Ultram Pain Relief

Symptoms of a Back Injury

2008-02-29T05:57:00.000-08:00

Back injuries tend to peak between the ages of 35 and 45 in people who are still active but less fit. The injury can manifest itself in a variety of ways, and most often affects the lower back. A back problem can present as a dull ache or an excruciating stab, shooting pain or tenderness to the touch.

There may be stiffness and pain in the lower back, or a person may experience pain and/or numbness radiating from the back, down into the legs.

One person may endure back discomfort all day, while another may feel fine in the morning and start to ache as the day progresses. Some people find their backs hurt more in certain positions, such as when they are bending, sitting for a prolonged period, or walking.

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What is Ultram

2007-08-17T15:39:00.000-07:00

ULTRAM

Ultram (Tramadol) is used to relieve moderate to moderately severe pain. It also may be used to treat pain caused by surgery and chronic conditions such as cancer or joint pain. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

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General Information for Ultram

2007-08-17T15:37:00.001-07:00

ULTRAM DRUG INFO

IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

TRAMADOL - ORAL (TRAH-muh-dall)

COMMON BRAND NAME(S): Ultram

USES: Tramadol is used for pain relief.

HOW TO USE: Take this medication by mouth as prescribed. It is usually taken every 4 to 6 hours as needed. Use this medication exactly as prescribed. Do not increase your dose, use it more frequently or use it for a longer period of time than prescribed because this drug can be habit-forming. Also, if used for an extended period of time, do not suddenly stop using this drug without your doctor's approval. When used for extended periods, this medication may not work as well and may require different dosing. Consult your doctor if the medication stops working well.

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Safety information for ultram

2007-08-17T15:36:00.000-07:00

SIDE EFFECTS: This medication may cause dizziness, weakness, incoordination, nausea or vomiting, stomach upset, constipation, headache, drowsiness, anxiety, irritability, dry mouth, or increased sweating. If any of these effects persist or worsen, inform your doctor. Notify your doctor if you develop any of these serious effects while taking this medication : chest pain, rapid heart rate, skin rash or itching, mental confusion, disorientation, seizures, tingling of the hands or feet, trouble breathing. In the unlikely event you have an allergic reaction to this drug, seek immediate medical attention. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, breathing trouble. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Tell your doctor your medical history, especially of: kidney disease, liver disease, seizure disorder, lung disease, history of drug or alcohol dependency, any allergies you may have. Limit alcohol as it may add to the dizziness or drowsiness effects caused by the medication. Because this drug may make you dizzy/drowsy, use caution performing tasks requiring alertness such as driving. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Tramadol is excreted into breast milk. Because the effects on a nursing infant are not known, consult your doctor before breast- feeding.

DRUG INTERACTIONS: Tell your doctor of all prescription and nonprescription medications you may use, especially of: carbamazepine, narcotic pain relievers (e.g., codeine), drugs used to aid sleep, antidepressants (e.g., SSRI-types such as fluoxetine or fluvoxamine), MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, procarbazine, selegiline, tranylcypromine), psychiatric medicine (e.g., nefazodone), "triptan"-type drugs, anti-anxiety drugs (e.g., diazepam), sibutramine. Also, report use of certain antihistamines (e.g., diphenhydramine) which are also present in many cough-and-cold products. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include cold and clammy skin, low body temperature, slowed breathing, slowed heartbeat, drowsiness, dizziness, lightheadedness, deep sleep, loss of consciousness, or seizures.

NOTES: Do not share this medication with others.

MISSED DOSE: If you miss a dose, take it as soon as remembered; do not take it if it is near the time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

STORAGE: Store this medication at room temperature between 59 and 86 degrees F (15 to 30 degrees C) away from heat and light. Do not store in the bathroom. Keep this and all medications out of the reach of children.

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News

2007-08-17T15:27:00.000-07:00

Pain Control in Terminal Care

Pain is a common and feared symptom in the dying.

It is not inevitable. It occurs in up to 70% of patients with advanced cancer and about 65% of patients dying of non-malignant disease. Much can now be done medically to make their last few weeks or months relatively pain-free. An average GP will have 10 patients receiving terminal care each year, 5 of them dying of cancer, and good palliative care can make a huge difference to the quality of an individual's end of life.

Terminally ill patients often report that they fear intractable pain more than they do dying. Patients frequently express the desire to have open and honest dialogue with medical carers about pain and want to be involved fully in planning their pain management. A doctor must be able to get alongside the patient and their family and to spend time presenting options, answering questions and quelling fears. Having promised to keep the patient relatively pain-free, it is paramount to meet this promise to preserve trust. Pain is easier to prevent than it is to relieve and drugs should be prescribed on a prophylactic basis with no other consideration than maintaining the patient's quality of life.

Pain is a complex subjective phenomenon and is affected by the emotional context in which it is endured. Adequate psychological support is critical as removing the fear of pain in itself will help to optimise pain control. A patient who is fearful, withdrawn and depressed often appears to have a lower pain threshold than one who is still actively engaged in enjoying what is left of their lives, even though they may have same stage disease. Non-drug measures to help psychological or spiritual distress may be as important as medication in relieving pain and suffering.

Whilst pain relief is vital, good palliative care encompasses far more. Within primary health care teams, improving the quality of palliative care can be facilitated by the Gold Standard Framework. Similarly, good practice is outlined in the Liverpool Care Pathway for the Dying, which provides an important resource for those caring for those at the end of life. Good communication within and between teams is vital, eg between primary and secondary care and between usual daytime GP and out-of-hours provision, to avoid unnecessary problems during this period.

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Testimonials

2007-08-17T15:24:00.000-07:00

Hi A friend referred me to your site. He was very pleased with the prompt delivery and level of customer service. I‘ve ordered through your site twice before and have been equally impressed.

Michael_ _ _ _ _

Dear Staff,

Thank you for your response. I have already taken the online questionnaire and ordered Propecia. I will take the online questionnaire and place the order for Viagra by tomorrow. If there will be a problem waiving any pharmacy fees, please let me know. Otherwise, thank you for your help and your company’s very appreciated service/product.

James_ _ _ _ _

Thanks for the quick feedback. You offer a valuable service to lots of men embarrassed to seek help (like me) What can I do to help your efforts?

Brian_ _ _ _ _

Thanks for the quick feed

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