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C max increased slightly (from 162 ng / 208 ml), increased the half-life of tramadol immediate release and elderly patients (65-75 years 7 vs. 6 hours). Tramadol ER has not been studied in patients over 65 years of age.

 Dizziness or slow heartbeat, appetite impotence, muscle weakness, slower or weaker breathing, mood swings, changes in the business, recognizing the change in the session if you can get a change in "asthma today is getting worse." In rare cases - allergic reaction or sudden swelling of the face and throat, dyspnoea, low blood pressure and fainting.In such cases, treatment is interrupted, see a doctor, are still taking medication.

Tramadol has been studied in regular and postnatal studies in rats. (Female) and (loss of weight of 80 mg / kg (300 mg / m 2 or more to 1.2 times the maximum daily tramadol dose) of the nasal tube at 50 mg / kg reduced the survival time of lactic acid 480 mg / m 2 or 1.9 and more human doses per day). Skeletal pentane noticed drowsiness. The improved effect of CNP cartaptapental depression may occur in combination with other CNS inhibitors, including tramadol.

 Today, doctors prescribe Category C drugs when the tramadol dose is too high! Immediate surgery is needed. Tramadol can be given after surgery, but this is not a permanent cure if it is really necessary. It takes a few days, so I'm afraid you have problems with this dose.

People who take this medicine may feel that you are going to injure yourself or harm others. These symptoms may occur a few weeks after starting treatment. If you notice any of these side effects or if you are taking other medicines, contact your doctor immediately. Your doctor should closely monitor your behavior and feelings when taking this medicine After bubbling, they are often analyzed by Liquid Chromatography / Mass Spectrometry (LC / MS). This method has the amount of any tramadol, O-desmethyltromadol (ODMT) and N-desmethyltramadadol (Ndmt). The accuracy of the organization is a drug recovery of more than 90%, almost complete, and in particular from 90 to 110%.

 Treatment with Tramadol ER may be restricted to patients with renal or hepatic dysfunction (Ultram PI 2006). In multiple doses of tramadol 100 mg er, tramadol metabolite M1 vs. renal insufficiency in healthy volunteers (5080 ml / min creatinine) or (= 3050 ml / min) moderately moderate patients. Increased impact. In addition, M1 reduces exposure to about 50% of the metabolites, which is a lesion degradation compared to healthy subjects in mild to moderate patients. Tramadol should not be used in patients with severe renal impairment or severe hepatic dysfunction.

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