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Anatram (Tramadol)

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Anatram is a strong painkiller used to treat moderate to severe pain. It is generally used when non-opioid painkillers don't work as well to control the pain anymore. Anatram may cause drowsiness. You shouldn't drive or use heavy machinery or perform dangerous activities until you know how this drug affects you.

Other names for this medication:
Adamon, Antram, Damol, Dolmeri, Dolotram, Eltram, Haledol, Inodol, Mandol, Medol, Muzox, Nictram, Nosdol, Novadol, Ospidol, Paintrol, Ramax, Rimol, Rybix, Topspas, Tramafen, Tramasol, Tramatas, Tramazol, Tramol, Tramospas, Tramot, Trapain, Tromar, Urgendol, Veeradol

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Colospa, Cenforce, Zyprexa, Antivert, Viramune, Ceftin, Mestinon, Cozaar, Dostinex, Risperdal, Normatens, Dibimet, Cipmox, Bifrizide, Depsonil, Elkof, Velrid, Afdiex, Atenova,

Also known as: Tramadol


Anatram (tramadol) is a pain medicine similar to an opioid. It acts in the central nervous system (CNS) to relieve pain.

Anatram is used to treat moderate to severe pain in adults.

The extended-release form of tramadol (Anatram ER) is for around-the-clock treatment of pain. Anatram ER is not for use on an as-needed basis for pain.


Usual Adult Dose for Pain:

Adults (17 years or older): 50 to 100 mg orally every 4 to 6 hours as needed for pain -For patients not requiring rapid onset of analgesic effect: Initial dose: 25 mg orally once a day; titrate in 25 mg increments every 3 days to reach a dose of 25 mg four times a day; thereafter increase by 50 mg as tolerated every 3 days Maximum dose: 400 mg per day.

Usual Adult Dose for Chronic Pain:

Extended-Release (ER): 18 years or older (tramadol-naive): 100 mg orally once a day -Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions -Maximum Dose: 300 mg/day For patients CURRENTLY receiving Immediate-Release (IR) Anatram: Initial Dose: Calculate 24-hour IR requirement and initiate with a total daily ER dose rounded down to the next lowest 100 mg increment orally once a day Conversion from OTHER Opioids: Discontinue all other around the clock opioid drugs prior to initiating therapy -Initial dose: 100 mg ER orally once a day -Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions -Maximum Dose: 300 mg/day.

Usual Geriatric Dose for Pain:

Dose selection should be cautious generally starting at the low end of the dose range Over 75 years: Maximum dose of Immediate-release: 300 mg per day.

Usual Geriatric Dose for Chronic Pain:

Dose selection should be cautious generally starting at the low end of the dose range Over 75 years: Maximum dose of Immediate-release: 300 mg per day.

Usual Pediatric Dose for Pain:

Anatram is not recommended for use in pediatric patients 17 years or older: See Adult Dose.

Detailed Anatram dosage information


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose can be fatal, especially in a child or other person using the medicine without a prescription. Overdose symptoms may include severe drowsiness, pinpoint pupils, slow breathing, or no breathing.

Your doctor may recommend you get naloxone (a medicine to reverse an opioid overdose) and keep it with you at all times. A person caring for you can give the naloxone if you stop breathing or don't wake up. Your caregiver must still get emergency medical help and may need to perform CPR (cardiopulmonary resuscitation) on you while waiting for help to arrive.

Anyone can buy naloxone from a pharmacy or local health department. Make sure any person caring for you knows where you keep naloxone and how to use it.


Store at a room temperature between 4 and 30 degrees C (39 and 86 degrees F) away from moisture, light and heat. Throw away the after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Anatram are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Do not drink alcohol. Dangerous side effects or death could occur.

Avoid driving or hazardous activity until you know how this medicine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.

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To determine effects of acarbose on baseline and postprandial serum glucose and insulin concentrations in healthy dogs, if effects of acarbose were dosage related, and if acarbose caused any short-term adverse effects. The activity of succinatedehydrogenasa (SDG) and of alpha-glycerophosphatedehydrogenase (alpha-GPDG) was increasing in lymphocytes and monocyte of the peripheral blood as compared to the same activity in healthy children. Adrenalectomy was accomplished in all the animals without intraoperative mortality. The publication of guidelines of the DGOT and the BVO is the first step for dissemination, next steps should be implementation und evaluation. Here, the development of xanax dosage 25 a native tissue radioligand binding, localization and ex vivo occupancy assay for centrally penetrant P2X7 receptor antagonists is described. Non-Pedicled Buccal Fat Pad Grafts to Treatment for Class I and II Gingival Recessions: A Clinical Trial. VEGF: From Discovery to Therapy: The Champalimaud Award Lecture. Modulation of histamine-induced bronchoconstriction with inhaled, oral, and intravenous clemastine in normal and asthmatic subjects. Glucose is transported and concomitantly phosphorylated by the glucose permease (PtsG) of the phosphoenolpyruvate:sugar phosphotransferase system. Evaluation of prostaglandin F2 alpha treatment in dairy cows at risk for low fertility after parturition.

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LDL-unbound apolipoprotein(a) and carotid atherosclerosis in hemodialysis patients. The way through the 80s: the development of better tools for productivity and performance. Treatment for common STDs may not always reduce the spread of HIV. Mucins are highly immunogenic glycoproteins that are abundantly expressed by breast carcinomas and other carcinomas. The Individualism-Collectivism Interpersonal Assessment Inventory (ICIAI) was used to measure cultural norms and values in the context of three social groups: family members, close friends, and classmates. Hepatic resection for bilobar multicentric hepatocellular carcinoma: is it justified?. Array comparative genomic hybridization (array-CGH) was used to assess for DNA copy number variants (CNVs) in 26 miscarriages with normal karyotypes. Most reticulocytes in a section had one or more surface invaginations and one or more intracellular vesicles that were devoid of spectrin labeling. The overlap of witnessing partner violence with child maltreatment and other victimizations in a nationally representative survey of youth. zovirax dose herpes Dutch GE demonstrate substantial variability in the management of asymptomatic PCNs.

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Structural and functional alterations of the small intestinal mucosa were assessed by standard parameters including mucosal protein, DNA content as well as maltase, sucrase and leucine aminopeptidase enzymatic activities. Results showed that the initial NCR schedule based on latency (Phase 2) and NCR without extinction (Phase 3) were effective for reducing rates of problem behavior compared with baseline. Anti-inflammatory effects of crocin and crocetin in rat brain microglial cells. The carbohydrate function of the liver in patients with chronic tonsillitis. In contrast, the insertion of trehalose by replacing water simultaneously at the carbonyls and the phosphates does not cause defects of packing. The 3-O-sulfotransferases (3OSTs) catalyze the addition of sulfate groups at the 3-OH site of glucosamine in heparan sulfate proteoglycans, which serve as critical mediators of various biological functions. Logistic regression was used to estimate the odds ratio as a measure of the association of participant characteristics with lifestyle changes in the 12 months before the interview. Although postoperative evaluation indicated a cure of acromegaly, progressive bulbar symptoms developed, which were followed by upper limb weakness and muscle atrophy. Clinicopathologic reports, case reports, and small case series: congenital anomalous retinal artery associated with a leaking macroaneurysm.

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Effect of nationality on dietary pattern and meal behavior in China. This barrier arises from an entropic bottleneck for the folding process. Influence of chemical treatment on amylase and sucrase in silkworm bodies. Therefore, it is of utmost importance to uncover and understand the mechanisms underlying the various interactions to improve existing anti-diabetic therapies minipress medication class and drugs on the one hand and to develop new therapeutic approaches on the other. 4) Medical visitors evaluated specimens high for medical education to understand three dimensional structures. Next, aiming for a self-cloning vector, we found a cryptic plasmid (which we named pAG5) of 5648 bp in G.

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