DRUG STUDY
Quiapo,Sharina Iris C.
Name of Medication: TRAMADOL
Brand Name: Ultram, Ultram ER, Conzip
Generic Name: TRAMADOL
Indications: Used to treat moderate to severe pain and it is often prescribed for conditions such as back
pain and post-operative pain.
Dosage and Route: The usual adult dose of tramadol is 50-100 mg every 4-6 hours as needed for pain.
The maximum dose is 400 mg per day. It is taken orally in the forms of tablets or capsules.
Mechanism of Action: It works by binding to opioid receptors in the brain and spinal cord, which helps to
block the transmission of pain signals. It also increases the levels of serotonin and norepinephrine,
which are neurotransmitters that help regulate mood and pain perception.
Contraindications: It is contraindicated in patients who are allergic to tramadol or have a history of
substance abuse. It should also be avoided in patients with severe respiratory depression, acute
intoxication with alcohol, opioids, or other psychoactive substances, and in patients with a head injury.
Adverse Effect: Common side effects of tramadol include nausea, constipation, dizziness, headache, and
drowsiness. More serious side effects can include respiratory depression, serotonin syndrome, and
seizures.
Nursing Considerations: Nurses should assess the patient’s pain level before and after administering
tramadol. They should monitor for signs of respiratory depression, especially in patients with respiratory
conditions. It is important to educate patients about the potential for dependence and withdrawal
symptoms with long-term use of tramadol.
Patient Teaching: Patient should be advised to take tramadol exactly as prescribed by their healthcare
provider. They should not exceed the recommended dose or take it more frequently than instructed.
Patients should be aware of the potential side effects of tramadol and report any unusual symptoms to
their healthcare provider. Additionally, patients should be educated on the risks of tramadol misuse and
the importance of proper storage of the medication out of reach of children and pets.