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Q: Is it safe to take tramadol every 6 hours for extended period of time? A: Tramadol (Ultram) is classified as a opioid analgesic. Tramadol is approved for the treatment of moderate to moderately severe pain. According to medical references, the recommended dosing for the immediate release formulation of tramadol is 50 to 100 mg every four to six hours with a maximum of 400 mg per day. Tramadol, like any medication has possible side effects, risks and warnings associated with it use.
A pressor response similar to the so-called “cheese effect” was noted in combinations of amphetamine and tramadol, which appears to cause dysfunction of or toxicity to epinephrine/norepinephrine receptors.[12][22] Cyclobenzaprine, a commonly-used muscle relaxant, atypical analgesic adjunct, as well as a potentiator often used with analgesics like codeine, dihydrocodeine, hydrocodone and the like, is structurally related to the tricyclic antidepressants [38] and therefore should not be used with tramadol; this is also the case for trazodone.[39]
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Q: Is it safe to take tramadol every 6 hours for extended period of time? A: Tramadol (Ultram) is classified as a opioid analgesic. Tramadol is approved for the treatment of moderate to moderately severe pain. According to medical references, the recommended dosing for the immediate release formulation of tramadol is 50 to 100 mg every four to six hours with a maximum of 400 mg per day. Tramadol, like any medication has possible side effects, risks and warnings associated with it use.
A pressor response similar to the so-called “cheese effect” was noted in combinations of amphetamine and tramadol, which appears to cause dysfunction of or toxicity to epinephrine/norepinephrine receptors.[12][22] Cyclobenzaprine, a commonly-used muscle relaxant, atypical analgesic adjunct, as well as a potentiator often used with analgesics like codeine, dihydrocodeine, hydrocodone and the like, is structurally related to the tricyclic antidepressants [38] and therefore should not be used with tramadol; this is also the case for trazodone.[39]
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