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Ramax (Tramadol)

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Ramax is used for the management of pain in adults. Although it's a little weaker than other opioids, it can still be addictive and habit-forming. Ramax is available as both an immediate-acting tablet and an extended-release tablet.

Other names for this medication:
Acema, Adamon, Anazac, Antram, Decotram, Dolmeri, Dolriz, Domaspas, Gemodol, Haledol, Ibudol, Lagesic, Mandol, Movon, Muzox, Pentazen, Redimol, Servodol, Sigmadol, Standol, Traceta, Tramared, Tramazol, Tramex, Trapidol, Trectadol, Ubitdol

Similar Products:
Aristocort, Mysoline, Medrol, Motilium, Mobic, Abilify, Allegra, Combivent, Flomax

Also known as: Tramadol


Ultram ER is an pain medicine similar to an opioid. This medicine is used to treat moderate to severe pain.

The extended-release form of tramadol is for around-the-clock treatment of pain. This form of tramadol is not for use on an as-needed basis for pain.


Usual Adult Dose for Pain:

Adults (17 years or older): 50 to 100 mg orally every 4 to 6 hours as needed for pain -For patients not requiring rapid onset of analgesic effect: Initial dose: 25 mg orally once a day; titrate in 25 mg increments every 3 days to reach a dose of 25 mg four times a day; thereafter increase by 50 mg as tolerated every 3 days Maximum dose: 400 mg per day.

Usual Adult Dose for Chronic Pain:

Extended-Release (ER): 18 years or older (tramadol-naive): 100 mg orally once a day -Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions -Maximum Dose: 300 mg/day For patients CURRENTLY receiving Immediate-Release (IR) Ultram: Initial Dose: Calculate 24-hour IR requirement and initiate with a total daily ER dose rounded down to the next lowest 100 mg increment orally once a day Conversion from OTHER Opioids: Discontinue all other around the clock opioid drugs prior to initiating therapy -Initial dose: 100 mg ER orally once a day -Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions -Maximum Dose: 300 mg/day.

Usual Geriatric Dose for Pain:

Dose selection should be cautious generally starting at the low end of the dose range Over 75 years: Maximum dose of Immediate-release: 300 mg per day.

Usual Geriatric Dose for Chronic Pain:

Dose selection should be cautious generally starting at the low end of the dose range Over 75 years: Maximum dose of Immediate-release: 300 mg per day.

Usual Pediatric Dose for Pain:

Ultram is not recommended for use in pediatric patients 17 years or older: See Adult Dose.

Detailed Ultram dosage information


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose can be fatal, especially in a child or other person using the medicine without a prescription. Overdose symptoms may include severe drowsiness, pinpoint pupils, slow breathing, or no breathing.

Your doctor may recommend you get naloxone (a medicine to reverse an opioid overdose) and keep it with you at all times. A person caring for you can give the naloxone if you stop breathing or don't wake up. Your caregiver must still get emergency medical help and may need to perform CPR (cardiopulmonary resuscitation) on you while waiting for help to arrive.

Anyone can buy naloxone from a pharmacy or local health department. Make sure any person caring for you knows where you keep naloxone and how to use it.


Store at a room temperature between 4 and 30 degrees C (39 and 86 degrees F) away from moisture, light and heat. Throw away the after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Ramax are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


You should not take Ultram ER if you are allergic to it, or if you have:

severe asthma or breathing problems; a stomach or bowel obstruction (including paralytic ileus); if you have recently used alcohol, sedatives, tranquilizers, or narcotic medications; or if you have used an MAO inhibitor in the past 14 days (such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine).

Ultram ER should not be given to a child younger than 12 years old. Ultram ER should not be given to anyone younger than 18 years old.

Do not give Ultram ER to anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids.

Seizures have occurred in some people taking Ultram ER. Your seizure risk may be higher if you have ever had:

a head injury, epilepsy or other seizure disorder; drug or alcohol addiction; or a metabolic disorder.

Tell your doctor if you have ever had:

breathing problems, sleep apnea; liver or kidney disease; urination problems; problems with your gallbladder, pancreas, or thyroid; a stomach disorder; or mental illness, or suicide attempt.

If you use Ultram ER during pregnancy, your baby could be born with life-threatening withdrawal symptoms, and may need medical treatment for several weeks.

Ask a doctor before using Ultram ER if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.

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Unusual neuro-ophthalmologic findings in a patient with anti-Yo-associated cerebellar degeneration. What the human genome project will not tell us: the role of micro-organisms in disease. A sizable proportion of the hybrids demonstrated the ability to produce IL-2 in response to a challenge with specific antigen presented by irradiated spleen cells of the appropriate H-2 type. Bone response to invading tumors with spindle cell components: a report of findings in two patients. Patients were asked to fill out Visual Analog Scale for pain (VAS) and, Short-Form Health Survey questionnaire (SF-36) as well as Disabilities of the Arm, Shoulder and Hand (DASH) questionnaires. The curvilinear relationship for s-1 throughout the whole concentration range (0.15-2.3 mg/ml) has been regarded only as a qualitative indication that the HA samples are of relatively high-molecular weight, while a straight line through such data points implies a qualitatively lower molecular weight for HA. The method also provides possibilities to combine plant and canopy analyses with a direct determination of salinity in soil. The natural products teleocidins, phorbol esters, asplysiatoxin, ingenol esters, and bryostatins are all potent protein kinase C (PKC) activators. The specific tissues examined were: thymus, spleen, white blood cells (WBC), testes, and small intestine.

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In vivo studies on the enhancement of serotonin reuptake by tianeptine. Standards of documentation of the surgeon-patient consultation in current surgical practice. Immunoreactive prolactin in epithelial cells of normal and cancerous human breast and prostate detected by the unlabeled antibody peroxidase-antiperoxidase method. Subunit interactions of skeletal muscle myosin and myosin subfragment 1. The H7 flagellum induces production of chemokines such as interleukin 8, and neutrophilic infiltration of the intestinal mucosa, which in turn may enhance Shiga toxin (Stx) uptake across the intestinal epithelium. Early work-related physical exposures and low back pain in midlife: the Cardiovascular Risk in Young Finns Study. Increase of IgE level suggests the share of allergic mechanism in pathogenesis of the disease. The patient faces the feared stimuli in a context that is nearer to reality than imagination.

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Early adverse experience and substance addiction: dopamine, oxytocin, and glucocorticoid pathways. Treatment of the stimulator cells with anti-Ia antisera and complement (C) eliminates stimulation in primary MLR against K or D region gene products, indicating that the stimulator cells must express Ia antigens on their membranes. However, these findings may not reflect what occurs during naturalistic conditions, and MBSR studies during real-life functioning are lacking. The combination of peracetic acid and hydrogen peroxide, tested by a checkerboard micromethod, was found to be synergistic. Better results were obtained in patients lacking hysterical personality traits. On this basis, the present article starts with a view of quality improvement in health care, identifying the structure, process and outcome paradigm for drug therapy and parenteral nutrition elements of quality assessment, as well as strategies for quality improvement will be described. The analysis includes expressions for amount, dose unit, dose interval, mode of administration, purpose and a few further details.

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Lack of association between lipoprotein(a) and coronary artery calcification in the Genetic Epidemiology Network of Arteriopathy (GENOA) study. Tryptic peptide analysis revealed that the 12,000-dalton fragment represented a portion of the 38,000-dalton fragment and was enriched in a type-common arginine tryptic peptide. In patients, tumour suppressor gene promoters are markedly more methylated in hypoxic tumour tissue, independent of proliferation, stromal cell infiltration and tumour characteristics. E2 treatment of ovariectomized AAee females dramatically reduced the size of the lesions as well as their histological complexity. Ultrasound examination of a case of tuberous sclerosis is described. searching of medical databases and bibliographies to identify relevant studies. A gene coding for the human anaphylatoxin C5a was cloned and expressed in Escherichia coli. An overall decrease in the efferent neurotransmission of these two brain regions results in a strong anticonvulsant effect indicating their importance in modulating limbic seizure activity. Neuropharmacological actions of some binuclear lanthanide(III) complexes. Tyrosine kinase and phosphatase activities remain associated with purified nuclear envelopes.

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Childhood immunisation in South Asia - overcoming the hurdles to progress. Multiple locations of non-Hodgkin lymphoma, in cases of recurrence of disease, may affect all the lymph node stations. The quality assurance committee in a general hospital: its use in improvement of the medical record. The mechanism of the late asthmatic reaction does diflucan help with bladder infection to ethylenediamine is unknown. A DNA vaccine was constructed by combining hAFP gene with HSP70 gene. Experimental evidence suggests that different neural generators contribute to the two responses. Nanosecond laser flash photolysis was used to obtain the time resolved spectra from the triplet emission decays. pH(i) in mussels was also age-dependent and decreased with increasing age after 5 years. Disparities in Depressive Symptoms and Antidepressant Treatment by Gender and Race/Ethnicity among People Living with HIV in the United States.

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Ventilatory effects of selective beta 1-(prenalterol) or beta 2-(salbutamol) adrenoceptor agonism in man. In this paper, we develop a method to derive a parameter called power ratio that is proportionally related to the size of nucleoli and chromatin clumps based on an ideal nuclear model without the region segmentation of nucleoli or chromatin clumps. The six transmembrane segments determine four large cytoplasmic domains and three very small periplasmic regions. While the coupling of microfluidics with microscopy has emerged as a powerful solution to this problem, this approach remains severely underexploited. All current antipsychotic medications work by binding to Gi-coupled dopamine (DA) D2 receptors. Effect of nitric oxide production on the redox modulatory site of the NMDA receptor-channel complex.

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