Tramadol

Question 1

Tramadol Mechanism of action

Answer 1

Analgesic.

Works across central nervous system stimulates opiate receptors and blocks noradrenaline and serotonin receptors

Question 2

Tramadol Indicated for

Answer 2

Moderate pain in combination with paracetamol and ibuprofen

Severe pain if back up not available

Do not administer if another opiate has already been taken

Question 3

Tramadol Contraindications (2)

Answer 3

Known severe allergy

Aged less than 12 years

Question 4

Tramadol Cautions (5)

Answer 4

Taken within last 4 hours

Abdominal pain particularly if patient is very unwell or vomiting

Age greater than 75 years particularly if history of dementia or confusion

Confusion

Pregnancy

Question 5

Tramadol pregnancy and breast feeding

Answer 5

Should usually be withheld if pregnant

May be given if breast feeding

Question 6

Tramadol Dosage

Answer 6

50mg (1 tablet)

Question 7

Tramadol adverse effects (4)

Answer 7

Nausea and/or vomiting

Light headed ness or feeling unusual

Sedation

Dry mouth

Question 8

Tramadol Onset of effect

Answer 8

30 - 60 minutes

Question 9

Tramadol Duration of effect

Answer 9

4 - 8 hours

Question 10

Tramadol Usual preparation

Answer 10

50mg tablet