Tramadol

Question 1

Tramadol - Mechanism of action

Answer 1

Is an analgesic. Multiple actions within the nervous system, including opiate receptor stimulation and inhibition of re-uptake of noradrenaline and serotonin.

Question 2

Tramadol - Indications

Answer 2

Age >=12 years for with moderate to severe pain, in conjunction with paracetamol and ibuprofen.

Question 3

Tramadol - Contraindications

Answer 3

Known severe allergy.

Question 4

Tramadol - Cautions

Answer 4

[CLAAP]
Has been taken in last four hours - additional can be administered if within scope of CPG’s.
Abdominal pain, esp is patient is unwell or vomiting.
Age >=75 years, esp if previous history of dementia or confusion, as it may worsen.
Confusion.
Pregnancy.

Question 5

Tramadol - Dosage

Answer 5

50mg PO.

Question 6

Tramadol - Common side effects

Answer 6

Nausea and/or vomiting.
Lightheadness, usual feeling.
Sedation.
Dry mouth.

Question 7

Tramadol - Onset of effect

Answer 7

30-60 minutes

Question 8

Tramadol - Duration of effect

Answer 8

4 - 8 hours.

Question 9

Tramadol - Preparation

Answer 9

50mg capsules

Question 10

Tramadol - Repeats

Answer 10

None