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Tramadol hydrocholoride is the generic name of branded pain relievers Tramal, Ultram, Ultracet, Ryzolt, Rybix, Conzip, Ralivia, Adolonta, and Zytram, among many others.

What class of chemical compound is Tramadol?

Tramadol, in itself, is a relatively weak receptor agonist of µ-opioid. However, the body metabolizes Tramadol to O-desmethyltramadol which is a much more powerful receptor agonist of µ-opioid. Among users of the IV version of Tramadol, this more powerful metabolized version is very similar to the metabolized form of codeine-morphine. Still, there are many other compounds on the market that feature a higher level of potency in terms of µ-opioid receptor agonist activity.

Interestingly enough, Tramadol also impacts the body´s norepinephrine and serotonin levels. It inhibits the reuptake of these compounds. Since inhibiting the reuptake of these brain neurotransmitters has been used to treat conditions like phobias, anxiety, and depression, the idea of using Tramadol as an anti-phobia, antidepressant, or antianxiety medication has been floated.

Physicians have not been entirely warm to this idea and this indication for Tramadol has not been approved. Instead, health professionals suggest that Tramadol´s serotonin and norepinephrine reuptake inhibition qualities be utilized only in unique or very limited circumstances. These professionals suggest that this limited use of Tramadol should only be considered if other treatments don´t produce desired results in treating phobias, depression, or anxiety. In such a circumstance, Tramadol´s usage as a serotonin and norepinephrine reuptake inhibitor should only be done under the strict supervision of a qualified psychiatrist.

In terms of structure, Tramadol looks similar to codeine albeit a stripped-down variant. How are they alike? Both codeine and tramadol have a shared 3-methyl ether structure. Both compounds are metabolized in the same pathway in the liver. Both are metabolized by the liver to produce stronger compounds. In the case of codeine, the final form is morphine while in tramadol, the final metabolized form is O-desmethyltramadol In terms of observed effect, patients don´t feel any subjective difference in potency in the IV form of morphine and tramadol.

Tramadol is off-patent in the US and is available in generic form under a number of brands. Many different manufacturers produce Tramadol under their own brands. Some of the bigger generic manufacturers of Tramadol are: Teva, APO, Pur-Pak, Mallinckrodt, Cor Pharma, Mylan, Caraco, Amneal, and many others. The most common generic dosage size and form are tablets in 50mg and 100mg doses. Tramadol also has brand name versions on the market. These are Ultram and Ultram ER.


What is Tramadol used for?

Generic Tramadol is a synthetic chemical compound that is used to treat pain and discomfort. It is normally an ingested medication that works centrally instead of locally. While it is used as a pain reliever, it is often not prescribed to handle very severe pain. Ideally, it is given for mid-level to mid-level severe pain. Given the wide range of pain thresholds it can handle, it is prescribed for quite a lengthy list of painful or uncomfortable conditions such as fibromyalgia, motor neurone disease, restless legs syndrome, rheumatoid arthritis, among many other conditions. In this respect, Tramadol is prescribed similar to pain reliever drug classes like codeine.

In more detail Tramadol (Ultram) is prescribed for:

- Treatment of the pain syndrome of average severity caused by the inflammatory, vascular or traumatic diseases.

- For pain relief during light surgeries and also painful clinic and laboratory diagnostics.

How to use Tramadol (Ultram)

- Tramadol (Ultram) is normally available in 50 mg tablets and also tablets of prolonged action of 100 and 200 mg

- The schedule of the treatment and dosage regimen is indicated for each patient individually according to the general analyses and also the characteristics of the pain syndrome.

- For pain syndrome of middle severity patients are prescribed 50 mg every 6 hours.

- The tablets of the prolonged action containing 100 mg or 200 mg of the active component should be used once per 12 hours.

- The drug is allowed persons older than 14 years old.

- The maximally allowed daily dose of Tramadol (Ultram) is 400 mg. 

- In exceptional cases the oncological patients are allowed using higher daily doses but only under the supervision of the doctor.

- The use of the tablets after meals will help to reduce the stomach upset and unpleasant side reactions of digestion organs. 
Precautions when taking Tramadol

-  It is strictly forbidden to take Tramadol (Ultram) longer than it is indicated by your attending doctor. In case of the prolonged use of the drug the addiction may occur.

-  It is contraindicated to use of the drug during pregnancy and in the period of the breast feeding because the active medical components may have bad influence on the development of the fetus/child.

- Children younger than 14 years old are forbidden to use this analgesic because of the high risk of the development of the physical addiction in the child age.

-  It is not recommended to take the drug during epilepsy, central nervous system acute disorders, alcohol or narcotic poisoning, during central nervous system oppression, and increase of the intracranial pressure.

- The simultaneous use of Tramadol (Ultram) with other psychoactive medical products may cause the appearance of severe side effects. 
If you take any medicines, it is necessary to find out about their medical interaction before the use of Tramadol.

Possible Side effects of Tramadol (Ultram)

For the majority of patients taking Tramadol, there are no adverse effects. However, in small percentages of Tramadol users, the following side effects have been observed.

The following list is in the order of severity with the most common side effects listed first.

The most common side effects of Tramadol are:

- drowsiness

- nausea
- dizziness
- constipation

- headache

- vomiting

- diarrhea

- dry mouth

- fatigue

- indigestion

- and, in a very small number of patients, seizures. 

In addition to the side effects above, there is also a body of observed side effects for people taken off Tramadol too quickly. These range from nervous ´thrashing´ in the patient´s bed and uncontrolled tremors and muscle contractions. Other fairly rare side effects include electrical shock-like sensations, a ´buzzing´ effect, and anxiety. Some observers note that these effects are somewhat similar to those of patients experiencing withdrawal from Effexor. In terms of sexual performance, Tramadol has been observed to delay ejaculation in some instances as well as produce other sexual dysfunctions.

Patients who are taking SSRI medications require extra scrutiny since these medications might interact with Tramadol in such a way as to trigger potentially fatal serotonin toxicity.
The most severe side effect of Tramadol are seizures. Thankfully, this occurs only in very rare instances. Seizures have been reported in the cases of individuals who take very large doses (700mg oral or 300mg intravenous) of Tramadol. In very rare cases, persons who take much lower doses experience seizures. There is a growing body of research that indicates that Tramadol should not be prescribed for patients who have uncontrolled epilepsy.

Who are most at risk of seizures? Tramadol takers who are between the gages of 25 and 54 years old, patients who exceed four tramadol prescriptions, and individuals who have a record of head trauma injury, stroke, or alcohol abuse.

Generic Tramadol (Ultram) should be used with special caution because the non-observance of the dosage regimen and prolonged use of the high doses of analgetic may cause the following side effects:

- deferred response

- stimulation of the central nervous system (nervousness, anxiety, tremor, spasms, hallucinations)

- sleep disorder

- depression

- stomach upset (diarrhea, vomiting, stomachache)

- tachycardia

- sharp attacks of hypotension

- hives

If the side effects cause anxiety, it is necessary to see a doctor.  

What is the typical dosage for Generic Tramadol (Ultram)?

Tramadol can be taken in quite a number of forms. In the form of oral tablets and capsules, it is commonly available in the following dosages: 50mg, 100mg and 200mg tablet form, Tramadol can be taken as both uncoated or low residue tablets under the tongue (sublingual). It also comes in chewable or regular tablet form. There are also extended and regular release versions of this pain medication.
Tramadol is also available in injectable, intramuscular and/or intravenous. It is available in a 100mg dosage.
Tramadol is also available in suppository, effervescent tablets, phial, and powder form.
If used as an ingredient, Tramadol can be added to other ingredients for topical creams and gels. These topical formulations are used to relieve nerve pain on the skin and joints. Some rectal foams also include Tramadol. There is even a product line that includes Tramadol as an ingredient for a skin patch.

Tramadol is quite versatile in its applications and forms. Perhaps a large part of this versatility is due to market demand arising from the perception that Tramadol is less susceptible to abuse.

Taking generic Tramadol (Ultram) without prescription


Do you want a painkiller that you can use for moderate to severe pain? Then generic Tramadol is an excellent choice. This painkiller is so powerful that it is used to treat post-operative pain, pain caused by illnesses and other severe pain problems. Tramadol is a prescription-only medicine that you can buy only after obtaining medical prescription from a GP. If you don’t have time to visit your doctor, then you can also buy it here on 24hrspharma. In this case, you order cheap generic Tramadol without a prescription online through 
However before ordering tramadol we advice you to first talk to your physician.

Buying cheap generic Tramadol online

Not all online pharmacies can be trusted. Unfortunately, there are many websites that sell fake medicines, including illegal Tramadol. These fake pills look exactly like the real thing, but contain different ingredients. Fake Tramadol can have dangerous or contaminated ingredients, which can make you very ill. The good news is that there are things you can do to protect yourself from fake Tramadol. Read on for some red flags to watch out for if you choose to shop for medicine online. Make sure you buy your online medicine with a trusted pharmacy like You can buy cheap generic Tramadol here.

Watch out for fake Tramadol

If you want to order Tramadol without a prescription from your GP, there are many online pharmacies and webshops to choose from. However, this does not mean that you can shop safely in all of these stores. Painkillers such as Tramadol are widely counterfeited in clandestine factories. These fake pills are sold to unsuspecting consumers on the Internet, and can be contaminated or contain dangerously high levels of the active ingredient. Some fake pills even contain a completely different active ingredient. They can make you very ill! If you want to shop safely for prescription medication online, make sure you use

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If you want to be certain that the medicine you are ordering is genuine, then you should choose a certified online pharmacy like  We only work with serious pharmaceutical providers. You can also rest assured that your data is treated with the utmost care and confidentiality at all times. This enables us to guarantee safety and quality of our services.

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Before buying Tramadol online without a Prescription

• Do not take this drug if you are pregnant or breastfeeding a baby. This drug gets into the milk and thus harms the baby.

• Before you get Tramadol online you need to tell your doctor about the drugs you are consuming already.

• Discuss health issues such as kidney or liver ailments with your doctor before taking this pain killer.

• This drug may cause certain allergic reactions in your body. In such as cases it is not recommended to buy Tramadol online for pain management.

• Do not take the drug with alcohol or with any other liquid. Take it with plain water only.
• Purchase Tramadol without prescription after discussing pros and cons of this medication with your physician.

What is the impact of Schedule IV placement?

Schedule IV drugs, under the Controlled Substances Act of the United States, are drugs that have a lower potential for abuse compared to drugs listed as Schedule III drugs. Schedule IV drugs have an accepted medical treatment use in the US and abuse of these drugs might lead to limited dependence or lower dependence compared to drugs listed in Schedule III. Schedule IV drugs are controlled and monitored and have limits on how many times their prescriptions can be refilled within a six-month period Currently, drugs under this schedule can be refilled a maximum of five times every six-month period.

Generic Tramadol (Ultram) Interactions

Considering the fact that Tramadol has demonstrated serotonin and norepinephrine reuptake inhibiting qualities, patients who are taking selective serotonin reuptake inhibitors like Zoloft, Prozac, and other compounds, selective norepinephrine reuptake inhibitors like Effexor, monoamine oxidase inhibitors like isocarboxazid, phenelzine, selegiline and other compounds, tricyclic antidepressants like amitriptyline, amitriptylinoxide, butriptyline, and others must consult with their physician about the dosage of tramadol to take. In some of these situations, Tramadol might be ruled out completely due to strong drug interactions . Similarly, if the patient is taking strong opioid-based based compounds like morphine, fentanyl, methadone, and oxycodone, the patient´s doctor needs to be advised to see if Tramadol is a feasible treatment option. Finally, if a patient is over 75 years of age or is a minor or is suffering from reduced liver or kidney functions, the patient´s physician must be advised.

Can patients become physically dependent on Tramadol (Ultram)?

All in all, it is harder to become physically depend or addicted to Tramadol compared to other opiate-based medications. In fact, this drug´s habit-forming potential is low enough for the US Drug Enforcement Agency to leave it off its list of controlled substances. With that said, addiction to Tramadol is still possible. Patients who take low dosages for Tramadol on a short-term basis are less likely to develop physical dependence than those who take the medication over a long period of time at high dosages. These latter patients can exhibit withdrawal symptoms when taken off Tramadol.

These withdrawal symptoms are like those of withdrawal symptoms for opiate-like or opioid-based pain relievers. However, in a small percentage of cases, patients can experience withdrawal symptoms which are atypical-these involve seizures or other symptoms similar to those exhibited by patients who have gone off SSRI medications. These atypical withdrawal symptoms are more severe because they might be related to tramadol´s norepinephrine and/or serotonin reuptake features. Some of the more common symptoms of SSRI medication withdrawal that a minority of long-term Tramadol users might experience include: headaches, palpitations, sweating, electric shock sensations in many parts of the patient´s body, brain zapping, brain zaps, pronounced mood swings, increased aggressiveness, higher levels of anguish and anxiety, and depression.

Still, patients should consider the 2010 version of the Physicians´ Desk Reference which contains some warnings from Tramadol´s main manufacturer. These warnings were not included in previous versions of the Desk Reference. Interestingly enough, the warnings use more forceful language regarding Tramadol´s possible habit-forming potential. Other warnings include the possibility that patients might develop difficulty breathing when using the medication. The Desk Reference also had a new list which featured side effects which were more serious in nature. Finally, the reference also included a notice urging Tramadol not be prescribed to replace opiate drugs for addicts. Accordingly, Tramadol should also not be used to treat long-term addiction to opiates or be used to help addicts wean themselves off opiate-based medications.

When does Tramadol withdrawal take place?

In the majority of tramadol withdrawal cases, withdrawal symptoms start appearing with 12 to 20 hours from the time of the patient´s last dose. However, this time frame can vary. How long are the withdrawals? Compared to other opioid-based pain relievers, withdrawal symptoms for tramadol take much longer. Instead of the normal three to four days or more of codeine-based compound withdrawal, people suffering from acute Tramadol withdrawal can expect to experience these symptoms for seven days or even longer.

How to deal with Tramadol withdrawal

Due to Tramadol´s SSRI and SNRI qualities, individuals who want to get off this medication are advised to take a gradual approach. Instead of abruptly quitting Tramadol, patients who have been taking this pain medication for an extended period of time and exhibit physical dependence should continue taking Tramadol but gradually get weaned off it. This course of action is recommended to prevent withdrawal symptoms tied to Tramadol´s SSRI and SNRI qualities. The tapering off process should be tailored to each individual patient and his or her circumstances. Some factors to consider are the particular situation of the patient, the dosage of Tramadol the patient was taking, and how long the patient has been using this pain reliever.

Millions of people around the world live with some kind of pain. The most common types, like a headache or a toothache can easily be treated with drugs like Aspirin, or Ibuprofen if it’s a little stronger. You can also use over-the-counter drugs and natural products. Many people find that massage can give them much relief, especially for strained muscles. 
However, none of these methods will work if you are suffering from moderate or severe pain. In this case you should start taking something a bit stronger than Aspirin or Ibuprofen. One very effective pain reliever is called Tramadol. This drug is sold all over the world under different brand names (Ultram, Tramal, Conzip, Ryzolt, Tramacet, Ultracet…).

Generic Tramadol (Ultram) has more uses than just to act as a pain reliever. It can also be used for treating chronic pain as well as certain medical conditions like restless legs syndrome, rheumatoid arthritis and fibromyalgia. That’s not all as this drug can also be used to treat arthritis in dogs.
Before you start taking any drug you should first discuss the positive and negative sides with your doctor. Same goes for Tramadol. This pain reliever shouldn’t be given to someone who has an allergy to this drug, addicted to alcohol or drugs or have attempted suicide.

Generic Tramadol (Ultram) should never be taken if you are intoxicated or under the influence of drugs, sedatives, tranquilizer, narcotics, depression, anxiety or mental illness medicine. Before you can take this drug safely, you should also be sure that your doctor knows about the rest of your medical condition: liver or kidney problems or stomach disorder.

Generic Tramadol is usually taken 3 or 4 times per day in dosages of 50 milligrams. If you are still not tolerating it very well, you can start with 25 milligrams. After some time, you can switch to a dose of 50 milligrams, again 4 times per day. Take each tablet whole, without breaking it or crushing it.

If you need, you can take it with a glass of water. Never forget to take your dose of generic Tramadol, but if you miss it, make sure that you take it as soon as you remember, unless it is already time to take a new dose. In that case, just skip the previous dose and continue taking the drug from the following one. However, don’t take more in the following dose if you missed the previous one in order to compensate for it. This can lead to drug overdose and can have dangerous, even fatal consequences.
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What happens if I miss a doseof generic Tramadol (Ultram)?

Take the missed dose when you remember. If it is almost time for your next dose, skip the missed dose and take the medicine on the next regularly scheduled time. Do not take extra medicine to make up for the missed dose.


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