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The maximum recommended dose is 400 mg per day, so if using it alone does not provide adequate relief, other medications can be used with Ultram (tramadol) to help manage the pain. For instance, if there is throbbing pain from tight muscles, a muscle relaxant, such as Flexeril (cyclobenzaprine) or Zanaflex (tizanidine) may be beneficial. NSAIDs (non steroidal anti-inflammatory drugs), such as Aleve (naproxen) or Motrin/Advil (ibuprofen) can be added to help reduce pain caused from swelling. If there is sharp shooting pain from the nerves, a medication, such as Neurontin (gabapentin) or Lyrica (pregabalin) may stop the nerves from firing. Your doctor will know the best pain management therapy for you specific situation and may also add physical therapy, chiropractic work, or other non-drug related therapy as well. Patti Brown, PharmD
Q: Is tramadol an opiate? A: Ultram (tramadol) (//www.everydayhealth.com/drugs/tramadol) is a non-narcotic pain reliever. Tramadol binds to some opioid receptors and inhibates the reuptake of norepinephrine and serotonin (neurotransmitters in the brain). Tramadol may be habit-forming and should be used only by the person it was prescribed for. Tramadol should be taken exactly as how the doctor prescribed. Do not take more medication than the doctor prescribed. Side effects of tramadol include dizziness, drowsiness, blurred vision, and sleep problems such as insomnia. (//www.everydayhealth.com/arthritis/osteoarthritis/index.aspx). When your doctor prescribes a new medication, be sure to discuss all your prescription medications and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals and herbals, as well as foods you eat. Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist. If possible, use one pharmacy for all your prescriptions and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and advise you about drug interactions and side effects. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Kimberly Hotz, PharmD.
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Q: Is tramadol an opiate? A: Ultram (tramadol) (//www.everydayhealth.com/drugs/tramadol) is a non-narcotic pain reliever. Tramadol binds to some opioid receptors and inhibates the reuptake of norepinephrine and serotonin (neurotransmitters in the brain). Tramadol may be habit-forming and should be used only by the person it was prescribed for. Tramadol should be taken exactly as how the doctor prescribed. Do not take more medication than the doctor prescribed. Side effects of tramadol include dizziness, drowsiness, blurred vision, and sleep problems such as insomnia. (//www.everydayhealth.com/arthritis/osteoarthritis/index.aspx). When your doctor prescribes a new medication, be sure to discuss all your prescription medications and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals and herbals, as well as foods you eat. Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist. If possible, use one pharmacy for all your prescriptions and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and advise you about drug interactions and side effects. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Kimberly Hotz, PharmD.
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