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Information and Consumer Resource Guide

Tramadol hydrocholoride is the generic name of branded pain relievers Tramal, Ultram, Ultracet, Ryzolt, Rybix, Conzip, Ralivia, Adolonta, and Zytram, among many others.

Below is a guideline to availability and prices.

Note that Tramadol purchasing online is illegal in some states and countries.

It has now become illegal in the UK but still available in most EU countries.

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Quantity Price Price per pill
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What is Tramadol?

Tramadol is a brand name for a nonsteroidal, analgesic pain reliever that includes a couple other compounds that improve the effectiveness as a pain reliever. The formula inside each tablet consists of acetaminophen, caffeine, and Butalbital. The caffeine is added to boost the effectiveness of the acetaminophen and Butalbital is a sedative that is designed to reduce anxiety and promote relaxation.

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What is Tramadol prescribed for typically?

Tramadol is a prescription drug that is typically prescribed for moderate level pain management. It can be used for the treatment of pain for both long-term and short-term treatment programs. It is classified as a nervous system drug in that it literally kills the pain associated with conditions like fibromyalgia, motor neuron diseases, restless leg syndrome, and rheumatoid arthritis.

Tramadol is also frequently prescribed for pain management for diseases that are also frequently given with drugs containing codeine. Depending on the patient's pain threshold, Tramadol can be used for pain that is listed just under the severe level.

How does Tramadol work?

Tramadol works by blocking the receptors of opioid in the brain, by stopping the neurotransmitters from reaching the brain, the sensation of pain is literally killed. The formula in Tramadol also affects the serotonin and norepinephrine levels in the brain which controls the mood in the brain. Tramadol also works effectively as a neurotransmitter reuptake inhibitor which it is believed that this may limit its use of a psychiatric drug. It is highly recommended that if it is used as a psychiatric drug for certain conditions there must be strict supervision observed.

At its chemical structure, it is very similar codeine, but it is in no means as powerful codeine. This is why it cannot be used in situations that call for heavy-duty pain relief. Like codeine, the compounds in Tramadol are metabolized by the liver and is converted into a much more potent pain reliever.

In what dosages is Tramadol available?

The dosages and forms of Tramadol that are available are varied and dosage depends on what form your doctor prescribes. If it is tablet or capsule form it is available on 37.5 mg, 50 mg, 100 mg, 200 mg, and 300 mg strengths and each can be used for mid-level pain relief. Tablets are also available in quick-dissolve sublingual tablets, with a unique chewable option available as well. All of the tablet and capsule forms of Tramadol come in either standard release or extended release. For specialty uses Tramadol can also be for in an injectable form, intravenous and intramuscular as well.

Can Tramadol be purchased online without a prescription in the United States?

The Intranet has made purchasing drugs online a much more preferred way to obtain medications. One of the big reasons is that bulk acquisition of medications from pharmaceutical companies and better logistics makes online fulfillment of orders a much cheaper operation. However, there is a limitation to buying prescription strength medications online without requiring a traditional doctor's prescription does put a limitation on who can purchase it depending on your country of origin and even in the case of the United States, there state limitations on what can be purchased online without a prescription.

While the US Federal Government does not control heavily Schedule IV drugs like Tramadol, however, the follow states and locations to put the restriction on Tramadol as a schedule IV drugs. The following states and locations heavily control this drug:

US Military bases, Oklahoma, North Dakota, Mississippi, Wyoming, Kentucky, West Virginia, Ohio, New York, New Mexico, Illinois, Tennessee, and Arkansas.

What is meant by a Schedule IV Drug?

A Schedule IV drug in the United States is a drug that under the Controlled Substances Act of the United States is determined to be less likely to be abused as compared to the Schedule III drugs. These drugs also have an accepted use as a treatment for a condition or illness. They are still controlled in that the US government limits the number of times that a prescription can be refilled within a 6-month period which is 5 times.

Are there any drug interaction concerns with Tramadol?

There are serious drug interactions to be concerned about with Tramadol due to its potent effect on serotonin and norepinephrine due to its reuptake inhibitor action on both substances. Due to this, you should not take it with certain drugs like:
Zoloft, Prozac, and other compounds, selective norepinephrine reuptake inhibitors like Effexor, monoamine oxidase inhibitors like isocarboxazid, phenelzine, selegiline and other compounds, tricyclic antidepressants like amitriptyline, amitriptylinoxide, butriptyline.

Side Effects?

Most common side effects of Tramadol

drowsiness, nausea, dizziness, constipation, headache, vomiting, diarrhea, dry mouth, fatigue, indigestion.

Severe sides (contact your doctor immediately)

Seizures are the most severe side effects

Physical dependency issues

A person is far less likely to become physically addicted to Tramadol as compared to opioid-based pain medication such as oxycodone and the like. Since the chances of becoming dependent on it are so low the US Federal government left it off the list of controlled substances. However, this does not mean that the chance is zero and if you are susceptible to the effects of habit-forming activities it could be enough to trigger a dependent situation to Tramadol.

If you take Tramadol for a short period of time you are far less likely to become dependent as compared to someone who has taken it for a much longer period of time. When it comes to stopping taking Tramadol after it has been taken for a long period time can result in withdrawal symptoms. The symptoms can begin in earnest 12-20 hours after you stop taking it and they can vary in intensity based on each individual case.

Weaning off medication

When it comes to drugs that there is a concern about dependency you really need to very careful about how you go about stopping taking it once the treatment regimen has come to an end. A drug like Tramadol is said to be way down on the list of drugs that thought to be a problem with physical dependency.

However, in the cases of when a dependency has been developed, you never want to just stop taking Tramadol "Cold Turkey" this can easily cause withdrawal symptoms and they can continue up to a week. The preferred way would be too slowly wean yourself off of Tramadol to avoid any issues with Tramadol.

Other brand names of Tramadol

Tramadol is the original brand name of this drug, but it is also available under other brand names from a number of other pharmaceutical companies across the globe. Below is a long list of other names it is prescribed by doctors.

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