DRUG NAME Brand Name: Tramal Generic Name: Ultram Classification: Analgesic

INDICATION

CONTRA INDICATION

ADVERSE EFFECT

NURSING CONSIDERATIONS
Assess onset, type, location, and duration of pain. Effect of medication is reduced if full pain recurs before next dose. Assess drug history especially carbamazepine, CNS depressant medication, MAOIs. Review past medical history, especially epilepsy or seizures.

Used to treat moderate to moderately severe pain.

Dosage: PO: ADULTS, ELDERLY: 50100mg every 4-6 hours. Maximum <75 years old: 400mg per day. Maximum >75 years old:300mg per day.

Should not be administered to patients who have previously demonstrated hypersensitivity to tramadol or in cases of acute intoxication with alcohol, hypnotics, centrally acting analgesics, opioids or psychotropic drugs.

Respiratory depression Seizures Prolonged duration of action and cumulative effect may occur in patients with impaired hepatic or renal function. Side Effects:

Dizziness or vertigo Nausea and Vomiting Constipation Assess renal or hepatic function laboratory values. Headache Somnolence Monitor pulse and blood Pruritus
pressure.

Assist with ambulation if dizziness or vertigo occurs.