Ultram is a centrally acting narcotic analgesic and should be taken orally is approved for the treatment of moderate to severe pain in adults. The ER (extended release) form of Ultram (Tramadol) is prescribed for a long duration of action so as to treat pain. It should not be used for as-needed basis for pain. Over 43 million tramadol prescriptions were written in US in 2013, according to IMS and Information Technology Company.
Tramadol was originally approved in US by U.S. Food and Drug Administration (FDA) in 1995 as a non-controlled analgesic. Since 1995, changes to the controlled substance status have been made for Tramadol due to the drug abuse and diversion.
Drug Abuse Warning Network (DAWN) in 2011, reported that 20,000 emergency department visits were related to tramadol non-medical use. National Survey on Drug Use and Health (NSDUH) have reported that 3.2 million people in US of age 12 or older than that have used tramadol for non-medical purposes in 2012.
Tramadol a controlled substance in 50 U.S states:
U.S. Drug Enforcement Administration (DEA) in 2014 has announced that tramadol is placed in schedule IV of the Controlled Substances Act (CSA) which has been effective from August 18, 2014. The rule has been applied to all the forms of Tramadol. Previously tramadol was a controlled substance. The rescheduling has been done due to the growing concern related to misuse, abuse, over dosage of opioid analgesics and addiction.
From August 18, 2014 tramadol was only refilled may be up to five times in a six month period after the date of prescription written. After six months, a new prescription would be required. The rule applies to all the controlled substance in schedule III and IV.
Buying Ultram from the US:
For people who reside in the US, it is possible to buy Ultram from the US. The drug can be procured from licensed stockists who can provide a rapid delivery service. Payment can be made through USD payment option and can also benefit from the reorder service which helps in getting additional supply. The whole process can be hassle free.
Tramadol can be a habit-forming drug:
As Tramadol is structurally related to the Opioid class of drugs like morphine and codeine, it can be associated with addiction, psychological and physical dependence and withdrawal. People who have a habit of taking narcotic drugs are at a higher risk of addiction. Illicit actions to obtain drug may occur in people even without a prior addiction also.
Withdrawal symptoms like diarrhoea, nausea, sweating, anxiety, shivering, and insomnia, tremors, pain and hallucinations may occur if intake of tramadol is stopped abruptly. Make sure to consult with your doctor before discontinuing tramadol treatment. Do not discontinue the treatment on your own.
The withdrawal symptoms may be relieved by re-initiating opioid therapy followed by a slow dosage reduction combined with a symptomatic support as directed by your doctor.
Support groups exist for Tramadol:
There are few support groups who can be helpful for patients taking tramadol and use the medication for pain relief. It is mainly formed for patients in need of addiction support and also for many other needs. Joining a support group is a great way for discovering others with relative medications and of similar conditions.
Ultram and tramadol support groups are formed in specific for answering any queries related to drug interactions, dosages, over dosage and any such situations.
Ultram is available in both immediate-release and extended-release formulations:
Both extended-release and immediate-release formulations are generically available which can save hundreds of dollars on prescription. If a patient prefers a generic medication, for cost saving make sure to suggest your physician to prescribe only generic drugs whenever possible. In case you cannot afford a medication, ask pharmacist or doctor for more affordable alternatives. Ultram ER must be taken whole and strictly do not split, crushed or chewed.
Alcohol is not permitted when using Ultram:
Alcohol is to be strictly prohibited when taking Ultram pain relieving pills. As alcohol consumption can negate the benefits of Ultram and it is always advisable to inhibit drinking of alcohol during medication.
Dose adjustments needed for elderly:
Patients of age more than 65 years should usually start at a low end of the dosing range and can be increased slowly bases on the effectiveness and tolerance. Patients older than 75 years of age should take a maximum dose of regular release oral tablets of 300 mg per day in divided doses.
The dosing interval should be adjusted and the actual dose of the drug may be reduced. It is always better to talk to your doctor regarding the need for adjusted doses with any medication.
Dose adjustments needed for those with kidney problem:
More than 30% of tramadol gets excreted by the kidneys as unchanged molecule after metabolism. This may lead to toxic blood levels in patients with liver or kidney problems. Creatinine clearance is a diagnostic test that measure the kidney functioning. If the patient uses immediate-release form of Ultram and not the extended release form, the creatinine clearance of less than a particular limit in case of severe kidney disease, then the dosing interval has to be increased. The maximum daily dose of Ultram has to be adjusted accordingly.
Avoid using extended release form of Ultram if the creatinine clearance is less than 30 in case of severe kidney disease.
Dose adjustments needed for those with liver problem:
Patients suffering from liver disease such as cirrhosis, the regular release tablet and oral disintegrating tablets of Ultram should be given a dose of orally. The maximum dose can be 100 mg per day.
Extended release Ultram ER should be avoided in patients with liver problems.
Food restrictions while taking Ultram:
Ultram is a pain reliever that works by changing the way body responds to pain. Always check with the physician regarding the intake of food as a health advisor knows the best what is suitable for intake.