#1 Tramadol is an oral tablet. It is a prescription drug that is available for immediate-release and extended-release tablets. It is a controlled substance which means it requires a doctor’s prescription over consumption.
#2 Tramadol hydrochloride is a white, bitter, crystalline, and odorless powder soluble in water and ethanol.
#3 The chemical name of Tramadol hydrochloride is (±) c/s-2-((dimethylamino) methyl)- l-(3- methoxyphenyl)-cyclohexanol hydrochloride. Its molecular formula is C16H25NO2 
#4 Tramadol will not be easily converted into a controlled substance.
#5 Tramadol is a weak opioid and is an analgesic, due to the presence of metabolite O-desmethyltramadol (M1), it may produce opioid-like effects whosoever takes it, depending on the medical condition.
#6 The primary use is to treat mild to severe pain. It can be used for treating both acute and chronic pain. The NHS has approved Tramadol to be used for treating fibromyalgia as a secondary pain killer. 
#7 In the US, Tramadol is sold under the name ULTRAM, and was approved by the FDA under the Controlled Substance Act as a non-scheduled drug. 
#8 Take Tramadol by mouth as directed by your physician, usually every 4 to 6 hours to treat pain relief. The consumption may require you to take this medication either with or without food. If you feel the medication is nauseating, then seek the help to consume this drug with food. Your physician may help you to decrease this nausea feeling. 
#9 Tramadol is an oral medication. It can be consumed by crushing and snorting the tablets, or by chewing it or by injecting it as a dissolved solution.
#11 The side effects of Tramadol are more or less similar to the effects of most controlled substances. The common side effects are drowsiness, headache, and dry mouth. Serious effects of Tramadol are fast heart rate, hallucination, and seizures.
#12 Tramadol interacts with other medications, vitamin supplements, or herbs that you may take. Although the drug interaction has possibilities in resulting positive, there are certain medications that Tramadol would never be interacted with, and the result will cause serious effects, sometimes fatal. Such meds are Carbamazepine, Sertraline, Duloxetine, Linezolid, Lithium, St. John’s wort, and Zolmitriptan. Not only these, but many other medications should increase the risk of side effects in interaction with Tramadol. 
#13 Intake of Tramadol may not be effective for pain control for people with certain genetic variants of CYP2D6 enzymes . Avoid the intake of Tramadol during pregnancy, labor, or delivery. Also do not administer this medicine to children, elders, and liver and kidney failure patients.
#14 Dosages vary depending on the age, medical condition, and reaction to the first dose. The dosage strengths are 50mg, 100mg, 200mg, 300mg, and 400mg . The high concern is required on child and geriatric patients’ dosages. The formulations of the dosage include liquids, syrups, drops, elixirs, tablets, and powders.
#15 For women who are pregnant or breastfeeding should consult with the doctor for taking Tramadol. The effects might bring serious illness to the unborn or the child that feeds on the mother.
#16 Overdose may lead to serious symptoms such as fatigue or trouble in breathing , and in such conditions seek medical help immediately. Never share your medication with anyone, such an act is illegal. Store the drug at room temperature and keep them away from children and pets.
#17 Tramadol is a prescription drug, however, like other narcotics, it can be highly addictive as well. The addiction to the drug does not begin immediately, as it requires a considerable amount of effort and time for an addiction to occur.
#18 Functional attractive reverberation imaging (fMRI) used to examine the impacts of Tramadol on people to survey drug misuse has indicated a few areas in the brain including core nucleus accumbens (NAc) were initiated during acquiring expectation in the MID undertaking both Tramadol and placebo. It was inferred that Tramadol improves and can hasten drug abuse in people.
#19 Tramadol has been used in veterinary to treat injury-related pains or chronic pains in dogs, cats  and many small animals like rats, ferrets, raccoons, and guinea pigs.
#20 It is important to consult with your doctor before you take Tramadol for your treatment. Taking precautions before the consumption may prevent your health from getting any side effects from the doses.
#21 Certain precautions should be taken care of before taking this medicine. Make sure that you tell your doctor about your previous current medical condition and any allergies to the medication.
#22 According to the National Survey on Drug Use and Health in the year 2013, there are around 3.2 million people in the United States about the age 12+ has been reported the use of Tramadol without medical recommendation at least once in their lifetime thus an increase from 2.7 million in 2012. 
#23 From the 3.2 million people taking non-medical use of Tramadol about approx. 89,000 were between the ages of 12 to 17. Around 928,000 were 18 to 25 and 2.2 million people were around 26 years or older of age.
#24 In between the year 2008 to 2013, around 88% of Tramadol prescriptions has been increased from 23.3 million to 43.8 million. 
#25 Trauma center visits: In 2011, the Drug Abuse Warning Network (DAWN) detailed around 54,000 trauma center visits identified with Tramadol use, and at any rate 20,000 of those visits were because of non-clinical utilization of Tramadol.
#26 Expansions in ER visits over the long run: Tramadol-related trauma center visits because of misuse or abuse expanded by 250% somewhere in the range of 2005 and 2011, with just 6,255 visits in 2005 . Of these visits, the best increment happened in patients 55 and more established, expanding by 481% from 892 visits in 2005 to 5,181 out of 2011. Ladies represented more visits in men, with 12,238 trauma center visits by females in 2011 and just 9,411 male trauma center visits.
#27 Trauma center visits because of medication mixes: Of the complete trauma center visits in 2011, 29% were for Tramadol abuse just, 20% included Tramadol in the mix with another medication, 26% included Tramadol joined with 2 different medications, and another 26% consolidated Tramadol within any event 3 different medications. Of the medication blends, 35% joined Tramadol with different painkillers, 32% consolidated Tramadol against nervousness and sleep deprivation meds, 14% consolidated it with liquor, and 12% joined it with unlawful medications. 
#28 It is important to be cautioned while buying Tramadol from online. It is a medication that causes addiction  and ordering them from online stores requires high concerns. The most important thing that has to be taken into consideration is whether the online pharmacy is a legitimate one. This will reduce the risk of getting fake pills delivered to you.
#29 Check whether the pharmacy is physically available as per given in the contact details and try to reach them through the phone. This may give the proof that the online drugstore is legitimate. Some online pharmacies may readily be available only through the internet, then check with the given contact details to ensure its reliability.
#30 Read customer reviews about Tramadol medication from pharmacies that you are looking for to buy from. This would provide a brief knowledge about the quality of medications they provide and the reputation of the drugstore.
#31 Although Tramadol is a controlled substance by FDA , it is highly suggested to provide prescription at the time of purchasing your medication.
#32 One of the advantages of buying Tramadol from online is that you can buy the medication for a cheap price, express delivery, and you can also avail easy refills from them.
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