When rectal bioavailability of tramadol was 80%; bond to plasma proteins – 20%. Tramadol and its metabolites are excreted in the urine, the half-life of about 6 hours. It penetrates the blood-brain and placental barriers, 0.1% is excreted in breast milk. About 7% fluoxymesterone msds forms is excreted by hemodialysis.
Pain syndrome of moderate to severe intensity of various etiology (postoperative period, trauma, neuralgia, pain in cancer patients). Pain during painful diagnostic or therapeutic procedures.
- Hypersensitivity to the drug and other opioids.
- State, accompanied by respiratory depression or severe depression of the central nervous system (alcohol poisoning, sleeping pills, narcotic analgesics, psychotropic drugs).
- Severe hepatic and / or renal failure (creatinine clearance less than 10 mL / min).
- Concomitant use of inhibitors (and two weeks after their cancellation).
- Children’s age (14 years).
With caution and under the supervision of a physician should fluoxymesterone msds forms use the drug in patients with impaired renal function and liver, traumatic brain injury, increased intracranial pressure, epilepsy patients, and those with drug addiction to opioids in patients on pain background in the abdominal cavity of unknown origin ( “acute abdomen”).
Pregnancy and lactation
During pregnancy and lactation use is possible only for health reasons, the use should be limited to one-off reception.
Dosage and administration:
Tramadol is used on doctor’s prescription, the drug dosing regimen is selected individually depending on the severity of pain and the patient’s sensitivity. Duration of treatment is determined by the physician individually, should not be prescribed the drug beyond the period justified from a therapeutic point of view.
In the absence of other regulations Tramadol should be administered in the following doses.
Usual dose – 1 suppository (100 mg) 2 times a day, morning and evening. 100 mg – if analgesic effect is insufficient, repeated doses may be administered in 1-2 hours. The maximum daily dose of tramadol – 400 mg. For the treatment of cancer pain and severe pain in the postoperative period may be used higher doses. In elderly patients (aged 75 years and over) in connection with the possibility of a delayed launch interval between administration of the drug can be increased in accordance with the individual characteristics. patients with liver and kidney diseases Tramadol can operate for longer. For such patients the doctor may fluoxymesterone msds forms recommend an increase in the interval between administration of a single dose. Suppositories Tramadol is administered into the rectum. Immediately after administration is recommended 30 minutes of rest in the supine position.
Side Effects From the nervous system: sweating, dizziness, headache, weakness, fatigue, lethargy, paradoxical stimulation of the central nervous system (nervousness, agitation, anxiety, tremors, muscle spasms, euphoria, emotional lability, hallucinations), somnolence, insomnia, confusion consciousness, impaired coordination of movement, convulsions central origin (when administered intravenously in high doses or with concomitant administration of antipsychotic drugs), depression, amnesia, cognitive impairment, paresthesia, unsteady gait. From the digestive system: dry mouth, nausea, vomiting, flatulence, abdominal pain, constipation, diarrhea, difficulty in swallowing. Since the cardiovascular system: tachycardia, orthostatic hypotension, syncope, collapse. Allergic reactions: urticaria, pruritus, rash, bullous eruption. From the urinary system: difficulty urinating, dysuria , urinary retention. From the senses: blurred vision, taste. The respiratory system: dyspnea. Other: menstrual disorders. With prolonged use – the development of drug dependence. In fluoxymesterone msds forms abrupt cancellation – syndrome “cancel”.