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-Initial Dose for patients CURRENTLY receiving immediate-release tramadol: Calculate the 24-hour immediate-release requirement and initiate with a total daily dose rounded down to the next lowest 100 mg increment given orally once a day -Individualize dose as needed and as tolerated -Maximum Dose: 300 mg per day
Tramadol may also cause seizures. The risk of seizures is increased in people who have a seizure disorder or who are taking antidepressants or other opioid (or narcotic) pain relievers. Antidepressants and other drugs that affect serotonin can lead to a potentially life-threatening reaction, serotonin syndrome, with Tramadol. Serotonin syndrome is marked by mental-status changes (e.g., agitation, hallucinations, coma), autonomic instability (e.g., tachycardia, labile blood pressure, hyperthermia), neuromuscular aberrations (e.g., hyperreflexia, incoordination) and/or gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea).This is not a complete list of the side effects or drug interactions associated with tramadol. Michelle McDermott, RPh, PharmD
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-Initial Dose for patients CURRENTLY receiving immediate-release tramadol: Calculate the 24-hour immediate-release requirement and initiate with a total daily dose rounded down to the next lowest 100 mg increment given orally once a day -Individualize dose as needed and as tolerated -Maximum Dose: 300 mg per day
Tramadol may also cause seizures. The risk of seizures is increased in people who have a seizure disorder or who are taking antidepressants or other opioid (or narcotic) pain relievers. Antidepressants and other drugs that affect serotonin can lead to a potentially life-threatening reaction, serotonin syndrome, with Tramadol. Serotonin syndrome is marked by mental-status changes (e.g., agitation, hallucinations, coma), autonomic instability (e.g., tachycardia, labile blood pressure, hyperthermia), neuromuscular aberrations (e.g., hyperreflexia, incoordination) and/or gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea).This is not a complete list of the side effects or drug interactions associated with tramadol. Michelle McDermott, RPh, PharmD
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