Tramadol
Brand names: TRAMADOL HYDROCHLORIDE, Tramadol Hydrochloride, Tramadol Hydrochloride and Acetaminophen, Tramadol hydrochloride and acetaminophen, ULTRACET, Ultram ER, tramadol hydrochloride
Warnings
BOXED WARNING: Addiction/Abuse Risk - "exposes users to risks of addiction, abuse, and misuse, which can lead to overdose and death"; Respiratory Depression - "serious, life-threatening, or fatal respiratory depression may occur"; Accidental Ingestion - risk of fatal overdose, especially in children; contraindicated under age 12 and post-tonsillectomy under age 18; CNS Depressants - concomitant use with benzodiazepines may cause "profound sedation, respiratory depression, coma, and death."
Uses
"Management of pain severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatment options are inadequate." Not for as-needed use; reserved for patients where non-opioid analgesics or immediate-release opioids prove ineffective or intolerable.
Dosage forms & strengths
All identified pills
P T
YELLOW ROUND · Tramadol
P10
WHITE CAPSULE · Tramadol
PAR822
WHITE ROUND · Tramadol
PP 100
WHITE ROUND · Tramadol
2 manufacturers
PP 200
WHITE ROUND · Tramadol
3 manufacturers
PP 300
WHITE ROUND · Tramadol
3 manufacturers
Par821
WHITE ROUND · Tramadol
8 manufacturers
Par822
WHITE ROUND · Tramadol
5 manufacturers
Par823
WHITE ROUND · Tramadol
2 manufacturers
T 03
WHITE CAPSULE · Tramadol
2 manufacturers
T 50
WHITE ROUND · Tramadol
2 manufacturers
TL/50 G
WHITE ROUND · Tramadol
TV 58
WHITE OVAL · Tramadol
4 manufacturers
U 355
YELLOW CAPSULE · Tramadol
ULTRAM 06
WHITE OVAL · Tramadol
6 manufacturers
Z 07
WHITE ROUND · Tramadol
Z 08
WHITE ROUND · Tramadol
Z 09
WHITE ROUND · Tramadol
alg 218
WHITE CAPSULE · Tramadol
alg 219
YELLOW CAPSULE · Tramadol
alg 219
YELLOW OVAL · Tramadol
cor 127
WHITE ROUND · Tramadol
Side effects
Occurring in >=10% of patients at recommended doses: "dizziness, constipation, nausea, headache, somnolence, flushing, pruritus, vomiting, insomnia, and dry mouth." Additional reactions: respiratory depression, seizures, serotonin syndrome, hypotension, withdrawal symptoms.