Tramadol 100mg

Tramadol 100mg – Dual-Action Pain Relief

1. Key Features

✔ Dual Mechanism:

• Weak μ-opioid agonist (pain relief)

• Serotonin/Norepinephrine reuptake inhibitor (mood boost)
  ✔ Type: Immediate-Release (IR) – lasts 4-6 hours
  ✔ DEA-skema IV (Lower abuse risk than strong opioids)

2. Medical Uses

✅ Moderate to Severe Pain (post-surgery, injury)
✅ Chronic Pain Conditions (arthritis, fibromyalgia)
✅ Off-Label: Restless Leg Syndrome (RLS)

⚠ Ikke til:

• Mild pain (use NSAIDs first)

• Children under 12

• Seizure disorders (lowers seizure threshold)

3. Dosing Guide

Critical Notes:

• Take with food (cuts nausea risk by 50%)

• Never crush (can cause rapid overdose)

• Risk of serotonin syndrome (if mixed with SSRIs/SNRIs)

4. How It Compares

5. Serious Risks

🚨 FDA Warnings:

• Serotonin Syndrome (fatal with antidepressants)

• Seizures (risk increases above 400mg/day)

• Addiction Potential (still exists, especially long-term)

🚫 Dangerous Combos:

• SSRIs (Prozac, Zoloft)

• MAOIs (within 14 days)

• Alcohol/benzodiazepines

6. Side Effects

Common (20-30%):

• Nausea (first few doses)

• Dizziness/drowsiness

• Constipation (less than other opioids)

Dangerous (Go to ER):

• Muscle twitches/spasms

• High fever + confusion

• Slow/shallow breathing

7. Safety Musts

🔐 Storage: Secure location (potential for misuse)
📅 Prescription Rules: Limited refills in many states
💊 Disposal: Pharmacy take-back programs

8. Tapering Plan

➡ If used >2 weeks, reduce slowly to avoid withdrawal
➡ Sample Schedule:

• Week 1: 100mg → 50mg every 6h

• Week 2: 50mg every 8h

• Week 3: Stop

⚠ Important Notes:

• Not a “safe” opioid – still risks addiction/overdose

• Weak pain relief vs. hydrocodone/oxycodone

Safer Alternatives to Try First:

• NSAIDs (Ibuprofen, Naproxen)

• Topicals (Voltaren gel, Capsaicin cream)

• Physical Therapy

Need help with pain management? Ask about:

• Non-drug options (acupuncture, TENS units)

• Non-opioid meds (Gabapentin, Duloxetine)