Ultram (Tramadol) is used for the management of moderate to severe pain, which should not be confused with a similar drug (Toradol). Its actions are not completely understood, but studies show that it binds to opioid receptors and inhibit reuptake of norephinephrine and serotonin; it does not cause histamine release or affect the heart rate.
It is availble in 50 mg tablet form and can be given to adults orally 50-100 mg as needed, every 4 to 6 hours, but not to exceed 400 mg in a day. For elderly (ages 75 up) it can be given 300 mg per day in divided doses.
Some side effects / adverse reactions of Utram are the following:
– Central nervous sytem
Dizziness, headache, anxiety, seizures, hallucinations
– Gastrointestinal system
Nausea, constipation or diarrhea, dry mouth, GI bleeding
– Cardiovascular system
Orthostatic hypotension, hypertension, abnormal ECG readings
– Genito-urinary system
Urinary retention or frequency, dysuria, menstrual disorder
Ultram is however contraindicated to persons hypersensitive to such drugs, of if intoxicated with any CNS depressant. Precaution should also be observed to pregnant and lactating mothers, children, and those with renal or hepatic disease; with respiratory depression, head trauma, increased ICP, acute abdominal conditions and drug abuse.
Considerations should also be observed by assessing the location and quality of pain and give the dosage before the pain increases. Input/Output should be measured to detect problems in the urinary system as well as the bowel pattern one should increase the fluid intake and roughage. The effectivity of the drug can be evaluated through patient’s response to pain.