DRUG NAME

Generic name:
Tramadol

Brand name:
Ultram,
Ultram ER

MECHANISM
OF ACTION

Tramadol is used
in the management
of moderately
severe
pain.Extended
release tablets arw
used for
moderately severe
chronic pain in
adults who require
continuous
treatment for an
extended period

INDICATION

CONTRAINDICATION

Relief of
moderate to
moderately
Severe pain

Contraindicated with
allergy to tramadol or
opioids or acute in
toxication with alcohol,
opioids, or psychotropic
drugs.

ADVERSE
EFFECT

CNS:

Assessment:

Sedation, dizziness or
vertigo, headache,
confusion, dreaming,
sweating, anxiety,
seizures

History:

CV:
Use cautiously with
pregnancy, lactation,
seizures, concomitant use
of CNS depressants or
MAOIs, renal or hepatic
impairment

NURSING
CONSIDERATION

Hypotension,
tachycardia,
bradycardia
DERMATOLOGIC:
Sweating, pruritus,
rash, pallor, urticaria

Hypersensitivity to
tramadol; pregnancy;
acute in toxication with
alcohol, opioids,
psychotropic drugs or
other centrally acting
analgesics; lactation;
seizures; concomitant
use of CNS depressants
or MOIs renal or
hepatic imapirment;
past or present history
of opioid addiction

GI:
Nausea, vomiting, dry Physcal:
mouth, constipation,
Skin color, texture,
flatulence
lesions; orientation,
OTHER:
reflexes, bilateral grip
strength, affect; P,

Potentialfor abuse

auscultation, BP; bowel

sounds, normal output;
ANAPHYLACTOID liver and kidney
REACTIONS
function tests
INTERACTIONS
DRUG - DRUG:
Decreased
effectiveness with
carbamaze pine
Increased risk
tramadol toxicity with
MAOIs