What is tramadol?
On hearing the names of “Tramadol”, the only thing that should be suggested here is that both these medicines are prescribed for pain relief with having different effects and side effects. Hold on! Do you know that Tapentadol is a new version of Tramadol? Tapentadol overcomes some of the liabilities of tramadol. Although these drugs are very similar, still we would like to throw light on their role individually. Tramadol is a drug which is used for pain relief. But instead of giving much relief from pain, it is having some side effects too. Tramadol is known as one of the best choices for pain relief but as it is a prodrug, so it does not itself gets absorbed. It gets metabolized into the body by the cytochrome P450 enzymes into a few active chemicals. As Tramadol require metabolic action to work, and in the case if there are patients having liver disease fail to clear metabolically and here the problem arises.
Tramadol Dosages & Precautions
Tramadol which is a prodrug is used for pain relief. As every medicine is known to prescribe in a proper dosage, similarly, Tramadol is having dosage prescriptions which should be followed in order to avoid the side effects that may cause a problem. The dosage of this medicine is different for different individual. so, you are required to take the dosage of this medicine according to the consultancy of your doctor. Do not change your dosage without consulting to doctor. The below-given dosage is basically an average dosage. So, let’s have a look at some of the points making you aware regarding the dosage of Tramadol medicine:
Dose For chronic pain:
For oral dosage form (extended-release capsules):
- Adults- usually 100 milligrams (mg) per day. The dose may increase and decrease according to the doctor’s prescription but still, it should not be more than 300 mg per day.
- Children near about 12 years— The dose for children should be according to the doctor’s prescription.
- Children younger than 12 years of age— This medicine should not be prescribed to these age of patients.
For oral dosage form (extended-release tablets):
- Adults— Here is also the same case as 100 gms per day. But the dosage can be changed according to the doctor’s prescription.
- Children— Similarly as told before the dosage should be according to the doctor’s prescription.
Usual Geriatric Dose for Pain
- Dose quantity should be very careful as it should be given starting from the low quantity.
- Over 75 years: A maximum dose of Immediate-release: 300 mg per day
Usual Pediatric Dose for Pain
- Tramadol should not be prescribed to pediatric patients.
- 17 years or older: For these patients, the dosage should be the same that is recommended for the Adults.
Renal Dose Adjustments
- -CrCl less than 30 mL/min: The dosage should be increased after every 12 hours. But the maximum limit should not exceed 200 mg a day. Extended-release:
- -CrCl less than 30 mL/min: Use is not prescribed
Liver Dose Adjustments
- -Patients having cirrhosis: These patients are suggested to have 50 mg orally every 12 hours. Extended-release:
- -Severe hepatic impairment (Child-Pugh Class C): Use is not prescribed.
For moderate to severe pain:
For oral dosage form (disintegrating tablets):
- Adults and children 16 years of age and older— The dosage of 50 to 100 milligrams is needed after every 4 to 6 hours. The dosage can fluctuate according to the doctor’s prescription but its maximum limit should not be more than 400 mg per day. Extended-release:
- Children younger than 16 years of age— The usage and dosage should be according to the prescription of the doctor.
If in case you miss the Dose, then do not go for overdosing. Start with the regular schedule of taking Dosage.
It is well known that every medicine is having its effects and side effects. So, it is required to take that particular medicine while keeping in consideration its precautions that may help you to protect from the harmful effects of the medicine. Have a look at some of the precautions highlights that should be taken into consideration while taking this medicine:
- Avoid taking this medicine with alcohol or other medicine that directly hit our Central Nervous System and that may arise some side effects such as dizziness, poor concentration, drowsiness, unusual dreams, and trouble with sleeping.
- Avoid taking this medicine when you are pregnant as this may leave a harmful effect on your newborn baby like abnormal sleep pattern, diarrhea, a high-pitched cry, irritability, shakiness or tremors, weight loss, vomiting, or fails to gain weight. Immediately consult a doctor if you are facing such kind of cases.
- Avoid giving this medicine to Children who are not more than 12 years of age.
- Children who are not more than 18 years of age who have had surgical removal of tonsils or adenoids.
- Avoid giving this medicine to Children who are of the age 12 to 18 years of age and are suffering from a high risk of breathing problems (eg, obstructive sleep apnea, obesity, lung disease).