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Use of Ultram in Chronic Pain Management

All the history of the existence of the world is full of constant struggling and fighting for or against something. In spite of all the profuse talks about humanism, sympathy, and love for each other, people are used to murdering and killing so much, that even the word “to kill” had taken deep roots in our everyday language. We even kill time!

However, when it comes to the diseases and sufferings they bring to the body, everyone would agree that pain is the only thing in the world worth killing.

Ultram, used for managing moderate to severe pain (both chronic and acute) of different origins, seems to be a powerful weapon having magic bullets, which are capable of killing pain quickly and for a long period of time. Those bullets are tramadol – the active ingredient of the pill.

Though this weapon targets pain, the air-blast may also affect those who are rescued from pain. Therefore, it is necessary to use this weapon wisely.

 For pain elimination the smallest effective dose is usually taken in order to prevent side effects occurrence (dizziness, nausea, drowsiness, dry mouth, constipation, headache, sweating, and rarely seizures).
 
Control of the chronic pain requires body’s adaptation to the remedy; therefore, it is recommended to start the treatment with 25 mg of Ultram, increasing the dose by 25 mg (as separate doses) every three days to reach 100 mg a day. If such amount of the drug is not enough to relieve pain, the dose may be increased later by 50 mg to reach 200 mg a day. However, exceeding 400 mg of tramadol is forbidden in view of the development of severe adverse reactions (breathing difficulties and seizures).

People older than 75 need smaller doses, since they are at the greater risk of experiencing severer side effects. Their usual dose should not exceed 300 mg a day. Children under 16, as well as pregnant and breastfeeding women should not use Ultram.

Pills should be swallowed whole, with or without food, but with a glass of water. If one misses a dose, he should never double the next one. The missed dose must be either taken as soon as a patient remembers about it, or skipped if it is about time for the next pill. One more important point to remember is that stopping the treatment abruptly may result in the withdrawal (note that Ultram can sometimes form drug dependence).

It is worthy to mention that a person suffering from any of the conditions listed below needs dose adjustment:

 - history of seizures or epilepsy;
 - history of alcohol or drug dependence;
 - head injury;
 - metabolic disorders;
 - central nervous system infections;
 - alcohol or drug withdrawal;
 - kidney or liver disease.
 

As a matter of fact, being prescribed a medication, a patient should inform a doctor about any diseases he/she suffers from. Similarly, a health-care provider must know about any prescription or over-the-counter drugs a patient is currently taking, since they can interact with Ultram. Some of such drugs are:

-         antidepressants;

-         opioids;

-         anticonvulsants;

-         cardiac medications;

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-         weight loss pills;

-         other pain relievers.

These are the key points and principles of Ultram usage. Finally, if one is going to shoot a gun, he must first learn how to use it properly, and even get used to it to hit the target. Similarly, a patient should give some time to his/her body for it to get used to Ultram at the beginning of the treatment. In this case, side effects occurrence will be decreased and pain relief will become more effective.

           
Ivanna
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