EMT Pharmacology - Tramadol

Question 1

Pharmacology and presentation of Tramadol?

Answer 1

50mg PO

Tramadol is an analgesic with multiple CNS effects such as opiate receptor stimulation, and the inhibition of serotonin and noradrenaline reuptake.

Question 2

Indicators of Tramadol?

Answer 2

• Age greater than or equal to 12 years with moderate to severe pain, usually in combination with paracetamol and ibuprofen. Particularly if unable to administer fentanyl/ketamine

Question 3

Contraindications of Tramadol?

Answer 3

• Known severe allergy

Question 4

Cautions of Tramadol?

Answer 4

• Tramadol taken within the last 4hrs, unless less than the ambulance prescribed dose
• Abdominal pain particularly if unwell or vomiting
• Age greater than or equal to 75, particularly if patient has a history of dementia/confusion; as anticholinergic effects may cause confusion
• Confusion, as anticholinergic effects may cause confusion
• Pregnancy

Question 5

Side Effects of Tramadol?

Answer 5

• Nausea and vomiting
• Lightheadedness or unusual feeling
• Dry mouth
• Sedation

Question 6

Dosing Regimes of Tramadol?

Answer 6

• 50mg orally

Question 7

Onset and duration of Tramadol?

Answer 7

Onset
‐ 30 to 60 mins

Duration
- 4 to 8 hours