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Bramadol (Tramadol)

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Bramadol is used to relieve moderate to moderately severe pain. Bramadol is in a class of medications called opiate (narcotic) analgesics. It works by changing the way the brain and nervous system respond to pain.

Other names for this medication:
Accupain, Cadol, Damadol, Doleira, Dolocet, Dolodol, Doltel, Euphodol, Gemodol, Haledol, Kevtram, Lagesic, Mobiya, Moludol, Nictram, Ondol, Opigesic, Ospidol, Paintrol, Paxmax, Postadol, Relidol, Simol, Takol, Tamody, Tragesic, Tramache, Tramacon, Tramalex, Tramasol, Tramazol, Tramed, Tramest, Tranat, Trandy, Trectadol, Ultracon, Ultrazac, Vintram

Similar Products:
Hytrin, Provigil, Clarinex, Microzide, Nizoral

Also known as: Tramadol


{name} 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) Bramadol: 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:

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

Detailed Bramadol 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 room temperature between 15 and 30 degrees C (59 and 86 degrees F) away from moisture and heat. Throw away any unused medicine after the expiration date. Keep out of the reach of children in a container that small children cannot open.

Side effects

The most common side effects associated with Bramadol 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.


Do not drink alcohol. Dangerous side effects or death could occur.

Avoid driving or hazardous activity until you know how Bramadol ER will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.

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The effects of hypophysectomy upon the endogenous levels of cyclic AMP during forelimb regeneration of adult newts (Notophthalmus viridescens). Mkks-null mice have a phenotype resembling Bardet-Biedl syndrome. The UKCC has made clear recommendations for the development of Professional Profiles (portfolios). Here we present the results of a study determining rBC in waters of the Lake Tahoe watershed in the western United States from 2007 to 2009. Facile degradative lactonization of Gln-Arg and Gln-Phe hydroxyethylene dipeptide derivatives. A new weighting scheme for cone-beam helical CT to reduce the image noise. Both scientists and science writers acknowledge that trust is an essential component of a good interview. Serum IFN-gamma and IL-2 levels derived from (Th) 1 cells were significantly elevated in the patients with CI by CY-Tang administration.

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Linear multiple-level models examined which psychological constructs (outcome expectancies, planning, action control and stage of change) were associated with changes in diet scores. The use of capillary concentrators as X-ray condensers specifically for macromolecular X-ray diffraction experiments using synchrotron radiation is evaluated. We are aware of no reason why this variability in PSA values would not be observed in patients with occult prostate cancer. Treatment with fluoxetine reversed these changes, as in SC rats. Computed tomographic scan and magnetic resonance imaging were diagnostic of a giant pericardial cyst. In each case, the protein expression levels in the blood samples paralleled the extent of kidney toxicity, highlighting the correlation between protein alterations and clinical chemistry endpoints. A standardized program to train pediatric radiologists about the imaging diagnosis of child abuse and their role in the legal system is recommended. In the surgical group, but not in the balloon angioplasty group, plasma catecholamines and plasma renin activity rose during the first 2 days after relief of the coarctation. A diagnosis of cerebral aspergillosis and cerebral candidiasis requires a high index of suspicion especially in immunocompromised patients who presented with alteration of consciousness, fever, focal neurological deficit, headache, and seizure.

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Light microscopy of the tumor revealed tissue infiltration with mononuclear cells having the morphologic features of T-lymphocytes. PMI status is related to the period of chemotherapy and is an independent prognostic factor in patients with stage 4 colorectal cancer. Baseline measurements on sociodemographic, lifestyle, somatometric, clinical, and biochemical variables were recorded in 1981 during a health survey and total and coronary deaths were ascertained on the basis of death certificates up to 1996. Our results support an earlier developed hypothesis of co-speciation of known hantaviruses with their respective mammal hosts and hence a common ancestor for all hantaviruses carried by placental mammals. In addition, the database is accessible as a resource for research. To understand the basis of their distinct cellular functions and regulation, we investigated the mechanism of in vitro and cellular sn-1,2-diacylglycerol (DAG)-mediated membrane binding of PKCepsilon and compared it with that of PKCdelta. To ascertain the perspectives of family-planning service providers in eight sites in China on the provision of sexual and reproductive health services to unmarried young people. We purified Yap1p from yeast and characterized its properties in vitro. The influence of history and contemporary stream hydrology on the evolution of genetic diversity within species: an examination of microsatellite DNA variation in bull trout, Salvelinus confluentus (Pisces: Salmonidae). In the only trial, designated as randomized number of participants (only men younger than 60 years) was small and the comparator was quinidine that presently is not used for maintenance of sinus rhythm in AF.

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Management issues of congenital adrenal hyperplasia during the transition from pediatric to adult care. In addition, women who reported abuse from their male partners had significantly higher scores on six of the 12 test scales when compared to infertile women in non-abusive relationships. In order to accomplish their function, antimicrobial peptides use different mechanisms of action which have been deeply studied in view of their potential exploitation to treat antibiotic-resistant bacterial infections. The initial steps of pattern formation in the developing Drosophila eye involve the coordination of cell cycles, changes in cell shape, and the specification of tricor 145 mg coupons the R8 photoreceptor cell. The purpose of this report is to present a case of green teeth of the primary dentition in a 3-year-old Brazilian girl. The net reproductive rates after logarithmic transformation were plotted against the presumed age of reproduction. To translate and culturally adapt the CMS and assess the validity of the Brazilian version (CMS-BR).

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Microalgae are an economically important source of biomolecules and metabolites that can be exploited as feed, nutraceuticals and, potentially, as biofuels, among other biotechnological applications. The impetus for this work was the known variation in the quality of nursing home care experiences of older people around the world. The changes between 9 and 40 years of age of the frequency distribution of tree diameters were studied in an experiment in a plantation of Pinus radiata D. Wound healing of 6.45-microm free electron laser skin incisions with heat-conducting templates. Number of plaques resulted from the syncytium formation in XC cells by ecotropic MLV infection is corresponding to number of the viral particles.

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Disability research in arthritis, as in disability research in general, has focused on functional limitations and activities of daily living/instrumental activities of daily living (ADL/IADL) disability, and has thus ignored a great deal of daily life. A box with 6 cm thick walls will extend the life of the camera at least by a factor of two. Synthesis and biological evaluation of new cross-conjugated dienone marine prostanoid analogues. Demonstration of an androgen binding protein (ABP) in rabbit testis: secretion in efferent duct fluid and passage into epididymis. Although the reduction of RT activity following activation of HIV-1-infected MDM was independent of adhesion, adherence alone of nonstimulated HIV-infected MDM to endothelial cells was sufficient to induce a reduction in RT release. Dependence of miniature endplate current on kinetic parameters of acetylcholine receptors activation: a model study.

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