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Tramadol Systematic (IUPAC) name (В±)cis-2–1-(3-methoxyphenyl) cyclohexanol hydrochloride ultram er addiction CAS number 27203-92-5 ATC code


PubChem 33741 DrugBank APRD00028 ChemSpider intravenous ultram Chemical data Formula C16H25NO2

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mass 263.
4 g/mol SMILES

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& PubChem ultram tramadol Pharmacokinetic data

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68–72% Increases with repeated

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Protein binding 20% Metabolism Hepatic demethylation and glucuronidation Half life 5–7 hours Excretion Renal Therapeutic considerations Pregnancy

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C(AU) what is ultram er Legal status Prescription Only (S4)(AU) POM(UK) ultram er medication Routes oral, IV, IM, IV, rectal,

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buccal Tramadol (INN) (pronounced /ˈtræmədɒl/) is an opioid which is a centrally acting analgesic, used for treating moderate to severe ultram xr It is a synthetic agent, and appears to have actions on

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Ој-opioid receptor as ultram xr as the noradrenergic and serotonergic systems.
Tramadol was developed by the German pharmaceutical

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GrГјnenthal GmbH in the late 1970s and marketed under the trade name Tramal.
GrГјnenthal has also cross licensed the drug to many other pharmaceutical companies that market it under various names such as Ultram.
Tramadol’s structure is quite different from those of other opioids.

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closest chemical relative of tramadol in clinical use is tapentadol, which is a member of the same chemical class as tramadol and also developed by GrГјnethal.
Contents 1 Uses 1.
1 Availability ultram affects Dosage

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Off-label and investigational uses 1.
4 Veterinary 2 Mechanism of action


Metabolism 4 Adverse effects 5 Pregnancy and breastfeeding 6 Dependency 6.
1 Physical dependence and ultram medication description 6.
2 Psychological dependence online pharmacy ultram drug misuse 7 Animal treatment 8 Legal status 9 Proprietary preparations 10

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11 External links prepare ultram for injection // Uses Tramadol is used to treat moderate intravenous ultram severe pain

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ultram addiction stories ultram addiction types of neuralgia, including trigeminal neuralgia.
It has been suggested that tramadol could be effective for alleviating

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of depression and anxiety

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of its action on the noradrenergic ultrm serotonergic systems, the involvement of which appear to play a part in


ability to alleviate the perception of pain.
However, health professionals have not yet endorsed its use on a large scale ultram xr disorders such as this.
Availability Tramadol is usually ultram er 100mg ultram xr the cheap ultram salt (tramadol hydrochloride); the tartrate is seen on rare occasions, and tramadol is available

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both injectable (intravenous

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intramuscular) and oral preparations.

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also available in conjunction with paracetamol (acetaminophen).
The solutions suitable for injection are ultram medicine in Patient Controlled Analgesia pumps ultram depression some circumstances, either as the sole agent or along with another agent such as morphine.
Specifically, tramadol comes in many forms, including: capsules tablets uldram tablets ultram er dosage capsules chewable tablets low-residue and/or uncoated tablets which can be taken by the sublingual and buccal routes suppositories effervescent tablets and powders uldram of

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solution for SC, IM, and IV injection preservative-free solutions for injection ultraam the

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spinal routes (epidural, intrathecal, caudal and others) powders for compounding liquids both with and without alcohol for oral and sublingual administration, available in regular phials and bottles, dropper bottles, bottles with a pump ultram medication description to those used with liquid soap and phials with droppers built into the


tablets and capsules containing paracetamol (acetaminophen) and aspirin and other agents


Tramadol has been experimentally used in the form of an ingredient in multi-agent topical gels, creams, and solutions for nerve pain, rectal foam, ultram opiate retention ulltram and a skin plaster (transdermal patch) ultram urain analysis similar to those used

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Tramadol has a characteristic taste which is mildly bitter but much less so than morphine and codeine.
drug ultram and sublingual drops and liquid preparations prescription ultram with and without added flavouring.
Its relative effectivness via transmucousal routes (sublingual, buccal, rectal) is around that of codeine and like codeine it is also ultram schedule in the liver to stronger metabolites (see below).
Dosage Doses range from 50–400 mg daily, maximum dose of 400 mg a


(according to the German package insert ultram detox both GrГјnethal’s product Tramal 100 mg extended-release tablets and the Tramundal (Mundipharma Ges.
H) 100 mg/ml dropper bottles and 100 and 200 ml dosage pump bottles), ultram compared up to 600 mg daily when given IV/IM.
The formulation containing APAP contains

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