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Tramadol is a synthetic opioid, within the considered smaller opioids. Although it is considered an opiate it acts only in a small part by this way, attacking the pain (analgesic action) mainly by other ways (serotoninergic and noradrenergic). That is, it has little opioid.

Tramadol is a good analgesic that allows to “playing” with the doses with enough safety. In pains that prolong in time is a much healthier and safer drug than anti-inflammatories. The anti-inflammatories we all know, such as ibuprofen, punish our body in the long run. If we have pains and need to take medication for more than two weeks it is highly recommended to replace anti-inflammatories (ibuprofen, etc.) with other medications. The safest to take for long periods would be acetaminophen and metamizole. If we need more power in the fight against pain (analgesic power), tramadol gives us one more step, being just as safe in the long run.

TramadolThe problem with this medicine is that in some people it produces nausea, dizziness and discomfort. This side effect occurs less with the delayed formulas that we will explain later. When it happens, it is an unpleasant experience that gives in a few hours when the effect of the medication passes. This is one of the reasons why tramadol is given up. In some cases, it is due to the use of doses greater than necessary and, at other times, we are simply more predisposed to these symptoms. It is true that if we continue taking these effects usually give way but it is understandable that if you have been a bad time do not want to repeat. That said, most people will tolerate it well and see an improvement in their pain.

It is a drug that causes constipation. If we have problems in this aspect we can associate some laxative during the treatment. Care must be taken in older people because side effects may be more pronounced and a lower level of consciousness may occur. There are other effects of the opiates that we will discuss in another post, but in the case of tramadol there are usually no problems in the usual doses used. In each particular case it should be our doctor who tells us whether or not we should take it.

Tramadol is found in varying forms: delayed progressive release formulas, dose-adjusting drops, and formulas combined with paracetamol. Delayed formulas are releasing little by little in our body and diminish the side effects. Medications containing tramadol and paracetamol have become very popular in recent years (zaldiar and pazital in Spain). They are very useful medicines for the combined action of tramadol and paracetamol and the fact that they come in capsules with small doses. This allows, on the one hand, adjusting the dose to our degree of pain and, on the other hand, to start with a small dose to see the tolerance we have to tramadol.

In conclusion, tramadol is a good medicine for back and neck ailments as long as it are used correctly and under the control of our doctor.

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