including opioid pain relievers
- Psychotropic drugs
- Monoamine oxidase inhibitors (MAOIs) used in the past 14 days, such as phenethylazine (Nardil) or trans-cyclopropylamine (Parnate)
Drug Interactions Tramadol 200mg
Here are some drug interactions:
- Carbamazepine (Tegretol, Tegretol XR, Equetro, Carbatrol) reduces the effect of tramadol by increasing the degree of inactivation of tramadol in the body.
- Quinidine (Quinaglute, Quinidex) can reduce inactivation of tramadol, increasing the concentration of tramadol from 50% to 60%.
Overdose Tramadol 200mg
There are few reports of Tramadol overdose. Symptoms of an overdose include dilated pupils (dilated pupils), vomiting, heart and respiratory problems, seizures and confusion. If these symptoms appear after taking Tramadol, please go to the hospital emergency department or contact the poison information hotline immediately. If another person who may have taken Tramadol has these symptoms, they should be taken to the emergency room.