Tramadol 200mg


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What is tramadol?

Tramadol is a strong painkiller from a group of medicines called opiates, or narcotics. It’s used to treat moderate to severe pain, for example after an operation or a serious injury. If you have long term pain, your doctor may also prescribe it if weaker painkillers no longer work.

Buy Tramadol doses is used to relieve moderate to moderately severe pain. Tramadol extended-release tablets and capsules are only used by people who are expected to need medication to relieve pain around-the-clock. Tramadol in UK  is in a class of medications called opiate (narcotic) analgesics.

Read the medication Guide provided by your pharmacist  before you start taking tramadol and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth as directed by your doctor, usually up to every 4 to 6 hours as needed for pain relief. You may take this drug with or without food. If you have nausea, it may help to take this drug with food.

Ask your doctor or pharmacist about other ways to decrease nausea (such as lying down for 1 to 2 hours with as little head movement as possible).

If you are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose.

The dosage is based on your medical condition and response to treatment. To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and gradually increase your dose.

Follow your doctor’s instructions carefully. The maximum recommended dose is 400 milligrams per day. If you are older than 75 years, the maximum recommended dose is 300 milligrams per day.

Do not increase your dose, take the medication more frequently, or take it for a longer time than prescribed. Properly stop the medication when so directed.

Medical uses of tramadol.

Buy Tramadol online (a schedule IV drug in the US) is used primarily to treat mild to severe pain, both acute and chronic.

There is moderate evidence for use as a second-line treatment for fibromyalgia but it is not FDA approved for this use. Its use is approved for treatment of fibromyalgia as a secondary painkiller by the NHS.

Its analgesic effects take approximately an hour to be realized two to four hours to reach peak effect after oral administration with an immediate-release formulation.

On a dose-by-dose basis, Ultram has about one-tenth the potency of morphine (thus 100 mg is commensurate with 10 mg morphine but may vary) and is practically equally potent when compared with pethidine and codeine.

For pain moderate in severity, its effectiveness is roughly equivalent to that of codeine in low doses and hydrocodone at very high doses. For severe pain it is less effective than morphine.

Circumstances when not to use tramadol.

Individuals with certain genetic variations of CYP2D6 enzymes, which convert tramadol into an inactive molecule, may not experience enough pain relief from tramadol.

Pregnancy and lactation.

Ultram’s use in pregnancy is generally avoided, as it may cause some reversible withdrawal effects in the newborn. A small prospective study in France found, while an increased risk of miscarriages existed, no major malformations were reported in the newborn. 

Labor and delivery.

Tramol is use as an analgesic during labor is not advised due to its long onset of action (1 hour). The ratio of the mean concentration of the drug in the fetus compared to that of the mother when it is given intramuscularly for labor pains has been estimated to be 1:94.


Its use in children is generally advised against, although it may be done under the supervision of a specialist. On 21 September 2015, the FDA started investigating the safety of Ultram in use in persons under the age of 17.

The investigation was initiated because some of these people have experienced slowed or difficult breathing. The FDA lists age under 12 years old as a contraindication.


The risk of opioid-related adverse effects such as respiratory depression, falls, cognitive impairment and sedation is increased. Tramadol may interact with other medications and increase the risk for adverse events.

Liver and kidney failure

The drug should be used with caution in those with liver or kidney failure, due to metabolism in the liver (to the active molecule desmetramadol) and elimination by the kidneys.

Side effects of tramadol use.

The most common adverse effects of tramadol include nausea, dizziness, dry mouth, indigestion, abdominal pain, vertigo, vomiting, constipation, drowsiness, and headache.

Other side effects may result from interactions with other medications. Ultram has the same dose-dependent adverse effects as morphine including respiratory depression.


Main side effects of tramadol: Red color denotes more serious effects, requiring immediate contact with health provider.

Dependence and withdrawal

Long-term use of high doses of tramadol in Europe causes physical dependence and withdrawal syndrome.

These include both symptoms typical of opioid withdrawal and those associated with serotonin–norepinephrine reuptake inhibitor (SNRI) withdrawal; symptoms include numbness, tingling, paresthesia, and tinnitus.

Psychiatric symptoms may include hallucinations, paranoia, extreme anxiety, panic attacks, and confusion. In most cases, tramol withdrawal will set in 12–20 hours after the last dose, but this can vary.

Ultram withdrawal typically lasts longer than that of other opioids. Seven days or more

Common misuse of tramadol.

Illicit use of the drug is thought to be a major factor in the success of the Boko Haram terrorist organization. When used at higher doses, the drug “can produce similar effects to heroin.”

 Said one former member, “whenever we took tramadol, nothing mattered to us anymore except what we were sent to do because it made us very high and very bold, it was impossible to go on a mission without taking it.”

Tramol online is also used as a coping mechanism in the Gaza Strip. It is also abused in the United Kingdom, inspiring the title of the TV show Frankie Boyle’s Tramadol Nights (2010).

From March 2019, the Union Cycliste Internationale (UCI) banned the drug, after riders were using the painkiller to improve their performance.

Additional information

price variations

150 tablets, 300 tablets, 450 tablets


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