Generic name

tramadol

Brand name
Dolcet

Drug
Classification

Mechanism of Action

Pharmacologic: Inhibits reuptake of

serotonin and
Opioid agonist
norepinephrine in CNS
Therapeutic:
Analgesic

Indications
Moderate to severe
pain

Adverse Reactions

CNS: Drowsiness, dizziness,

vertigo, fatigue, headache,
somnolence, restlessness,
euphoria, confusion, anxiety,
coordination disturbance,
sleep disturbances, seizures.
CV: Palpitations,
vasodilation.
GI: Nausea, constipation,
vomiting, xerostomia,
dyspepsia, diarrhea,
abdominal pain, anorexia,
flatulence.

Nursing Responsibilities
Assess type, location, and
intensity of pain before and
2-3 hr (peak)
after administration.
Assess BP & RR before and
periodically during
administration. Respiratory
depression has not occurred
with recommended doses.
Assess bowel function
routinely. Prevention
of constipation should be
instituted with increased
intake of fluids and bulk
and with laxatives to
minimize constipating
effects.

Body as a Whole: Sweating,

anaphylactic reaction (even
with first dose), withdrawal
syndrome (anxiety, sweating,
Assess previous analgesic
nausea, tremors, diarrhea,
history. Tramadol is not
piloerection, panic attacks,
recommended for patients
paresthesia, hallucinations)
dependent on opioids or
with abrupt discontinuation.
who have previously
received opioids for more
Skin: Rashes
than 1 wk;may cause opioid
Urogenital: Urinary
withdrawal symptoms.
retention/frequency,
menopausal symptoms.