DRUG NAME
Generic name:
Tramadol
Brand name:
Ultram,
Ultram ER
MECHANISM
OF ACTION
Tramadol is used
in the management
of moderately
severe
[Link]
release tablets arw
used for
moderately severe
chronic pain in
adults who require
continuous
treatment for an
extended period
INDICATION
CONTRAINDICATION
Relief of
moderate to
moderately
Severe pain
Contraindicated with
allergy to tramadol or
opioids or acute in
toxication with alcohol,
opioids, or psychotropic
drugs.
ADVERSE
EFFECT
CNS:
Assessment:
Sedation, dizziness or
vertigo, headache,
confusion, dreaming,
sweating, anxiety,
seizures
History:
CV:
Use cautiously with
pregnancy, lactation,
seizures, concomitant use
of CNS depressants or
MAOIs, renal or hepatic
impairment
NURSING
CONSIDERATION
Hypotension,
tachycardia,
bradycardia
DERMATOLOGIC:
Sweating, pruritus,
rash, pallor, urticaria
Hypersensitivity to
tramadol; pregnancy;
acute in toxication with
alcohol, opioids,
psychotropic drugs or
other centrally acting
analgesics; lactation;
seizures; concomitant
use of CNS depressants
or MOIs renal or
hepatic imapirment;
past or present history
of opioid addiction
GI:
Nausea, vomiting, dry Physcal:
mouth, constipation,
Skin color, texture,
flatulence
lesions; orientation,
OTHER:
reflexes, bilateral grip
strength, affect; P,
Potentialfor abuse
auscultation, BP; bowel
sounds, normal output;
ANAPHYLACTOID liver and kidney
REACTIONS
function tests
INTERACTIONS
DRUG - DRUG:
Decreased
effectiveness with
carbamaze pine
Increased risk
tramadol toxicity with
MAOIs