Buy Tramadol Online: TRAMADOL tablets – instructions for use, reviews, description, analogs, release form, side effects, contraindications – Health


Buy Tramadol Online: TRAMADOL tablets - instructions for use, reviews, description, analogs, release form, side effects, contraindications - Health

TRAMADOL tablets – instructions for use, reviews, description, analogs, release form, side effects, contraindications – Health

Instructions for use and summary of the drug, reviews of the drug TRAMADOL tablets, TRAMADOL analogs, side effects, indications for use and contraindications, conditions of dispensing from pharmacies

The dose of the drug is selected by the doctor individually, depending on the intensity and nature of the pain.

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Adults and adolescents over the age of 14: initial dose – 1 tab. (50 mg) by mouth with a small amount of liquid, regardless of the meal; in the absence of effect within 30-60 minutes, you can take another 1 tab .; with severe pain, a single dose may immediately amount to 100 mg (2 tab.). The effect, depending on the severity of pain, lasts for 4-8 hours. Do not exceed the daily dose of Tramadol 400 mg (8 tab.).

You should not assign this dosage form to children weighing less than 25 kg and aged less than 14 years.

Elderly patients, patients with impaired liver and kidney function, if necessary, should increase the interval between doses of the drug.

The duration and pattern of use are determined by the attending physician.

Tablets can be swallowed without chewing, with a necessary amount of liquid, regardless of the meal, or pre-dissolved in 1/2 cup of water.


The dose of the drug is selected by the doctor individually, depending on the intensity and nature of the buy tramadol online: pain.

Adults and adolescents over the age of 14 years old: initial dose – 1 capsule (50 mg) by mouth with a small amount of liquid, regardless of the meal; in the absence of effect within 30-60 minutes you can take another 1 capsule; with severe pain, a single dose can immediately make up 100 mg (2 capsules). The effect, depending on the severity of pain, lasts for 4-8 hours. Do not exceed the daily dose of tramadol 400 mg (8 capsules).

You should not assign this dosage form to children weighing less than 25 kg and aged less than 14 years.

Elderly patients, patients with impaired liver and kidney function, if necessary, should increase the interval between doses of the drug.

The duration and pattern of use are determined by the attending physician.

Capsules should be swallowed buy tramadol online: without chewing, washing down with the necessary amount of liquid, regardless of the meal.

Oral solution

The dose of the drug is selected by the doctor individually, depending on the intensity and nature of the pain.

Adults and teenagers over the age of 14 years: the dose is 50 mg (20 drops). In the absence of the desired effect, another 30 drops can be taken in 30-60 minutes. If necessary, the drug can be taken again after 4-6 hours. The daily dose should not exceed 400 mg (160 drops).

For children aged 1 to 14 years, a single dose buy tramadol online: 1-2 mg / kg body weight. Approximate dosages for children are given in the table (1 drop of the solution corresponds to approximately 2.5 mg of tramadol g / x).


Body weight buy tramadol online:

Number of drops

Tramadol Online: how to take, composition, reviews

1 year

10 kg


3 years

15 kg


6 years

20 kg


9 years

30 kg


12 years

45 kg


The elderly

Patients, patients with impaired liver and kidney function should take an extended interval between doses of the drug if necessary. The prescribed number of drops should be taken with a small amount of liquid or sugar, regardless of the meal. The duration and pattern of use are determined by the attending physician.

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The bottle with the dosing device is equipped with a child protection cap. To open the bottle, press on the cap and make a rotational movement from left to right.

Snorting Tramadol: Tramadol solution for injection 5 2.0 5


Snorting Tramadol: Tramadol solution for injection 5 2.0 5

Tramadol solution for injection 5% 2.0 No. 5

Instructions for medical use

medicinal product




International non-proprietary name


Dosage Form

Solution for injection 5%, 1 ml and 2 ml


1 ml of the preparation contains

active ingredient – tramadol hydrochloride

(in terms of 100% substance) 50.0 mg,

excipients: sodium acetate trihydrate, water for injection.


Colorless or slightly colored clear liquid.

Pharmacotherapeutic group

Analgesics. Opioids. Other opioids.

ATC code N02AX02

Pharmacological properties


Absolute bioavailability with intramuscular tramadol is 100%. Binding to protein is 20%. Tramadol penetrates the blood-brain barrier and the placenta. The drug is found in breast milk only in very small quantities (0.1%).

Tramadol and its metabolites are excreted through the kidneys. Eleven metabolites have been identified, of which only O-desmethyltramadol is pharmacologically active.

The elimination half-life is approximately 6 hours, regardless of the route of administration. In the event of impaired liver or kidney function, a slight increase in the half-life is expected. In cases of more severe disorders (cirrhosis, creatinine clearance lt; 5 ml / min.) A 2-3-fold increase in elimination time is expected.

Excreted by the kidneys – 90% and through the intestines – ten%.


Analgesic agent of central action (opioid + non-opioid). Non-selective agonist of mu, delta and kappa receptors in the central nervous system with the highest affinity for mu receptors. It inhibits nociceptive activity and activates the antinociceptive system. It promotes the opening of potassium and calcium channels, causes hyperpolarization of the membranes and inhibits the conduction of nerve impulses.

Stimulates the adrenergic system, inhibiting the reverse neuronal seizure of norepinephrine. Enhances the release of serotonin. It has sedative and antitussive effects. In therapeutic doses, it practically does not inhibit respiration and does not violate cardiovascular activity.

With parenteral administration, the analgesic effect develops in 5–10 minutes and lasts for 3–5 hours.

Indications for use

Pain syndrome of medium and strong intensity:

– postoperative period

– injuries, burns

– myocardial infarction

– oncological diseases

– pain relief during painful diagnostic and therapeutic procedures

Dosage and administration

Tramadol is used as prescribed by a doctor, the dosage regimen of the drug is selected individually, depending on the severity of pain and sensitivity of the patient.

The duration of treatment is determined individually, you should not prescribe the drug over a period justified from a therapeutic point of view.

Tramadol is intended for snorting tramadol: for intravenous (inject slowly!), Intramuscular or subcutaneous. The usual single dose for intravenous administration in adults and children over 14 is 50-100 mg of tramadol hydrochloride. If necessary, in case of insufficient effect, after 30-60 minutes, you can assign a single dose of 50 mg. The maximum daily dose should not exceed 400 mg. When an intravenous drip infusion is performed, the initial dose of 50-100 mg of tramadol hydrochloride is administered intravenously for 20 minutes, then the supporting drop infusion is started at a rate of 12 mg of tramadol hydrochloride per hour up to the maximum possible daily dose of 400 mg.

Compatible solutions for tramadol infusion are: 0.9% sodium chloride solution, Ringer’s solution or 5% glucose solution.

For intramuscular or subcutaneous administration, the initial dose is usually 50-100 mg, further injections are possible, if necessary, at a dose of 50 mg to the maximum possible daily dose.

The maximum daily dose of the drug should not exceed 400 mg.

In elderly patients, as well as in patients with impaired liver and / or kidney function, a dosing regimen needs adjustment: a reduction in the dose and frequency of drug administration. The highest daily dose for patients over 75 should not exceed 300 mg (6 ml).

Children aged 2 to 14 years old tramadol hydrochloride snorting tramadol: it is recommended to administer in a single dose at the rate of 1-2 mg per 1 kg of body weight of the child, the maximum daily dose should not exceed 4-8 snorting tramadol: mg per 1 kg body weight of the child.

Side effects

– sweating, dizziness, headache, weakness, fatigue, lethargy, drowsiness, sleep disturbance, confusion, loss of motor coordination

– paradoxical CNS stimulation (nervousness, agitation, anxiety, tremor, muscle spasms, euphoria, sometimes – dysphoria, emotional lability, hallucinations)

– convulsions of central genesis (with intravenous administration in high doses or with simultaneous prescription of antipsychotic drugs)

– depression, amnesia, cognitive impairment, paresthesia, gait imbalance, muscle weakness, involuntary muscle contraction, epileptiform seizures

– change in appetite, dry mouth, nausea, vomiting, difficulty in swallowing, flatulence, abdominal pain, constipation, diarrhea, increased activity of liver enzymes

– tachycardia, orthostatic hypotension, syncope, collapse, bradycardia, vasodilation, cardiac arrhythmia

– urticaria, pruritus, rash, bullous rash, Stevens syndrome – Johnson Lyell Syndrome

– difficulty urinating, dysuria, urinary retention

– hypoglycemia

– blurred vision

– dyspnea, bronchospasm, wheezing, angioedema, anaphylaxis

– respiratory depression, shortness of breath

– menstrual disorders

– development of drug dependence is possible with long-term use

– syndrome "cancellations" possible with abrupt drug withdrawal


– hypersensitivity to tramadol hydrochloride or other opiates

– conditions accompanied by respiratory depression or marked depression of the central nervous system (alcohol poisoning, sedatives, sleeping pills, narcotic analgesics, psychotropic drugs)

– simultaneous use of monoamine oxidase inhibitors and a two-week period after their withdrawal

– impaired consciousness of unknown origin

Which Snorting Tramadol is beneficial and which are harmful? What fat is good for health?

– dysfunction of the respiratory center, impaired respiratory function

– conditions accompanied by elevated cranial pressure without artificial respiration

– drug addiction

– insufficiency of renal function of severe degree (CC less than 10 ml / min)

– severe liver failure

– patients with epilepsy, the course of which can not be adequately controlled

– pregnancy and lactation

– children up to 2 years

Drug interactions

Tramadol solution is incompatible in one syringe with solutions of diclofenac, indomethacin, phenylbutazone, diazepam, flunitrazepam, nitroglycerin, midazolone.

Tramadol is not prescribed simultaneously with monoamine oxidase inhibitors, its use is possible 2 weeks after their cancellation.

Combined use with neuroleptics, furazolidone, procarbazine, serotonin reuptake inhibitors, tricyclic antidepressants is not recommended due to the possible risk of seizures.

Tramadol enhances (mutually) the effects of tranquilizers, hypnotics, sedatives, alcohol and other substances that depress the central nervous system. Prolonged use of opioid analgesics or barbiturates stimulates the development of cross-tolerance. When combined with carbamazepine, analeptics and psychostimulants, the analgesic effect of the drug is weakened.

The direct antagonists of Tramadol that completely block its action are naloxone and naltrexone.

The drug is not prescribed for the treatment of drug withdrawal syndrome.

Quinidine increases the plasma concentration of tramadol and reduces the metabolite of mono-O-desmethyltramadol due to competitive inhibition of the isoenzyme CYP2D6.

The combination of opioid receptor agonists / antagonists (for example, buprenofine, nalbuphine, pentazocine) and tramadol is not recommended because the analgesic effect of a pure agonist is reduced under these conditions. Perhaps the development of serotonin syndrome associated with the use of tramadol in combination with other serotonergic substances, such as selective serotonin reuptake inhibitors. Symptoms of serotonin syndrome: confusion, dysphoria, hyperthermia, sweating, ataxia, hyperreflexia, myoclonus and diarrhea. Cancellation of serotonergic drugs causes rapid relief of symptoms.

With the simultaneous administration of tramadol and coumarin derivatives (for example, warfarin), careful monitoring of patients is necessary, since in some patients prothrombin time decreases with the development of bleeding and ecchymosis. Other inhibitors of CYP3A4, for example, ketoconazole and erythromycin, can inhibit the metabolism of tramadol (N-demethylation) and the active metabolite O-desmethyltramadol.

CYP2D6 isoenzyme inhibitors (such as fluoxetine, paroxetine, and aminotriptilline) reduce tramadol metabolism.

In a limited number of studies, it was found that pre-or postoperative use of the anti-emetic agent 5-NTZ ondansetron antagonist increased the need for tramadol for postoperative pain.

special instructions

In the case of the use of Tramadol in conjunction with other drugs, the patient must inform the doctor.

Observe precautions when taking the drug in the following conditions:

– with convulsions of central genesis

– with head injuries

– in patients with impaired liver and kidney function

– with shock

– with abdominal pain of unknown origin («sharp belly snorting tramadol:»)

– for disorders of the respiratory center and respiratory function

Tramadol should not be used for longer than the period justified from a therapeutic point of view. In the case of long-term treatment can not exclude the possibility of drug dependence. The patient should be warned about the need to strictly adhere to the dose and duration of treatment prescribed by the doctor and not transfer the drug to other persons. Long-term treatment for chronic pain syndrome should be carried out only under strict indications.

With extended time intervals, Tramadol is used in elderly patients. Under close medical supervision and in reduced doses, tramadol hydrochloride should be used against the background of the action of anesthesia, sleeping pills and psychotropic drugs. The drug should not be combined with narcotic analgesics because of the poor predictability of the interaction effects. Not recommended for the treatment of drug withdrawal syndrome. Combination with monoamine oxidase inhibitors should be avoided. Patients with epilepsy or prone to seizures should take Tramadol only for health reasons. During the period of drug treatment is not allowed to use alcohol.

The incidence of side effects increases with increasing duration of the drug.

Features of the effect of the drug on the ability to drive a vehicle or potentially dangerous machinery

It is not recommended to engage in activities that require increased attention and high speed of psychomotor reactions (driving vehicles and driving machinery) due to the possible occurrence of adverse reactions.


Symptoms: nausea, vomiting, constriction of the pupils, dilated pupils, depression of consciousness, up to a coma, a drop in blood pressure. The most dangerous consequences of an overdose of tramadol hydrochloride are respiratory depression and up to a stop, convulsions.

Treatment: maintaining adequate pulmonary ventilation and symptomatic therapy in the intensive care unit. An antidote in the case of respiratory depression is naloxone, for convulsions it is advisable to use diazepam.

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Hemodialysis is ineffective.

Release form and packaging

On 1 ml or 2 ml in ampoules of neutral glass.

On 5 ampoules pack into a blister strip packaging from a film of polyvinyl chloride and aluminum foil.

2 contour packages together with the approved instructions for medical use in the state and Russian languages ​​are placed in a pack of cardboard. An ampoule scarifier is placed in each pack. When packing ampoules with notches, rings and dots, the scarifiers are not inserted.

Storage conditions

Store in a dry, dark place at a temperature not exceeding 30°WITH.

Keep out of the reach of children!

Shelf life

3 years

Do not use the drug after the expiration date.

Pharmacy sales terms

On prescription



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Registration Certificate Holder


Tramadol 50Mg Side Effects: Tramadol Indications for Use


Tramadol 50Mg Side Effects: Tramadol Indications for Use

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Tramadol – indications for use

acute alcoholic tramadol 50mg side effects: intoxication;

epileptic syndrome;

functional disorders of the kidneys and liver;

taking depressants and drugs that inhibit the nervous system;

During pregnancy and breastfeeding;

age up to two years.

In addition, Tramadol is prescribed only in extreme cases, children and adolescents under 14 years old, as well as patients over 60 years old (in the latter because of the slow removal of the drug from the body).

Attention! When taking the medicine Tramadol, it is undesirable to drive the tramadol 50mg side effects: car or work with mechanisms, as the body’s reactions undergo significant changes.

Dosage and side effects

Adult patients are usually given a dose of 50 mg orally per dose of tramadol 50mg side effects:, rectal – 100 mg. The maximum daily dosage is 400 mg.

When using tramadol 50mg side effects: Tramadol may have undesirable side effects, including:

incoordination, confusion, sleep problems;

disorders of the digestive tract (flatulence, abdominal pain);

hives in the form of a skin rash;

delay or increased urination;

visual impairment;

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headaches and dizziness;

Tramadol 50 on the skin: treatment of stretch marks, causes

in women, tramadol 50mg: menstrual disorder;

appearance of tremor;


the development of amnesia;



difficulty swallowing.

In case of overdose of the drug, problems with breathing, up to apnea, the appearance of convulsions, cessation of urination and, ultimately, a comatose state are possible. In this case, you should immediately call emergency medical assistance for tramadol 50mg tramadol 50mg :: for conducting anti-toxicological tramadol 50mg procedures or contact a specialized center.

Attention! The drug Tramadol should be stored out of the reach of children and pets. Taking the medicine can lead to the development of addiction, so Tramadol is used exclusively on prescription and exactly in the dosage that the specialist has determined. If your doctor recommends that you stop taking the drug, you should definitely do this!

Tramadol And Ibuprofen: Tramadol from what these pills


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Information about pain, types and methods of treatment

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TRAMADOL LANNAHER pills. Indications. Moderate and strong pain syndrome of various origins including with malignant tumors, acute myocardial infarction, neuralgia, injuries.

From: oh how good !!!!

From the crisis, baby, from the crisis …

Application Medium intensity pain syndrome in malignant tumors, acute myocardial infarction, injuries, diagnostic and therapeutic procedures, neuralgia.

Dosage and administration: Inside for adults and children over 14 years old – 50 mg, (again – no earlier than in 30-60 minutes). Parenteral – 50–100 mg, rectally – 100 mg (repeated administration of suppositories is possible in 3-5 h). The maximum daily dose is 400 mg. Children aged 2 to 14 years inside (drops) or parenteral – 1-2 mg / kg.

Contraindications Hypersensitivity, acute alcohol poisoning and intoxication with depriving agents and CNS depressant drugs, epilepsy, abnormal liver and kidney functions, pregnancy, feeding tramadol and ibuprofen: breastfeeding (suspended for the duration of treatment), children’s early age (up to 2 years).

Side effects Addiction, the syndrome of “cancel”, addiction, dizziness, lethargy, respiratory depression, dysphoria, euphoria, cognitive decline, convulsions, vomiting, tachycardia, palpitations, hypotension, collapse, nausea, epigastric pain, vomiting, exercise difficulty urinating, allergic reactions.

Interaction Enhances the effects of tranquilizers, sleeping pills, sedatives and anesthetic drugs, alcohol. Analeptics and psychostimulants reduce activity, they completely block naloxone and naltrexone (direct antagonists). In combination with neuroleptics, it can cause convulsions.

Overdose Symptoms: respiratory depression, up to apnea, convulsions, pupil constriction, anuria, coma. Treatment: the introduction of naloxone (specific antagonist) in / in, gastric lavage, maintaining vital functions.

From breaking.

Narcotic and psychotropic drug

Instructions for use of tramadol tablets, a description of the action of the drug, indications for use of tablets of tramadol, interaction with other drugs, the use of tramadol tablets during pregnancy.

Is Tramadol 50 harmful or beneficial to humans?

Pain reliever

I tried tramadol finished tabletTe promise a good painkiller in pills. It depends on what!

Tramadol tablets, injections in ampoules – complete instructions for use. Overdose and harm from Tramadol. Pharmacological action, indication and method of use in pregnancy, for children.

Ketarol, ketanal

The best method of pain relief depends on the type of pain!

“Solpadein” helps me in the form of soluble tablets. 2 tablets per cup of lightly warm water. There is no addiction, I have been using for more than 5 years.

No-shpa, baralgin

Such tablets as nurofen, revalgin and pentalgin relieve both headache and various spasms, but do not abuse much, such painkillers plant kidneys.

The name Tramadol Tramadol for injection. Release form, composition and tutu. The solution for injection is clear, colorless. 1 ml of tramadol hydrochloride 50 mg. Excipients sodium acetate, water d and.

Tramal or tramadol.



In inflammatory processes, for example: the joints, DIKLOFENAK quickly and permanently eliminates the pain, preferably in the form of a “candle”, since the tablets will quickly “plant” the stomach and the entire gastrointestinal tract. Do not take it all the time: the medicine — it is the medicine — one heals in another place (the liver, etc.) cripples. In many situations, cleansing the body is very helpful: the liver, the intestine and the kidneys.

Headache MedicationsNise

Dosage of the drug Tramadol. Tramadol tablets and capsules Adults and children over 14 years old, a single dose of 50 mg. In the absence of an analgesic effect, you can take another 1 tablet or capsule within 30-60 minutes …

Aspirin, ax, pickle

Ketans, it helps a lot, but often it is not recommended to drink

Well, Nurofen tablets help me personally … There are still Ketans, not bad ones, but they are sold only by prescription (((

Ax. . 100% result … but seriously. Pentalgin for example ..

Tempalgin, Pentalgin

It is not recommended to prescribe tramadol tablets with prolonged action in patients with severe hepatic and or renal failure.

Tramadol, but Boz will not give a recipe. Or Mig400, Pentalgin, sedalgin, kofetamin again without a prescription will not give. Baralgin.

I drink ketans in pills. a moment still helps a lot.

Neck namazh! Apple vinegar selenium-containing.

Ingredients: Natural apple cider vinegar, trace elements: iron, magnesium, copper, nickel, selenium (10 mg)

Action: Apple vinegar selenizirovanny part of the essential enzyme glutathone peroxidase, which activates the antioxidant system, antitumor immunity, metabolism in tissues, liver, prevents the development of cataract lens of the eye. A sufficient amount of selenium and selenium-containing enzymes in tissues ensures the health of the heart muscle, kidneys, promotes the growth and development of tissues and the rejuvenation of the body as a whole.


– With anemia and leukemia.

– During pregnancy and feeding.

– With bronchial asthma and lung disease.

– When recovering from a stroke, impaired cerebral circulation.

-In ischemic heart disease, myocardial infarction and hypertension.

– With radiation sickness.

– With osteochondrosis and arthrosis, with polyarthritis and rheumatism.

– To speed recovery from injuries and bone fractures.

– With kidney disease, kidney disease, polyneuritis.

-In diseases of the liver and gallbladder.

– To prevent premature aging.

– In diseases of the thyroid gland, endemic goiter.

Mode of application:

Hello. Looking even from what the head hurts. .

The clinic is different: “Headache caused by hypertension”, “Headache nevrol. Status” ..

In general, I recommend: with headache (mild) – Paracetamol,

with an average headache – Mig 400, with a strong – Took.


I consider headache as an indicator of the virus in the body, and therefore the remedy for headache is a means of strengthening antiviral immunity. We get rid of a headache, regardless of the time of its occurrence and the place of its localization, quickly and easily: 1) We find all the painful areas on the head and start massaging them. Usually the pain accumulates in the region of the occipital bumps, there are painful temples, the temporomandibular joint, this is the joint in front of the auditory orifice, the inner upper corner of the orbit, the forehead area. Many may find their particular disease points. Some people note the occurrence of headache together with pain in the eye, in the eyes, so you need to work with a fingernail and soreness of the eye through the upper and lower eyelids, press for 3-5 seconds and lower it, and so go through the entire eye. All painful points, both on the eyes and on the head, should be massaged from day to day until the pain disappears completely. Some will need two weeks to do this, while others may have their own time to get rid of pain, it all depends on your diligence and the degree of neglect of the body. 2) Head knocking with cams or 0.5 l. plastic water bottle without air bubbles. It is more convenient to use the sprite bottle. For massage, the bottle is poured with water, and it is ensured that there is not a single air bubble in the bottle. It is better to close the bottle under water. Head-tapping with cams or a water bottle is called an “indirect brain massage.” This procedure for the effect of healing the brain is not equal in the world. In my practice, perennial sweltering pains took place during three sessions of massage. The number of procedures per day can be increased to ten, the duration of the tapping procedure is different and individual. For starters, you can knock 3-5 minutes with little force. As pain decreases in the head, the intensity of exposure increases. More often it is necessary to knock in the direction in which you are experiencing great pain. Particular attention should be paid to the importance of tapping on the chin on the right and left, and on the cheekbones, just as on the right and on the left. It is necessary to knock every day, every day and until the complete disappearance of pain in the head. 3) In the improvement of the head, you can use sneeze. Spontaneous sneezing with a viral infection is just a pure reflex of self-healing to the introduction of the virus into the body during a cold. But when we have comprehended it, we can, already consciously irritating the nasal mucosa to sneeze and contribute, thereby, to strengthening antiviral immunity and getting rid of a headache. The number of sneezes can be increased from 10 to 20 times per day. Directing the air flow when sneezing preferably through the nose. It is convenient to irritate the nasal mucosa with ear sticks or instillation into the nose with 4-5 drops of fresh aloe or kalanchoe juice 3-4 times a day; The juices of these plants irritate the nasal mucosa and cause repeated sneezing. Some may experience irritation of the nasal mucosa with pepper or snuff. 4) It is not strange, but it turns out that there are foods that are also powerful stimulants of antiviral immunity, and by applying them we can quickly get rid of a headache. These include horseradish and mustard, their essential oils strongly irritating the nasopharyngeal mucosa and paranasal sinuses with their smell, and they powerfully stimulate antiviral immunity. When you eat them with food, you need to achieve the feeling of “piercing the brain” so that the molecules of the essential oil reach the paranasal sinuses and lungs. Enough one or two one-time use of these spices per day during the period of influenza epidemics or in case of disease for a powerful increase in antiviral immunity. What is a good prevention of headaches. Success to all.

Composition. each tablet contains the active substance – tramadol hydrochloride in terms of 100% substance – 50 mg of excipients – lactose monohydrate, povidone K-25, calcium stearate, microcrystalline cellulose.

Who is familiar with the diagnosis of panic attacks? How to overcome itself, does not help phenozepam? Jump out of the window.

Description of the active substance Tramadol Tramadol. Tramadol-Plethiko Tramadol-ratiopharm Tramadol-Slovakofarm Tramadol hydrochloride Tramadol tablets 0.1 g Tramaklosidol Tramal Tramal 50.

Amphetamine. . Ecstasy . Tramadol. . codeterpin ..

I am not familiar with the diagnosis, but I advise you to turn to a specialist, he will prescribe the correct medicament for nazepam this soporific will not exactly help

Phenazepam will make you hysterical, sorry !! ! As for the rest, to a psychologist, you need to figure out what you raised your fears on and remove them from the subconscious

A state of increased anxiety, neurosis, panic attacks indicate the imbalance of the body’s energy, it is possible that vegetative-vascular dystonia contributes to it. Carry on the solar plexus Information matrix The tool is surprisingly effective.

When you are overcome with fear and anxiety for yourself or for your loved ones, it is your soul — the thing brings the hidden information to your consciousness. To eliminate future trouble, as your fear-anxiety says, pray. There is a very powerful prayer guard is a prayer to Nicholas the Pleasant. If there is anxiety, pray constantly, day after day, and day many times. There is fear, pray. But such a moment will come, you will catch yourself thinking that I don’t read a prayer? When you listen to yourself, to your soul, you will understand that you have anxiety-fear, it means your prayer reached God, your request reached God, He heard you and answered you. “Nicholas, God the Baptist, God’s helper, you are in the house, you and the field, on the road and on the road, in heaven and on earth, save and save me (or the name you pray for and ask for) from all Evil. “The prayer is read thrice, and after each reading, thrice baptize either yourself or the one to whom you read with the words:” In the name of the Father and the Son, and the Holy Spirit. Amen. ” When you are reading to someone, you must mentally represent the image of that person or read on his photo, and baptize either a mental image or a photo. If you read during the day, then read in threes, after reading the prayer, baptize three times and read three times, and so on and so forth. The effect of the prayer is enhanced if you light a candle.

Tramadol can be used in the form of tablets or in the form of ampoules in liquid form. How to use tramadol. Description white or almost white rounded biconvex tablets with a notch on one side and a characteristic smell of strawberries.

Ella, all that is written above is correct! But here it could be SUCH – panic attacks can cause heart arrhythmia, which you yourself can simply not suspect. I myself went to doctors, neurologists, psychologists …. I didn’t find anything special on the ECG in the clinic (they did the examinations for 3 seconds, I’m almost healthy), and in the RESULT, I got into cardiology, where they did Holter monitoring when an electrocardiogram is recorded for at least 24 hours, an echo heart, and – I was on the operating table at the cardiac surgeon …. Sad, yes! To learn at the age of 42 – about congenital heart disease, prolapse, the strongest arrhythmia, which was the cause of low pressure, and PANIC attacks, because the blood flow was simply none …. I cured panic attacks Cardiac surgeon! Thanks to DOCTOR! thanks to the district clinic, where I was healed almost to death …. neurologists and therapists ….

This is vegetative-vascular dystonia and when the panic attack begins, the doctor told me that I need an anapriline pill under the tongue and release the dosage of 20 mg

Advise strong pills for pain in the joints and lower back .. Grandma needs very Thramadol – but it has side effects from the CCC.

Data for the development of tramadol dependence. For long-term therapy, retard tablets are the most convenient, which should be taken twice a day, 100 150 200 mg every 12 hours.

Only to the therapist or rheumatologist everything depends on the disease.

Well anesthetized and a minimum of sideways is Pentalgin. But the recipe is necessary

And if it is bone tuberculosis, cancer metastasis or spinal hernia or osteoporosis and a lot of diseases, a lot of which can cause lower back pain. “Ketans”. ibuprofen (relieve inflammation)

First, the doctor will determine the cause of the pain, then write out the medicine.


Tramadol is available in two types: injections and tablets. And his dosage is always prescribed by the doctor individually, and depends on the diagnosis and external symptoms.

Please advise a good painkiller without side effect. On analgesics, severe allergies. Strawberry. It has a substance similar to the active substance analgin.

Tramadol Tramadol oral pills. Instructions for medical use of the drug. Tablets 1 table. Tramadol g Drochloride 50 mg in bl ster 10 pcs. in the box 5 bl rubbed into.


If allergy is better to ask the doctors for advice.

And what you have, contraindications, side effects of many drugs

Put a woolen scarf on the sore point and all

From what capsules Tramadol Silent

Tramadol is a powerful painkiller. Tramadol inhibits pain and nerve impulses during transmission in the spinal cord, inhibits the center of coughing. The use of drops is contraindicated in children under 1 year. Prohibited capsules and tablets up to 14 years. Side effects.

TRAMADOL capsules

Ingredients: 1 capsule contains 50 mg of tramadol hydrochloride. Excipients: Lactose, Calcium Hydrogen Phosphate, Sodium Starch Glycolate, Magnesium Stearate, Gelatin, E 132 dye, E 171, E 172. Description: hard gelatin capsules, green cap, yellow body. The contents of the capsules – white powder or almost white, odorless.

Pharmacological properties: Pharmacotherapeutic group: an opioid analgesic with a mixed mechanism of action. N02АХ02. Refers to analgesic means of central action. It has a pronounced analgesic effect. Non-selective antagonist of opioid mu-, delta- and kappa-receptors in the CNS with the highest affinity for mu-receptors. Inhibits the reverse neuronal seizure of norepinephrine and increases the release of serotonin. It also has an antitussive effect, does not violate the motility of the gastrointestinal tract. Duration of action – about 4-8 hours.

Absorption: After taking tramadol, it is rapidly and almost completely absorbed from the gastrointestinal tract (about 90%). The maximum plasma concentration is determined after about 2 hours. The value of bioavailability is about 70%, does not depend on food intake and increases with repeated use of the drug. Distribution: Plasma protein binding is about 20%. Tramadol penetrates the hemato-encephallic and placental barriers. Approximately 0.1% is excreted in breast milk. Metabolism: Metabolized by demethylation and conjugation of up to 11 metabolites, only one of which (O-demethyltramadol) has a pronounced pharmacological activity (2-4 times higher than the activity of tramadol). Withdrawal: Tramadol and its metabolites are excreted mainly by the kidneys (up to 90%) and through the intestines (about 10%). The half-life, regardless of the route of administration, is about 6 hours. In patients with advanced age, with cirrhosis of the liver and with renal insufficiency, the half-life period increases.

Indications for use: Pain syndrome of medium and strong intensity of various etiologies (postoperative period, injuries, pain in cancer patients). For the purpose of pain relief during painful diagnostic or therapeutic procedures.

Contraindications: Conditions accompanied by respiratory depression or marked depression of the central nervous system (alcohol poisoning, hypnotic drugs, narcotic analgesics, psychotropic drugs). Simultaneous use of MAO inhibitors (and two weeks after their cancellation). Pregnancy and lactation period (use is possible only for health reasons). Age up to 14 years. Pregnancy and lactation period: During pregnancy, prolonged use of tramadol should be avoided due to the risk of fetal addiction and the onset of withdrawal syndrome in the neonatal period. If necessary, taking during lactation should be borne in mind that tramadol in small quantities excreted in breast milk.

Dosage and administration: The dose of the drug is chosen by the doctor individually, depending on the intensity and nature of the pain. Usually the initial dose is 1 tablet or capsule (50 mg) by mouth with a small amount of liquid, regardless of the meal time; in the absence of effect for 30 – 60 minutes tramadol and ibuprofen: you can take another 1 tablet or capsule; with severe pain, a single dose can immediately make up 100 mg (2 tablets or capsules). The effect, depending on the degree of pain, persists for 4-8 hours. Do not exceed the daily dose of tramadol 400 mg (8 tablets or capsules). Do not take this dosage form for children weighing less than 25 kg and aged less than 14 years. Elderly patients, patients with impaired liver and kidney function. If necessary, the reception should increase the interval between doses of the drug. The duration and pattern of use are determined by the attending physician. Capsules should be swallowed without chewing, with a necessary amount of liquid, regardless of

Help me, please, remember the name of the painkiller! Novocain?

Tramadol – instructions for use. LLC Ozone Russia. The active substance of tramadol hydrochloride 100.0 mg ExcipientsPackage code N02AX02. INN Tramadol. Farm Group Analgesics. Form release Solid dosage forms. Pills.

I only know without the ketan prescription

Trigan d

Tramadol And Ibuprofen: how to take, reviews


Maybe Targin? Although there are less than seven letters.

Tablets Which is better: Nolitsin or Amoxicillin? Tramadol

Drug tramadol opioid analgesic synthetic nature. The drug has a strong analgesic activity, gives a quick long-term effect. The release form of the drug tablets, capsules, vials for injection.


It depends on what they assigned you

if from pyelonephritis or cystitis, nolitsin is better

You can both, nolitsin refers to fluoroquinolones, and amoxicillin – to semisynthetic penicillins, depending on what you are treating, sometimes both can be combined.


What is more harmful, tramadol once a month or get drunk every week with vodka and other alcoholic filth? Drink nothing better …

Composition and release form. Tramadol hydrochloride. Capsules 50 mg retard tablets 100 mg, 150 mg, 200 mg drops for oral administration in 1 ml of 100 mg solution for injection in 1 ml of 50 mg of a rectal suppository 100 mg.

Tramal as an anesthetic in theory));) but it’s better to use it than any alcohol that causes harm in any quantity. if there is no garbage in the head, then there should be no dependency on the tram)

It is like suicide when choosing between lemon and C4, thinking from which the gut will be scattered


Start drinking coral water. forget about both vodka and tramadol.

If a problem or illness has come to a person, it means … (add your own truth) So everyone needs to wish for happiness!

Tramadol has a number of synonyms in the Russian language Mabron, Plazadol, Protradon, Sintradon, Tramal, Tramolin, Tramundin retard, Tramalgin, Tram. Tramadol is available in the form of ampoules for injection, tablets and capsules.

God sends another test to pass

This is either a test or a punishment. The first is given to check the level of a person’s readiness for the next stage of development, the second is for practicing karmic debts.

It means that, showing negative qualities, he let in the entities of the lower plane, which entered his thin body and began to manage it.

So it’s time to grow up in the spiritual life, you need to take without grumbling ….

…harmony in his relationship with the world has been broken.

Tramadol tablets can be taken on an empty stomach, and after a meal, its action does not depend on the contents of the stomach, with some liquid. Tramadol in the form of drops …

So a problem or a disease has come to a person.

And we must overcome all this.

So, he needs to stop and think – for what?


So, the problem must be solved, and the disease – to heal! 🙂

I do not know the truth. I know millions of names of diseases on earth, if not more, in the sky there is only one “relaxation” for everyone. I know that it’s necessary to carry the cross to the end, maybe someone can make it easier.

White tablets tramadol and ibuprofen: with faint inclusions, round, flat, slightly rough, with a bevel, with a characteristic smell of strawberries. 1 tab. tramadol hydrochloride.

It’s time to change the way of life.))

He is doing something wrong in life today .. Schaub to find out why and why the problem fell, you need to look inside yourself, listen to yourself .. You need to work on yourself .., see your tramadol and ibuprofen: the main goal and then there will be no misunderstandings ..

So it is necessary to solve the problem or be treated. Most people have problems and diseases, the least of them have hermits so do not bother.

…God is near him, diseases are given either as a test or as a punishment. and I want to believe that everything is for the good of man …

So you need to solve the problem, treat your illness and not lose heart.

During the day, sometimes they got along with Tramadol pills. Together with other analgesic revalgin, ketorol. Injections of three drugs no-spa, analgin, diphenhydramine. Tramadol helped my ward, but over time began to notice that the time of pain relief is reduced.

What prevents the driver from slowing down [Today]

Newspaper “Our World”

Fatal accident news reaches us almost daily. Often, drivers simply do not think that affects their safety. What can slow down, for example, the speed of our reaction except the well-known alcohol?

Medication. In people taking various medications, the risk of being involved in a traffic accident increases by 1.5-3 times. This also applies to pedestrians.

“Braking” action can cause primarily sedatives, tranquilizers (tazepam, nozepam, phenazepam, relanium, elenium, seduxen, sibazon, valium), hypnotics (imovan, donormil, phenobarbital), antiallergic agents (dimedrol, suprastin, iph, etc.) for headaches, drugs that lower blood pressure.

Mobile phone. People talking on the phone while driving a car are about 18% late when braking compared to other drivers. Recent studies show that this is true even when using a wireless headset. The reaction rate of the driver in the process of typing SMS at the wheel deteriorates by 35%.

Fatigue. A four-hour uninterrupted stay behind the wheel by 50% reduces the driver’s reaction rate and doubles the risk of an accident. Six consecutive hours behind the wheel increase the risk of accidents by 8 times. The monotony of the road and the dark time of the day aggravate the situation.

Smell. Chamomile, jasmine and lavender make drivers too relaxed and dull the reaction. The smell of hamburgers and freshly baked bread leads to driving people more irritable and exceeding the speed. But the smell of lemon and coffee cleans the head of unnecessary thoughts and makes you concentrate on the road. The smell of a new car (a combination of fragrances of cleaning products and solvents) stimulates concentration and makes people more cautious.

Music. Loud, rhythmic music prompts an increase in speed and degrades the reaction. If the speed of a musical composition exceeds 60 beats per minute, then the listeners have an increased heartbeat. It does not matter what kind of music you listen to: opera, classical or rap.

Just the facts. The average reaction time for braking is 1 sec. After a mug of beer, the normal reaction time can be extended to 1.5, and after two mugs – up to 2 seconds. Hence, the braking distance will increase significantly …

The average time to assess the situation through the rear-view mirror is 1.88 seconds. , at an unregulated intersection – 2.45 seconds.

During the 7 months (January – July) of 2009, 105,376 road accidents occurred in Russia, in which 13,058 people were killed and 133,561 were injured.

By the way. Also impair the reaction rate following drugs: Tegretol, Finlepsinum, chlorpromazine, sonapaks, Tisercinum, neuleptil, triftazin, amitriptyline and imipramine, Tramal, tramadol, ketorol, ketanov, pentalgin, sedalgin, solpafleks, solpadein, koldreks Knight, Terflu, Fervex Nurofen plus, imodium and loperamide, raglan and tserkal, adelfan, cristepin, trireside K, clofelyn, anaprilin and others.

Category: Interesting | Views: 24 | Added by: nashmir

Analysis of the situation and finding solutions to the problem

I, through my illness, stopped in one … well-known vice and knew God. had a very serious diagnosis, and now not. By the grace of God. Health problems are, and considerable. But this is another (sad) story …

So you have to go through this temptation, and if you yourself can not ask the Lord for strength. Remember in your memory from what, from what, how did it go, how did this temptation end. It will be your fruit of good deeds. And if later someone else asks for help in such a temptation, do not refuse to give him your fruit, that is, teach how and why the permission of the Lord should be overcome.


Tramadol Tramadol. Group affiliation. Analgesic opioid remedy. Retard tablets – 100-200 mg every 12 hours. Daily dose – 0.4 g in exceptional cases, for example in cancer patients, it is possible to reduce the interval to 6 hours and increase …

How do you see the appearance of the pill from what it is? She herself does not admit …. giggles only … And what smells like?

The international unlicensed name is Tramadol Tramadol. Description of the tablet from white to white with a yellowish shade of color, flat-cylindrical, with a chamfer.

Tramadol And Ibuprofen in bodybuilding: the best porridge for a set of muscle mass and health

From the Princess Nesmeyany

If a headache flies away on a dragon, it is pain-relieving))

Swallow first. As soon as something stops hurting – this is it!

Well, if giggles …. attention to the appearance do not pay.

Giggling? This is from Holland! This is from ALL)))))

Currently, the number of drug addicts from tramadol in the world is about 125 million people, which is about a third of the total number of all drug addicts in the world.


Or from the head or from the priests … in half and not mistaken))

Share your pill …))))))))))))

Wow, you are our man! judging by the points I’m a good grandchildren

And do not take a pill naked! She has clothes)) On clothes, even the expiration date is registered))

Tablets – 100 mg 20. Manufacturer Pranafarm. Active ingredient Tramadol. Therapeutic group analgesic with a mixed mechanism of action. ATX N02AX02 Tramadol.

And who will ask her_

they will pull over your head like a hat and they will wear_

From a bad mood and already acting …

All heal will heal tramadol hydrochloride 🙂

Yes it is MM s))

A medicine that contains tramadol hydrochloride and paracetomol? From what it is, answer please. What are tramal tablets used for? Pain syndrome of medium and strong intensity of various etiologies (postoperative period, injuries, pain in cancer patients). Pain relief during painful diagnostic or therapeutic procedures

What pills tramadol? From the crisis, baby, from the crisis … from oh how good !!!! Tramadol is a narcotic analgesic. Indications – Moderate and severe pain. Apply tramadol with strong acute and hr …

You do not need them. When it will be necessary, doctors will say.

Tramal, and even tramadol – the strongest analgesic used in patients with cancer, when the pain is so strong that there is no strength to endure. Also prescribed to patients with drug addiction, to facilitate withdrawal.

Strictly according to recipes.

Potent non-narcotic analgesic.

Synthetic substitute for morphine, all that was written here is true, a strong anesthetic, you do not need it, believe me! If it is necessary, the doctor will prescribe, and if he will, then there is an instruction, you will read it, you will learn everything!

From pain. Assign prescription seriously ill

Instruction, application, contraindications and formula. Russian name. Tramadol. The Latin name of the substance is Tramadol. Tramadolum. Tramadoli. The composition of the shell capsules gelatin, titanium dioxide. 10 pieces. – blisters 1 – packs cardboard. 10 pieces. – blisters 2 – packs cardboard.

Tramadol Hydrochloride: Tramadol Description, instructions, price Pharmacy reference Your Medicine


Tramadol Hydrochloride: Tramadol Description, instructions, price Pharmacy reference Your Medicine

Tramadol: description, instruction, price | Pharmacy reference Your medicine

Tramadol: prices and availability in pharmacies of the city, indications for use and contraindications, packaging, dosage, side effects, pharmacokinetics.

Chemical name

trans – (±) – 2 – [(dimethylamino) methyl] – 1 – (3 – methoxyphenyl) cyclohexanol (as hydrochloride)


White crystalline powder, odorless, bitter taste, highly soluble in water and ethanol.

pharmachologic effect

An opioid synthetic analgesic with a central action and action on the spinal cord (facilitates the discovery of K + and Ca2 + channels, causes hyperpolarization of the membranes and inhibits the conduction of pain impulses), enhances the effect of sedative drugs. Activates opiate receptors (mu, delta, kappa) on the pre- and postsynaptic membranes of the afferent fibers of the nociceptive system in the brain and gastrointestinal tract.

Slows the destruction of catecholamines, stabilizes their concentration in the central nervous system.

It is a racemic mixture of 2 enantiomers – dextrorotatory (+) and levorotatory (-), each of which exhibits a different receptor affinity from others.

(+) Tramadol is a selective mu-opioid receptor agonist, and also selectively inhibits the inverse neuronal serotonin uptake.

(-) Tramadol inhibits the reverse neuronal capture of norepinephrine. Mono-O-desmethyltramadol (M1 metabolite) also selectively stimulates mu-opioid receptors.

The affinity of tramadol to opioid receptors is 10 times weaker than that of codeine, and 6000 times weaker than that of morphine. The severity of analgesic action is 5-10 times weaker than morphine.

Analgesic effect due to a decrease in the activity of nociceptive and an increase in the antinociceptive systems of the body.

In therapeutic doses, it does not significantly affect hemodynamics and respiration, does not alter the pressure in the pulmonary artery, and slightly slows down intestinal motility, without causing constipation. It has some antitussive and sedative effects. Inhibits the respiratory center, stimulates the starting area of ​​the vomiting center, the nucleus of the oculomotor nerve.

With prolonged use may develop tolerance.

Analgesic effect develops 15-30 minutes after ingestion and lasts up to 6 hours.


Absorption – 90%; bioavailability – 68% when administered orally (increased with repeated use), 70% – with rectal intake, with i / m administration of tramadol hydrochloride: – 100%.

TCmax after ingestion of tablets – 2 hours, when taking drops – 1 hour, with i / m administration – 45 minutes, M1 metabolite – 3 hours.

It penetrates the BBB and the placenta, 0.1% is excreted in breast milk.

The volume of distribution is 203 l with intravenous administration and 306 l with oral administration.

Communication with plasma proteins – 20%.

Is Tramadol A Blood Thinner – how to take, effectiveness and feedback

In the liver, it is metabolized by N- and O-demethylation with subsequent conjugation with glucuronic acid. 11 metabolites were detected, of which mono-O-desmethyltramadol (M1) has pharmacological activity. CYP2D6 isoenzyme is involved in the metabolism of the drug.

T1 / 2 in the second phase – 6 h (tramadol), 7.9 h (mono-O-dezmetiltramadol); in patients older than 75 years – 7.4 h (tramadol); in liver cirrhosis – 13.3 ± 4.9 h (tramadol), 18.5 ± 9.4 h (mono-O-dezmetiltramadol), in severe cases – 22.3 h and 36 h, respectively. T1 / 2 with CRF (CC less than 5 ml / min) – 11 ± 3.2 h (tramadol), 16.9 ± 3 h (mono-O-dezmetiltramadol), in severe cases – 19.5 h and 43.2 h, respectively.

Excreted by the kidneys (25-35% unchanged), the average cumulative rate of renal excretion – 94%.

About 7% is excreted through hemodialysis.

Indications for use

Tramadol Hydrochloride for 10 days, recipes

Pain syndrome (strong and moderate intensity, including inflammatory, traumatic, vascular origin).

Pain relief during painful diagnostic or therapeutic interventions.


Hypersensitivity, alcohol poisoning, hypnotic drugs, narcotic analgesics and other psychoactive drugs, taking MAO inhibitors, risk of suicide, susceptibility to substance abuse, pregnancy, lactation (in case of long-term use), children (up to 1 year for parenteral administration) up to 14 years – for oral administration).


Opioid addiction, impaired consciousness of various origins, intracranial hypertension, TBI, epileptic syndrome (cerebral genesis), conditions accompanied by respiratory depression or marked depression of the central nervous system; co-administration with selective serotonin reuptake inhibitors (some antidepressants and appetite-reducing drugs), tricyclic antidepressants, other tricyclic compounds (for example, promethazine), anti-migraine drugs (triptans), narcotic analgesics, MAO inhibitors, neuroleptics, etc. convulsive readiness.

Dosing regimen

In / in, in / m, p / to, inside, rectally.

Dosing: For single use for adults and children over 14 years old – at 0.05 g (tablets, capsules) with a small amount of liquid or 20 drops of the solution (or drops) for ingestion with a small amount of liquid or on sugar. After 30-60 minutes, you can repeat the reception in the same dose, but not more than 8 doses per day.

Retard tablets – 100-200 mg every 12 hours. Daily dose – 0.4 g (in exceptional cases, for example in cancer patients, a reduction in the interval to 6 hours and an increase in the daily dose is possible).

Rectal – 0.1 g. Reception frequency – up to 4 times per day.

In / in slowly, p / k or v / m: 0.05-0.1 g. If the effect is not sufficient, then 20-30 minutes after the intravenous route, infusion can be continued at a rate of 12 mg / h or additionally administered orally. Total daily dose – 0.4 g.

Children over the age of 1 year – inside, only drops or parenteral (IV, IM, P / C), at a dose of 1-2 mg / kg. The daily dose is 4-8 mg / kg (1 cap – 2.5 mg).

The elderly and patients with renal insufficiency require an individual dosage (T1 / 2 lengthening is possible). When QA is less than 30 ml / min and in patients with liver failure, a 12-hour interval is necessary between taking the next dose of the drug.

Side effect

Nervous system disorders: hyperhidrosis, dizziness, headache, weakness, fatigue, lethargy, paradoxical stimulation of the CNS (nervousness, agitation, anxiety, tremor, muscle spasms, euphoria, emotional lability, hallucinations), drowsiness, sleep disorders, confusion , impaired motor coordination, convulsions of central genesis (with intravenous administration in high doses or with simultaneous administration of tramadol hydrochloride: antipsychotic drugs (neuroleptics), depression, amnesia, cognitive impairment valued function, paresthesia, unsteady gait.

On the part of the digestive system: dry mouth, nausea, vomiting, flatulence, abdominal pain, constipation or diarrhea, difficulty in swallowing.

On the part of the cardiovascular system: manifestations of vasodilation – tachycardia, orthostatic hypotension, syncope, collapse.

Allergic reactions: urticaria, pruritus, rash, bullous rash.

On the part of the urinary system: difficulty urinating, dysuria, urinary retention.

From the senses: visual impairment, taste.

On the part of the respiratory system: dyspnea.

Other: irregular menstruation.

With prolonged use – drug dependence. When abruptly canceled – ‘cancellation’ syndrome.


Symptoms: miosis, vomiting, collapse, coma, convulsions, depression of the respiratory center, apnea.

5 tips from Tramadol Hydrochloride

Treatment: ensuring the airway, maintaining breathing and the activity of the cardiovascular system. Opiate-like effects can be stopped by naloxone, seizures by benzodiazepine.


Pharmaceutically incompatible with solutions of diclofenac, indomethacin, phenylbutazone, diazepam, flunitrazepam, nitroglycerin.

Enhances the effect of drugs that inhibit the central nervous system, and ethanol.

Inductors of microsomal oxidation (including carbamazepine, barbiturates) reduce the severity of the analgesic effect and the duration of action. Because of the increased risk of seizures, the simultaneous use of carbamazepine and tramadol is not recommended.

Prolonged tramadol hydrochloride: the use of opioid analgesics or barbiturates stimulates the development of cross-tolerance.

Anxiolytics increase the severity of the analgesic effect; the duration of anesthesia is increased when combined with barbiturates.

Naloxone activates respiration, eliminating analgesia after the use of opioid analgesics.

MAO inhibitors, furazolidone, procarbazine, antipsychotic drugs (neuroleptics) increase the risk of seizures (decrease in convulsive tramadol hydrochloride: threshold).

Quinidine increases the plasma concentration of tramadol and reduces the metabolite M1 due to competitive inhibition of the CYP2D6 isoenzyme.

Inhibitors of the isoenzyme CYP2D6 (such as fluoxetine, paroxetine and amitriptyline) reduce the metabolism of tramadol.

Selective serotonin reuptake inhibitors (some antidepressants and appetite-reducing drugs), tricyclic antidepressants, other tricyclic compounds (for example, promethazine), anti-migraine drugs (triptans), narcotic analgesics, MAO inhibitors, neuroleptics, etc. Medicines, anti-inflammatory drugs, triggered anti-depressants, anti-depressants increase the risk of seizures.

Selective serotonin reuptake inhibitors, serotonin and norepinephrine reuptake inhibitors, tricyclic antidepressants, MAO inhibitors, anti-migraine drugs (triptans) and drugs that disrupt tramadol metabolism (CYP2D6 and CYP3A4 isoenzymes inhibitors), I can use a default, and I will be able to use this time to use it.

special instructions

Do not use for the treatment of drug withdrawal syndrome.

Do not use ethanol at the same time.

In the case of a single dose there is no need to interrupt breastfeeding.

During the period of treatment, care must be taken when driving and engaging in other potentially hazardous activities that require increased concentration and psychomotor reactions.

Tramadol Hcl 50 Mg Tablet: Tramadol who cares, who gets high


Tramadol Hcl 50 Mg Tablet: Tramadol who cares, who gets high

How to choose the Tramadol Hcl 50 Mg Tablet for weight loss at home

Tramadol: to whom the medicine, to whom – the buzz »

Purchase painkillers for patients – problem for addicts – no problems «CT» has repeatedly written that many residents of different cities of the Crimea account for

Purchase painkillers for patients – problem for addicts – no problems «CT» he has repeatedly written that many residents of different cities of Crimea have tramadol hcl 50 mg tablet: they have to come to Simferopol to buy some drugs that are not available in local pharmacies, although their counters seem to be full of all sorts of widely advertised drugs. So recently, our reader from Yalta complained: the doctor prescribed tramadol to his wife, and he had to buy it by prescription only in Simferopol. But there the recipe was considered incorrectly written out and they sent the elderly person home with nothing.

For those who do not know

Tramadol — narcotic analgesic. It has a strong analgesic (analgesic) activity, gives a quick and long-lasting effect. Inferior in activity to morphine at the same dose. According to doctors narcologists – a killer drug that can replace heroin. The effect is achieved by one of the components. – synthetic opioid tramadol. A powerful analgesic with an analgesic effect, it in large doses causes narcotic intoxication and highly addictive. So tramadol, «taren» – drugs that are in demand by all lovers «vivid impressions». And they were sold at first, even without a prescription. – Getting them was not a problem: «tram» just bought at the pharmacy, but a jar of «taren» could be dragged in the school tramadol hcl 50 mg tablet: any military director. Knowledgeable laquo tramadol hcl 50 mg:; craftsmen» have long found places where «taren» just in excess. This «cornucopia» – Our bomb shelters, where there are special tramadol hcl 50 mg: first aid kits. The drug was developed, by the way, as an antidote to phosphorus compounds, does not cause addiction, and after use there is no state of euphoria. It is part of the standard AI military kits and kits for the AI2 population.

Ukraine (like Russia) sounded the alarm rather late – when free tramadol and its derivatives or analogues «hooked» youth. After rather long discussions at the highest level, the drug was assigned to the list of toxic drugs, which was approved by paragraph 1 of the order of the Ministry of Health of Ukraine No. 344 of 07. 07. 2004. And two months later by order No. 440 of the Ministry of Health of Ukraine «tramadol» already referred to the list of medicines that are subject to subject-quantitative accounting in health care facilities. And only on June 4, 2008, the Cabinet of Ministers included tramadol in the list of narcotic drugs, thereby restricting access to it.

But law enforcement officers are struggling with traders dealers in the same way as with ordinary drug dealers – in this im «helps» Article 307 of the Criminal Code of Ukraine, according to which (depending on the criminal characteristics of the distributor), for the illegal sale of tramadol can be obtained from three to twelve years in prison.

Prescription only

Of course, not everyone uses this drug as a drug. – Someone, it is vital as a painkiller tramadol hcl 50 mg tablet: the drug. As in the case about which our reader told us. However, it turned out that, in principle, everything according to the law: officially tramadol, like other narcotic or psychotropic drugs, can be purchased (for therapeutic purposes) only by prescription from a doctor prescribed for a special, «pink» strict reporting form. In this case, data on receipt of the prescription must be entered in the patient’s card. «Otovarit» the recipe itself is set for five days and, accordingly, only once.

In principle, a prescription drug can be bought at any pharmacy (first of all in a state pharmacy), but only where there is a license to sell prescription drugs. As we managed to learn from confidential sources, compliance with rather complicated legislation by pharmacies is monitored by the Security Service of Ukraine (finally!), Because many, even state pharmacies, try not to get involved in such sales. Tramadol hcl 50 mg :, preferring to sell «non-prescription» purgans or analginum.

As for the quite popular Simferopol pharmacy, located on the territory of the regional mental hospital on the street named after Rosa Luxemburg, she has a license, selling all medicines exclusively by prescription.

Tramadol Hcl 50 Mg for gaining muscle mass and slimming

It turns out that Crimeans, faced with the fact that in their hometown pharmacies do not want to sell drugs of strict accounting, have to go to the capital, where there is a hundred percent medicine.

You can only sympathize with the reader – Apparently, Yalta pharmacies, even government ones, do not want to help patients at local clinics. And there is really only one way out. – acquire tramadol in Simferopol.

True, there are prescription drugs in their laquo tramadol hcl 50 mg tablet:; raisins» ndash tramadol hcl 50 mg :; as one of the buyers said, the doctor wrote a prescription for fifty pills of medicine. The pharmacist gave him one package containing 25 pills and took the prescription. Having gathered to leave, the citizen suddenly imagined that in a couple of weeks (for which this amount would be enough) he would again have to travel from another city to the capital. Returned and asked tramadol hcl :: «And what, in the recipe indicated 25 tablets?» The pharmacist, not even blushing, asked: «Do you still need? It says 50»and sold the rest. But not all patients, especially the elderly, re-check the pharmacist. As it turned out – in vain.

Not a problem

However, as far as the editors know, in fact, to buy this drug in Yalta is in principle not a problem. – Pharmacy establishments known to drug addicts almost freely sell them from under the counter. Naturally, not at state prices and not according to recipes of pink color. But there is no tramadol hcl: license – There are no problems with reporting. And there is always a clientele. Like local drug dealers who have a full range of popular youth «nasty things».

How to take Tramadol Hcl 50 for weight loss, which type of protein is better

Some experts argue that this business began to flourish just when tramadol «went underground» – increased prices. Earlier «teren» It cost 1 dollar for a jar, a little later, when the mass struggle with «pharmacy addicts», the price has risen to 4 dollars apiece, but in order to «flooded», you need to eat 3-4 tablets, 0,025 grams. But one has only to exceed the daily rate of 0.1 grams – and everything, try on white slippers.

«Tram» we have 100 hryvnia per capsule with 50 mg of substance, daily «dose» is 0.4 grams. And since tramadol is almost on a par with heroin, the price difference is significant: the dose of heroin costs about $ 200, and it is much more difficult to buy it than «tram».

True, the Internet is still full of calls «tram dependent» – «Freedom to tramadol!» By the way, and type ads «I will sell tramadol wholesale and small wholesale, the price is from 140 UAH. per pack, it all depends on the quantity of the order. Delivery in Ukraine. Hurry up, the amount decreases every day. In the market for more than three years, we have everything adjusted and confidential». And no «pink» recipes, delivery problems and police «on short visits».

Although recently, in mid-July, in Kharkov, the law enforcement officers of Obnon detained tramadol hcl: a group of ten people who were selling tramadol. During searches, police officers seized more than 100,000 capsules «tram». At the prices of the black market tramadol hcl: this number of tablets costs more than 1 million hryvnia.

Tramadol Overdose: TRAMADOL buy capsules – instructions, price in pharmacies, analogues, composition, indications


Tramadol Overdose: TRAMADOL buy capsules - instructions, price in pharmacies, analogues, composition, indications

Tramadol Overdose: how to take, reviews, composition

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TRAMADOL – complete information on the preparation from the manufacturer, the price in the nearest pharmacies for TRAMADOL, a list of analogues.

pharmacodynamics tramadol overdose :. Tramadol is a centrally acting analgesic. It has a mixed mechanism of action. It is a non-selective opioid agonist of mu, delta, and kappa receptors. Other mechanisms that are involved in ensuring the analgesic action of tramadol hydrochloride are inhibition of the reuptake of norepinephrine in neurons and the enhancement of the serotonergic response.

It opens K + and Ca ++ channels, causes hyperpolarization of the membranes and inhibits the conduction of pain impulses. The analgesic effect is due to a decrease in tramadol overdose: the activity of nociceptive and increased antinociceptive system of the body. Tramadol hydrochloride exhibits antitussive action. When used in therapeutic doses of tramadol, hydrochloride does not inhibit respiration and does not affect intestinal motility.

Pharmacokinetics. When administered to the gastrointestinal tract absorbed more than 90% of tramadol. Cmax in plasma is reached after 4.8 h. The absolute bioavailability is 68%. Binding to plasma proteins – 20%. It penetrates the BBB and placental barrier. 0.1% of the drug penetrates into breast milk. Metabolized in the liver. T½ – 6 hours. Tramadol hydrochloride and its metabolites are excreted by the kidneys (25–35%) unchanged. About 7% is excreted through hemodialysis.

Marked increase in T½ in patients over the age of 75 years.


acute and chronic pain syndrome of moderate and significant degree of severity (before- and postoperative periods, malignant tumors, injuries, neuralgia). Conducting painful diagnostic and therapeutic procedures.


The dose and duration of treatment are determined by the doctor individually, based on the intensity of the pain syndrome.

Adults and children from the age of 14 are prescribed orally (with a small amount of liquid, regardless of the meal), 1 capsule (50 mg). With severe pain, a single dose can be 2 capsules (100 mg).

The daily dose should not exceed 8 capsules (400 mg).

The drug can not be used longer than the period justified from a therapeutic point of view. Patients with moderate hepatic / renal dysfunction, as well as the elderly, are individually selected.

In moderate liver failure, it is recommended to reduce the dose or increase the interval between doses.

With moderate renal failure, it is advisable to increase the interval between doses. For patients with creatinine clearance <30 мл/мин интервал следует увеличить до 12 ч. В таких случаях максимальная рекомендованная ежедневная доза составит 200 мг.


Hypersensitivity to the active substance or other components of the drug. Acute alcohol intoxication, acute poisoning with hypnotic, analgesic or psychotropic drugs; severe liver failure, severe renal failure (creatinine clearance <10 мл/мин), эпилепсия с частыми приступами. Период лечения ингибиторами МАО и следующие 14 дней после их отмены. Не применяется для лечения опиоидной зависимости. Период беременности или кормления грудью. Детский возраст до 14 лет.


on the part of the nervous system: often – possibly increased sweating, headache, dizziness; rarely – weakness, lethargy, slow reaction, sleep disturbance, nightmares, euphoria, hallucinations, anxiety, emotional lability, depression, amnesia, paresthesias, drowsiness, epileptiform seizures, tremor, respiratory depression, impaired coordination and speech, syncope, confusion anxiety.

From the senses: rarely – visual impairment, taste, mydriasis.

On the part of the digestive system: often – nausea, vomiting, dry mouth, changes in appetite, constipation, flatulence, epigastric pain, diarrhea; in some cases, there was an increase in liver enzyme levels.

Since the cardiovascular system: infrequently – tachycardia, palpitations; decrease in blood pressure until collapse (orthostatic collapse); rarely – bradycardia, increased blood pressure.

Allergic reactions tramadol overdose :: urticaria, pruritus, ekzantema, bullous rash, angioedema, anaphylactic reactions.

When and how to take Tramadol Overdose in powder and in capsules

On the part of the urinary system: difficulty urinating, dysuria, urinary retention.

On the part of the respiratory system: dyspnea, worsening of the course of asthma, bronchospasm.

On the part of the musculoskeletal system: rarely – muscle spasm, involuntary muscle contraction, muscle weakness.

Others: menstrual disorders, fatigue.

Occasionally Tramadol may cause drug dependence in patients prone to drug abuse, as well as with prolonged use of high doses of the drug. Abrupt cancellation after long-term use of the drug can cause withdrawal syndrome (manifestations similar to withdrawal symptoms of narcotic drugs: psychomotor agitation, anxiety, irritability, insomnia, tremor, paresthesias, bouts of phobia, hallucinations, confusion, depersonalization, paranoia, tinnitus, frustration hand digestive system).


during treatment with Tramadol should not drink alcohol.

With long-term use of Tramadol may develop addiction and drug dependence.

Tramadol should not be used for the treatment of drug withdrawal syndrome.

Special care should be taken when prescribing the drug to patients with head injuries, increased intracranial pressure, moderate renal or liver dysfunction, patients with a tendency to seizures, as well as to patients with an increased sensitivity to opiates. The risk of seizures may be higher in patients who use simultaneously with Tramadol means to reduce seizure syndrome. Patients with epilepsy in history and a tendency to epileptic seizures can be prescribed the drug only when absolutely necessary. With caution used to treat patients with impaired respiratory function, or in the case of simultaneous use of funds that inhibit the activity of the central nervous system, because of the risk of further respiratory depression.

The drug contains lactose, so patients with rare hereditary forms of galactose intolerance, lactase deficiency or glucose-galactose malabsorption syndrome should not use the drug.

The ability to influence the reaction rate when driving or working with other mechanisms. When using the drug should refrain from driving and working with other mechanisms, which requires increased attention and quick mental and motor reactions.

Use during pregnancy or lactation. Tramadol penetrates the placental barrier, so the use of the drug during pregnancy is not recommended. If there are indications for conducting anesthetic therapy with opiates during pregnancy, it should be limited to a single use.

A small amount of Tramadol penetrates into breast milk, so do not use the drug during lactation. With a single use, breastfeeding can not be interrupted.

Children. The drug is not used to treat children under the age of 14 years.


with the simultaneous appointment of Tramadol with drugs that inhibit the central nervous system, the mutual effects of central effects, including respiratory depression, are possible.

Inductors of microsomal oxidation (carbamazepine, barbiturates tramadol overdose 🙂 reduce the severity of the analgesic effect and the duration of action. Prolonged use of opioid analgesics or barbiturates stimulates the development of cross-tolerance.

Anxiolytics increase the severity of the analgesic effect, the duration of anesthesia increases with combination with barbiturates. Naloxone activates respiration, stopping analgesia after the use of opioid analgesics. When used together with MAO inhibitors and for 14 days after their withdrawal, furazolidone, procarbazine and antipsychotics have a risk of seizures.

Quinidine increases the plasma concentration of tramadol and reduces the content of the metabolite M1 due to competitive inhibition of CYP 2D6 isoenzyme.

With the simultaneous use of Tramadol and warfarin increases the risk of side effects from the blood coagulation system. Tramadol can cause seizures and / or the development of a potentially life-threatening serotonin syndrome when used with serotonergic drugs.

Ketoconazole and erythromycin may interfere with tramadol metabolism. The clinical significance of this interaction has not been studied.

Ondansetron increases the need for tramadol in patients with postoperative pain.


symptoms: vomiting, miosis, circulatory disturbances, depression of consciousness (up to coma), convulsions, depression of the respiratory center to a complete stop of breathing.

The treatment is aimed at ensuring airway patency, maintaining respiration and cardiovascular function.

Antidote in the inhibition of the respiratory center is naloxone, in convulsions – benzodiazepine. Tramadol is poorly excreted by dialysis, so a separate application of hemodialysis or hemofiltration is not enough.


in a dry, dark place at temperatures not above 25 ° C.

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Tramadol Schedule: Tramadol instructions for use, analogues, composition, indications


Tramadol Schedule: Tramadol instructions for use, analogues, composition, indications

Tramadol: instructions for use, analogues, composition, indications

Tramadol – instructions, indications for use, indications and contraindications. Availability in pharmacies, prices and analogues of the drug Tramadol on the website

With caution, the drug is prescribed for opioid dependence, traumatic brain injuries, shock, loss of consciousness of unknown origin, impaired function of the respiratory center, increased intracranial pressure in traumatic brain injuries, brain diseases, impaired renal function and liver, patients with epilepsy. The use of tramadol can complicate the diagnosis of acute pain in the abdominal region.

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With extreme caution, tramadol is used in patients who are sensitive to opiates. Convulsions have been reported in patients who received tramadol at the recommended dosage. The risk may increase if you apply a dose that exceeds the recommended maximum daily dose (400 mg). With the joint use of drugs that reduce the convulsive threshold, tramadol can increase the risk of seizures. In patients with epilepsy or prone to epileptic seizures, tramadol is used only for health reasons.

In patients with respiratory depression or with joint use of CNS depressants, or if the maximum recommended daily dose is significantly exceeded, the drug is prescribed with caution, since respiratory depression is possible. Tramadol has a low dependency potential. With prolonged use, tolerance, mental and physical dependence can develop. In patients prone to drug abuse or addiction, treatment with tramadol should be carried out only for a short period and under strict medical supervision.

Tramadol Schedule – recipes for all occasions

Tramadol is not suitable for substitution treatment of opioid-dependent patients. Although tramadol is an opioid agonist, it cannot suppress the symptoms of morphine withdrawal.

The drug contains lactose, so patients with rare hereditary forms of galactose intolerance, lactase deficiency or glucose-galactose malabsorption syndrome should not use the drug.

Serotonin syndrome: the simultaneous administration of tramadol with serotonergic drugs must carefully monitor patients if the following symptoms developed: agitation, hallucinations, tachycardia, fever, increased sweating, fever or tremors, muscle twitching (muscle twitching) and rigidity (stiffness), poor coordination, nausea, vomiting, or diarrhea. Symptoms usually develop within a few hours to several days from the start of simultaneous treatment of opioids with other drugs. However, symptoms may develop later, especially after increasing the dose of drugs. If you suspect serotonin syndrome, you must stop using opioids and / or other concomitant medications.

Adrenal insufficiency: Patients should be carefully monitored if symptoms of tramadol schedule: adrenal insufficiency are identified, such as nausea, vomiting, loss of appetite, fatigue, weakness, dizziness, or low blood pressure. If adrenal insufficiency is suspected, diagnostic testing is necessary. In the case of tramadol schedule: if necessary, with a positive result of the study, it is necessary to prescribe treatment with corticosteroids and cancel opioids. If opioids are discontinued, a subsequent assessment of adrenal function should be performed to determine whether to continue or discontinue corticosteroid therapy.

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Androgen deficiency: the continuous use of opioids can affect the hypothalamic-pituitary-gonadal system, which can lead to androgenic insufficiency, which manifests itself in the form of low libido, impotence, erectile dysfunction, amenorrhea and infertility. In the event of the onset of symptoms or signs of androgen deficiency, laboratory diagnostics should be carried out.

Impact on the ability to drive motor vehicles and other potentially dangerous machinery. The use of tramadol makes tramadol schedule difficult: performing work that requires high speed mental and physical reactions and increased concentration of attention (driving tramadol schedule: vehicles, controlling machinery, instruments, etc.), so you should refrain from such activities during treatment.

Tramadol And Tylenol: Tramadol or Brain Burning Out


Tramadol And Tylenol: Tramadol or Brain Burning Out

Tramadol or “Tramych”brain scorching – Kramatorsk.INFO

Sometimes in order to, as they say, “see the topic”, just look at yourself under your feet. Since July, the 100-meter section of Voznesensky Street, stretching, on the one hand, along the fence of the children’s rehabilitation center (urban…

Sometimes in order to, as they say, “see the topic”, just look at yourself under your feet. Since July, the 100-meter section of Voznesensky Street, stretching, on the one hand, along the fence of the children’s rehabilitation center (city shelter), and on the other – along the trauma department of the city hospital number 3, was literally strewn with empty packages from under what medical drug. Upon closer inspection, it turned out that “petals” written one word: “Tramadol”.


Tramadol, tramalgin, tramal is a synthetic potent opioid analgesic that is used in medical practice to relieve pain in postoperative and oncological patients. The drug itself does not eliminate the cause.

pain and does not cure the disease, and, acting on the brain, only relieves pain for a while. The maximum daily dose is 400 mg, that is, no more than 8 capsules, for children – at the rate of 1-2 mg per 1 kg of body weight, that is, up to 3 capsules per day. Side effects: dizziness, feeling of heaviness in the head, fatigue, confusion, dry mouth, nausea, increased sweating, palpitations, tachycardia, orthostatic hypotension, collapse.

Tramadol And Tylenol, training program and diet, interview


Tramadol, tramalgin, tramal – almost freely sold (until recently) in the pharmacy chains of medical preparations, for which only in the Donetsk region “hooked”, according to the Oblast Dispensary, from 30 to 40 thousand (!) young people, and their number is growing exponentially. The chief doctor of the Donetsk Oblast Oblast Drug Dispensary, Elena Medvedeva, notes that the number of drug addicts who use tramadol came out in the Donetsk region in second place after the users of opium drugs. It is proved that the action of tramadol is akin to heroin, and no wonder he is called the younger brother of this hard drug. Dependence on tramadol is akin, and even worse than heroin. Especially quickly, literally after several tricks, addiction develops in 14-16 year old adolescents. Implications for the body – degradation, “scorched” brains, debilizatsiya and – death. To "get high", enough 6 tablets.

We go on “the hunt”

At the end of July, newspaper staff “Hello” decided to go to Voznesensky street with cellophane bags in their hands. Bottom line: in just 15 minutes of examining the territory along the city shelter and the trauma department of city hospital No. 3, we managed to collect 59 empty packages from under the drug “Tramadol”.

Question: what can 59 packages found on a 100-meter stretch of a quiet street judge? The answer options that immediately come to mind are two. The first – “Tramadol” actively used by pupils of the city shelter. The second – somewhere in the district the drugstore is actively trading in drugs, the good thing is that there are plenty of them on the territory of nearby hospitals. Recounting and photographing a pile of found “petals”, we went to ask questions.

It was easier to discuss the topic with the pupils of the children’s rehabilitation center (shelter). Almost all of them, with whom we managed to talk to our correspondent, willingly shared not only the impressions of tramadol intake, but also the prices, as well as specific addresses where you can freely purchase the drug. It turned out that, having a doctor’s prescription, tramadol packaging can be purchased for 15 hryvnias, and with an illegal purchase the price reaches 24 hryvnias. According to the young “tramadolischikov”, in Kramatorsk drug trade “from under the floor” pharmacies in the old part of the city and in the neighborhood “Azure”. But the most popular way to buy a drug is a trip to the well-known to all merchants. Pupils of the orphanage confidently named the address of this person (by the way, who lives near the rehabilitation center).

A visit to the leadership of the shelter was predictable by reaction. The head of the rehabilitation center, Lyubov Yermak, categorically stated that during the entire existence of the shelter, there was not a single case of admission by pupils. “Tramadola” and other drugs. “Children here, of course, do not simple, but with the slightest signs of addiction to drug addiction and substance abuse, they are sent to specialized medical institutions”, – said Love Ermak. As for the results of the private communication of the correspondent with the pupils of the orphanage, first the head threatened the newspaper with legal prosecution, and then explained that everything we heard was nothing more than the fruit of children’s fantasies. Say, this kind of stories about personal “experience”, pupils are trying to assert themselves among their peers, to show their “maturity” and autonomy. According to Lyubov Yermak, the rehabilitation center has a full-time health worker who constantly monitors the health of the pupils. As for the 59 packs from under “Tramadola”found us literally within a radius of 15–20 meters at the central entrance to the shelter, the manager expressed skepticism: “Well, you never know where you could find them…”

The next day a package with found “petals” from under “Tramadola” lay down on the table in front of the head of Kramatorsk GO UMVD Oleg Solodun. A few minutes later, the contents of the package were carefully studied by the employees of the Division for combating drug trafficking (OBNON). After listening to our story, blame the newspaper people for “fantasies” they did not, but promised to sort things out. About how serious this promise was, I had to make sure the very next day. Performing the editorial assignment, newspaper employee “Hello” walked through all the pharmacies located in the city hospital number 3 and DTMO, trying to buy “Tramadol”. Not only that in all pharmacies to the request to sell “Tramadol” no recipe was obtained solid “not”, in one of the pharmacies, the journalist at the pharmacy counter saw already familiar OBNON employees, who clearly “shmonali” outlet documentation…

What is the problem?

Why is it so obvious poison so accessible? Where is the Ministry of Health? It turned out that not everything is so simple. At first “Tramadol” tried to use in the treatment of drug addicts in the period of abstinence, when trying to “jump off the needle” the patient experienced severe muscle pain when breaking. However, the effect of "saving" painkiller has led to unexpected and terrible consequences. The tactics of using the officially authorized means turned into what is called "wedge knock out", that is, unaccustomed, for example, from opium "shirki" patients delightedly sat down on "tram". The insidiousness of this substitution lies in the fact that the use of seemingly innocent capsules creates the illusion of treatment for a more severe form of drug addiction. Addiction to the drug and its dependence on it, as it turned out, follows the same terrible pattern as it does to any other psychotropic substance. The result is amazing. Term set “Tramadol” in the Internet search engine immediately gave a lot of links, including forums, where “tramadolschiki” share personal “impressions”. Here are some excerpts.

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"Believe me, seasoned tramaeda, this rubbish will not lead to anything good. On “tram” you sit down gradually, my experience is 3 years, I just now began to eat it almost every day, before that I had to eat haval strictly once a week. Now I feel that I am going to the bottom, but I can’t do anything with myself. It feels like I still can’t sit completely on the tram, but this is an illusion …”

"Yes, “Tramadol” – this is just the plague of our city, it can be maximized in an hour. And if a baryg, so no more than 20 minutes, and the treasured pack in your pocket. I’ve been eating it for probably 3 years already, and I started with 3 pieces once a month, then once a week, once a day. Well, it is probably the case with everyone, and did not notice how tramadol and tylenol got hooked: on him. Hawala no less packs at a time. It is good that I was able to blow up in time, while some brains remained, and slowly got down from him. It was hard, but now I feel fine without him…”

“Dependence “Tramadola” no lighter and no weaker than shirki !!! I felt it myself !! This is a scary thing! Young people think: "Tramadol” it’s not prick, it’s not shirka and not heroin, it’s not so scary". But this is where all the horror lies! It would seem that you are not picking your hands, and you take out things from the house, gold, money, equipment, because “kumara !!!”

The fight against the use of tramadol for the purpose of narcotic stupefaction until recently was more like a shadowboxing. All those who were directly involved in this ungrateful occupation understood that the legislative framework was clearly long ago behind the realities of life. Loopholes in the law to the fullest used by the distributors “medication”, profiting from a terrible dependence of consumers on the drug. Day and night, seven chemical holdings of Ukraine produce in unimaginable volumes this “pure chemistry”. For example, the wholesale price “left” products at the concern “Styrene” is 4.5 hryvnia per package, and in Kramatorsk the same package is already sold for 20 hryvnia. A relatively cheap and easily accessible drug already tramadol and tylenol: reaping the first victims in our city. The chief physician of the narcological dispensary, Alexander Kuzminsky, confirmed that dependent on “Tramadola” patients are already registered in Kramatorsk.


The first noise about this came up a couple of years ago in Donetsk, and a significant role was played by the journalists of the newspaper. “Donetsk news”. AND… faced with the strongest opposition. Journalists were threatened, demanding, as they say, “close topic”, and some of these subscribers did not hesitate to introduce themselves, naming very, very high positions. We don’t have to think too much about the reasons for this opposition: “Tramadol” serves sources of rabid profits. And only from the beginning of this year concern “Styrene” exceeded the release rate “Tramala” and “Tramadola” nine times! The last figure voiced during the recent civil “antiramadol” protest action “Izbrydlo!” in Donetsk, the authorized representative for human rights in the Donetsk region of the International Committee for the Protection of Human Rights, Archbishop Sergey (Yakovlev). Politicians did not stand aside. First Party Congress "People’s Union Our Ukraine" conveyed to the Minister of Health Protection Nikolay Polishchuk a statement of the Donetsk regional party organization regarding the illegal distribution of drugs "Tramadol" ("Tramalgin"). And the leader of the regional NSNU, Anton Klimenko, has publicly promised that if the appeal of the party does not work and the situation does not change, he will resign from the head of the regional branch of the organization. Finally, the relevant public request was personally handed over to the President of Ukraine during his last visit to Donetsk, Viktor Yushchenko.

The case slowly began to move. Entered into force on July 31, Ministry of Health Order No. 360, dated July 19. 2005 changed the status of the drug and the order of its tramadol and tylenol: leave in pharmacies. Now “Tramadol” released on special prescription forms F-3. This means that, in addition to the attending physician, the prescription is now also signed by the head of the medical institution or his deputy for medical work, the document is certified by the seal of the business entity. In addition, the duration of the prescription is limited to only 5 days, and it cannot be indicated other drugs. All recipes on “Tramadol” they are registered in a special register of poisonous and potent drugs subject to quantitative accounting in medical institutions. And if you officially buy tramadol will be more difficult, and sell –

more risky, the baryg distributors will stop only the Criminal Code.

Vartanians – Stop!

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Let’s return to Kramatorsk, to our package of packs from under “Tramadola”. In the criminal chain, according to the head of the department for combating drug trafficking Vitaly Skoblyakov, not only were involved “hucksters”, but also doctors, and pharmacy workers. True, some pharmacies of the city basically do not want to get involved with this drug, knowing full well what is fraught with for the staff, especially at night. So, the pharmacy network “Galis”according to its director Leonid Gabinsky, he does not trade in treacherous poison-containing “medication”so as not to lure unwanted clientele. In pharmacies network “Pharmacy”According to the information of commercial director Anna Tsikalyuk, the drug is sold under strict control and only by prescription.

On August 9, citizen G., 30 years old, was detained on Karpinsky Street in the area of ​​Hospital No. 3, and 20 packs of the drug were found and removed during personal examination. The detainee, himself addicted to the drug, said that the drug was purchased in one of the pharmacies in the city for the purpose of resale and profit. Earlier, Mr .. was engaged in marketing the drug in the Old Town in the area of ​​Oktyabrsky Avenue. And earlier, in March 2005, in the Old tramadol and tylenol: a city in a cafe “The light” another trailer was arrested – Arthur Vartanyan. Thereafter “point” for sale “Tramadola”, indeed, migrated to the area of ​​the hospital campus and orphanage. Vartanyan has already received his 5 years, and the investigation is underway in the case of citizen G.

Happy end? As if not so. The area around the shelter, which is cleared from the pill “petals” journalists remain pristine clean. Across the road, along the fence of the hospital campus, empty tramadol packs appeared again. Vartanians and “citizens G.” continue their business.

Parents note

Signs of what your child is taking “Tramadol”: an inexplicable feeling of euphoria, the need for solitude, sharply constricted pupils, itchy skin of the face and body. These are the first signs of drug intoxication. Further, this state is replaced by animation, talkativeness with increased gesticulation and facial expressions. Speech and coordination of movements, as a rule, are not disturbed. If you have noticed such symptoms in your child, sound the alarm and seek help from a specialist. Do not bring to epilepsy attacks. Behind them is certain death.

Tramadol Hcl 50 Mg: Tramadol and opioid withdrawal syndrome


Tramadol Hcl 50 Mg: Tramadol and opioid withdrawal syndrome

Tramadol and opioid withdrawal syndrome

It is known that pain in the structure of opioid withdrawal syndrome

differs in severity, and therefore requires effective therapy. Its main

Intensive pains in skeletal muscles, pains in joints,

abdominal pains of a spastic nature, less often – pains of other localization


In order to relieve pain in the Ukrainian drug practice

Various antispasmodics and analgesics are widely used. Among the last all

opioid analgesic tramadol, which is formally attributed to

means of non-narcotic series [3, 5]. However, it is known that all

opioid analgesics created to date, to a greater or lesser extent

degree, have addictive properties, i.e. the ability to cause

addiction, and tramadol is no exception to this rule.

There are numerous empirical evidence supporting this.

point of view. So, being in a hospital, patients with opiomania are not only willing

take tramadol, but actively encourage the doctor to his appointment, as tramadol hcl 50 mg: the rule

motivating the request with strong pain. Indeed, in conjunction with

benzodiazepines tramadol quickly eases the condition of patients at the height of the syndrome

cancellation. However, in most cases, patients ask, and doctors prescribe tramadol

up to 2 weeks or more, which can hardly be considered justified, even in individuals

with high daily doses of the drug and long periods of anesthesia. Such a

Doctors have no “narcological suspicion of caution” towards tramadol,

from our point of view, due to scarcity in the available literature information

about the addictive properties of this drug.

To obtain the necessary clinical information and fill this gap,

we have undertaken the present study.

The study examined the clinical picture of mental and

behavioral disorders due to non-medical use

non-narcotic opioid analgesic tramadol in 24 patients. All patients

Tramadol hcl 50 mg: was diagnosed with this drug.

All patients were male. The age of patients with tramadol addiction

was 18–35 years old. The experience of non-medical consumption of various psychotropic and

intoxicants ranged from 2 to 10 years, including the experience

use of tramadol was equal to 2-3 years. tramadol hcl 50 mg :. Fourteen patients first

intoxicant, adopted with the aim of achieving euphoria, was called

hashish, four have inhalants, two have tramadol, and two have handicraft opiates

manufacturing, one – cyclodol and even one – ephedron. All patients on

the time of the survey used tramadol without a prescription

achieve euphoria.

Nine patients had a history of systematic use of opiates.

Their first intake of tramadol was due to an attempt to alleviate the condition.

cancellation, due to a break in the use of handicrafts made from

poppy straw. In the future, these patients switched to a systematic

use of tramadol tramadol hcl 50 mg:, although it allowed the occasional use of extracts from

poppy straw (about 1 time per month). In individuals addicted to artisanal opiates

manufacturing, dependence on tramadol was formed through the vicar stage

(substitution) anesthesia tramadol. The patients themselves said that

“Jumped off” (i.e., they stopped stopping narcosis of another opioid drug,

for example, heroin) using tramadol. All patients at the time of the survey

aware that they became addicted to tramadol, and the motive for seeking a doctor was

desire to stop using tramadol. Thus, there is

characteristic dynamics of the motives of the use of tramadol. First, the purpose of use

is the relief of opioid withdrawal syndrome, then a vicinal

anesthesia, finally, patients come to receive tramadol as the main

psychoactive substance causing euphoria.

All patients examined preferred tramadol capsules. Even the sick

How to choose a Tramadol Hcl 50 Mg

who practiced intravenous tramadol (sometimes in combination with

sibazon), usually used for the manufacture of injection solution

tramadol contained in capsules.

In order to achieve euphoria, patients usually consumed at one time from 2 to

10 capsules of tramadol (at 0.05). At the same time, the daily dose could reach 18-20

tramadol capsules (two observations).

The majority of interviewed patients who used tramadol, noted an increase in

mood, calm, a feeling of lightness. Some patients reported

sensation of increased activity, a surge of strength, energy.

Five patients were examined (upon admission to hospital) directly

intoxicated with 6–8 capsules of tramadol. Wherein

noted: motor and speech arousal, increased contact,

sociability, cheerfulness, talkativeness, mobility. The speech was fast, loud,

inconsistent, but coherent. However, the patients were synthns, enough

subtly caught the mood of the interlocutor, understood the jokes, reacted to them.

Strong gesticulation has taken place.

The following direct vegetative manifestations of tramadol were observed.

intoxication: facial hyperemia, lowering blood pressure on average up to 109 ± 5

mm Hg Art., slight tachycardia (up to 86 ± 8 beats per minute), decrease

reaction of pupils to light.

According to the patients, it is known that the systematic use of tramadol

accompanied by abdominal pain and constipation. Many patients, without detailing,

complained about the discomfort in the chest region, said that “it became bad with

heart. “

All patients reported that occasionally with the use of tramadol

also used other intoxicants: tranquilizers, drugs

hemp, homemade opiates. Especially often to enhance

the narcotic effect of tramadol was combined with tranquilizers

benzodiazepine series.

Persons who use mainly tramadol, noted the growth of tolerance:

from two to three capsules of tramadol per day (at 0.05) at the beginning of anesthesia, to

twenty such capsules per day at the time of inspection.

All patients examined with the inability to use tramadol noted

mental discomfort, low mood, feeling of internal tension,

anxiety, irritability, conflict, aggressive behavior

relation to relatives. Attraction to the drug is usually worn obsessional

character (according to I. N. Pyatnitskaya, 1975) [4]. With systematic

abuse of tramadol for a period of three to four months has formed a typical

withdrawal syndrome Its main features were vegetative manifestations:

sweating, chills, feeling of “goosebumps, running on the skin”, moderate tachycardia

(heart rate up to 90 per minute), finger tremor, total

malaise, “muscular discomfort”, inability to find a comfortable posture.

There have been sleep disorders. Duration of the period of somato-vegetative

disorders in the state of withdrawal was tramadol hcl: from 5 to 7 days. The longest

emotional disturbances persisted in the form of a feeling of internal tension,

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anxiety, irritability, conflict.

The systematic use of tramadol is accompanied by characteristic

behavior changes. Some of the examined patients admitted to theft.

money from relatives and in the sale of things taken out of the house for the purpose of acquiring

tramadol, which is usually immediately used for the purpose of intoxication. In others

cases of such behavior of patients became known from the words of their

relatives who, moreover, noted negative changes in the character

the sick. According to the observations of relatives, as the dependence on

tramadol, patients became increasingly tactless, rude and prone to

lies Thus, it can be concluded that with tramadol hcl: the use of tramadol is observed

personality regression typical for all addicts is known in the literature under

the name of Broytigam syndrome (W. Brautigam) [1].

It should also be noted what is happening under the influence of the use of tramadol.

sharpening of premorbid psychological features characteristic of individuals

predisposed to the diseases of the narcological profile [2].

Patients with an established dependence on tramadol are often practiced.

episodic use of other opiates, primarily various extracts from

hand-made poppy straws. Only a small part can

to diagnose tramadol toxicomania in its pure form (only three patients

categorically denied the use of other opiates). Must be emphasized

that patients who in the past have repeatedly suffered from the withdrawal of other

opioids, comparing it with the state of abolition of tramadol, noted their


Along with common features during opioid withdrawal syndrome, when consumed

tramadol noted a number of differences. So, the speed of development and intensity

somato-vegetative manifestations of withdrawal syndrome in tramadol users,

objectively lower than in patients who used hand-made preparations

opium. In addition, in individuals who have used tramadol, in the state of its abolition

there was no diarrhea, so characteristic of opioid withdrawal syndrome. Despite

According to the estimates of the majority of members of the examined group of patients, with

dose equivalence and comparability of the anesthesia experience, the duration and

the subjective severity of the tramadol withdrawal state was greater than under the condition

cancellation of other opioids.

Studies have led to the following conclusions.

Tramadol has a significant addictive potential, which is necessary

consider when using tramadol to relieve pain in

structure of opioid withdrawal syndrome.

The resulting mental and non-medical use of tramadol

behavioral disorders are very similar to disorders caused by

other opioids (F11 disorders according to ICD-10).

The only indication for the use of tramadol in people with addiction to

opiates can be pains in muscles and / or joints that are not arrested by others

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The time of application of tramadol tramadol hcl: in the hospital, in people with opioid addiction,

should be strictly limited to the duration of pain.

The adaptive technique of therapy providing steady

reducing doses of tramadol as the severity of pain decreases, while

the maximum dose applied should not be higher than the maximum


At least two to three days before discharge the patient from the hospital tramadol

must be canceled to ensure there are no manifestations of the cancellation state



V. Bleicher, I. Kruk. Explanatory Dictionary

psychiatric terms. – Voronezh: Modek, 1995. – p. 640.

Linsky I.V., Savkina T.V.

Psychological features as factors

predisposition to the development of mental and behavioral disorders

due to the use of psychoactive substances // Ukrainian Medical

almanac. – 2000. – Vol. 3, No. 2 (dodatok). – p. 84–85.

Young people and drugs (sociology of drug addiction)

/ Ed. V. A. Sobolev, I. P. Ruschenko. – Kharkov:

Torsing, 2000. – 432 p.

Pyatnitskaya tramadol hcl: I.N. Clinical Addiction Medicine. – L .: Medicine,

1975 – 333 p.

Shapovalov V., Shapovalova V., Kuzmіnov V.,

Khalin N., Sudikh M. Monitoring the regime for the control of tramadol and

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Ukraine. – 2000. – № 11. – p. 18–19.