Diferencia entre revisiones de «Tramadol»

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(No se muestran 11 ediciones intermedias de 4 usuarios)
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==General==
==General==
*Type: Opioid
*Type: [[Opioid]]
*Dosage Forms: PO, IM, IV, PR
*Dosage Forms: PO, IM, IV, PR; immediate and extended release formulations; combination formulations with acetaminophen (Tramacet)
*Common Trade Names: Ultram, Ryzolt, Zytram
*Common Trade Names: Ultram, Ryzolt, Zytram


==Adult Dosing==
==Adult Dosing==
===General===
===General===
*Pain:
*Moderate to severe pain:
**50-100mg PO q4-6h PRN
**50-100mg PO q4-6h PRN


*Chronic severe pain:  
*Chronic severe pain:  
**100-300mg ER PO QDAY
**100-300mg ER PO daily


==Pediatric Dosing==
==Pediatric Dosing==
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==Contraindications==
==Contraindications==
*Allergy to class/drug
*Allergy to class/drug
*asthma, acute
*Asthma, acute
*respiratory depression
*Respiratory depression
*severe hepatic impairment
*Severe hepatic impairment
*severe renal impairment
*Severe renal impairment
*acute alcohol intoxication
*Acute alcohol intoxication


==Adverse Reactions==
==Adverse Reactions==
===Serious===
===Serious===
*Respiratory Depression
*Respiratory Depression
*suicidal ideation
*Suicidal ideation
*Seizures
*[[Seizures]]
*anaphylaxis
*[[Anaphylaxis]]
*serotonin syndrome
*[[Serotonin syndrome]]
*steven johnson syndrome
*[[Stevens-Johnson syndrome]]


===Common===
===Common===
*Nausea
*[[Nausea]]
*Rash
*[[Rash]]
*Headache
*Headache
*Fatigue
*Fatigue
*xerostomia
*Xerostomia
*constipation
*Constipation
*Tremor
*Tremor
*insomnia
*Insomnia


==Pharmacology==
==Pharmacology==
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*Excretion: urine
*Excretion: urine
*Mechanism of Action:exact mechanism unknown, binds to mu opioid receptors and weakly inhibits NE/Serotonin reuptake
*Mechanism of Action:exact mechanism unknown, binds to mu opioid receptors and weakly inhibits NE/Serotonin reuptake
==See Also==
*[[Opioids]]
*[[Acute pain management]]
*[[Serotonin syndrome]]
*[[Seizure]]
==References==
<references/>


[[Category:Pharmacology]]
[[Category:Pharmacology]]
==Indications by Condition==
''The following table is automatically generated from disease/condition pages across WikEM.''
{{#ask:[[Has DrugName::Tramadol]]
|?Has Indication=Indication
|?Has Dose=Dose
|?Has Context=Context
|?Has Route=Route
|?Has Population=Population
|format=table
|headers=plain
|mainlabel=-
|sort=Has Indication
|limit=50
}}

Revisión actual - 09:15 22 mar 2026

General

  • Type: Opioid
  • Dosage Forms: PO, IM, IV, PR; immediate and extended release formulations; combination formulations with acetaminophen (Tramacet)
  • Common Trade Names: Ultram, Ryzolt, Zytram

Adult Dosing

General

  • Moderate to severe pain:
    • 50-100mg PO q4-6h PRN
  • Chronic severe pain:
    • 100-300mg ER PO daily

Pediatric Dosing

  • Not Currently recommended

Special Populations

  • Pregnancy Rating: C
  • Lactation Risk Categories: Probably safe
  • Renal Dosing
    • Adult: CrCL < 30: given q12h, max 200mg/day
    • Pediatric: none
  • Hepatic Dosing
    • Adult: cirrhosis: 50mg q12h, max 100mg/day
    • Pediatric: not defined

Contraindications

  • Allergy to class/drug
  • Asthma, acute
  • Respiratory depression
  • Severe hepatic impairment
  • Severe renal impairment
  • Acute alcohol intoxication

Adverse Reactions

Serious

Common

  • Nausea
  • Rash
  • Headache
  • Fatigue
  • Xerostomia
  • Constipation
  • Tremor
  • Insomnia

Pharmacology

  • Half-life: 6.3 - 7.9 hour
  • Metabolism: Liver
  • Excretion: urine
  • Mechanism of Action:exact mechanism unknown, binds to mu opioid receptors and weakly inhibits NE/Serotonin reuptake

See Also

References

Indications by Condition

The following table is automatically generated from disease/condition pages across WikEM.

IndicationDoseContextRoutePopulation
Acute pain management50-100 mg PO q4-6hStep 2 - Moderate pain (mild opioid)POAdult