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Human body is a wonderful thing. After the long and complicated process of evolution our bodies are able of coping with considerable difference of temperatures, heal bad wounds and knit broken bones. They are able of coping with many infections, fixing different injuries and restoring after hard nervous stress and strain. If we fail to avoid illnesses pain is the first price you have to pay.

Every single burn, bruise and scratch in our life is entailed with pain. This awful throbbing sensation is the most hated feeling in the world, with all that we would not be able to survive without pain. Believe it or not but it is pain that makes us clever and more attentive to the needs of our body. It is the best keeper of our health that is always there for you - sleepless and alert. You will not be able to forget about your injury and hurt yourself even if you fall asleep. You will have no possibility of ignoring your bad tooth until things turn totally wrong because pain won’t let you to! Living without physical pain would have made us too careless to pay the slightest attention to our health and well-being. Do you still hate pain, the best and the most reliable friend of yours?

But sometimes pain becomes totally unbearable and personalities think it more desirable to die than to tolerate an awful torture like that. No wonder the mankind kept looking for medicines able of soothing pain. Today we have the might of chemistry and present-day pharmacology in addition to natural ingredients to create safe and highly effective means of resisting pain.

Analgesic drugs now are various and plentiful. Some of them are extracts of natural ingredients, others are purely chemical compositions; there are also many mixtures of the two. Tramadol is one of them. It is a centrally-acting analgesic used in resisting moderate to moderately severe pain. This medicines is rather new - it was produced German pharmaceutical company Grünenthal GmbH in the end of the 1970s. It was a successful synthetic analog of Codeine, the phenanthrene alkaloid and opioid. Just like Codeine, Tramadol proved to be a full-fledged prodrug, too. Unlike Codeine, turned in our organisms to Morphine, Tramadol is metabolized into O-desmethyltramadol. Both substances act upon the human opiate receptors or μ1 and μ2 receptors. Tramadol is also good for releasing the hormone of happiness in our brain and inhibiting the effect of the hormone of stress.

Tramadol can produce euphoria and respiratory depression, because it is a very addictive opioid having serotonergic and noradrenergic effects and working on the μ-opioid receptors exclusively. This unique characteristic feature of Tramadol and its major metabolites makes this med stand alone among other chemicals of the opioid drug class - even Morphine does not show this degree of receptor subtype selectivity!

As we have told you before Tramadol, just like codeine and other opioids, are generally applied to cope with moderate to moderately severe painful states as well as the most types of neuralgia. When physicians for the first time discovered Tramadol action on the noradrenergic and serotonergic systems of men and women they believed the medicine could be effective for overcoming the symptoms of depression, anxiety and phobias. Nevertheless the addictiveness of Tramadol kept it from becoming a popular tranquilizer. Today Tramadol is sometimes used these purposes but only when other therapies failed. In this case rigid Tramadol dosage control and regular psychiatrist consultations are necessary!

Tramadol ways are not that easy. Being highly effective, the med can produce side effects and from strong addiction, that is why there are always people who are ready to misuse. The German company Grünenthal GmbH has been repeatedly charged of producing Tramadol, which is very addictive and can have severe side effects, while the company is not informative enough and states that the medication showed little abuse liability in preliminary tests. Later in May 2009, the US Food and Drug Administration wrote a warning letter to the company of Johnson & Johnson, because they promoted Tramadol overstating the efficiency of the drug, and minimizing the possible serious risks. The 2010 Physicians Desk Reference inderlines different manufacturer warnings, which were not present in prior years. They contained strict warnings about:

- the addictive potential of Tramadol,
- the possibility of difficulty breathing,
- a new extended list of side effects including more serious cases,
- a notice that Tramadol should not to be applied instead of opiate medications for addicts,
- a warning that Tramadol should not to be applied to withdraw addict patients from opiate drugs,
- a fact that Tramadol should not to be used to manage long-term opiate addiction.

Tramadol is available as:

- solutions for both intravenous and intramuscular injections. The injection solutions are used in patient-controlled analgesia cases either as the sole agent or with another opioid agent such as Morphine;
- capsules which are believed to protect your stomach better;
- tablets (regular, extended release, chewable etc);
- suppositories for rectal administration;
- powders for compounding;
- liquids both with and without alcohol for oral and sub-lingual administration.

As a rule you can buy Tramadol as the tramadol hydrochloride for oral administration.

The usual dosage of Tramadol is 50 mg generic tablets produced by several manufacturers. Effective pain-killing conjunctions with APAP such as Paracetamol and Acetaminophen are also commonly available as Ultracet medicine. In this case the tablet contains smaller dose of Tramadol (37.5 mg) and larger dose of APAP (325 mg).

Tramadol is a med with characteristic unpleasant taste which is mildly bitter. All the same, it is less bitter than other opioids such as Morphine and Codeine. The maximum safe dosage of Tramadol for oral administration is 400 mg a day and 600 mg of Tramadol for parenteral administration.

To be on the safe sade you should never reach the top dosage of Tramadol! For instance, Ultracet tablets with 37.5 mg of tramadol and 325 mg of APAP in it is capped at 8 tablets a day, that is 300 mg of Tramadol. Ultram ER tablets containing Tramadol are available in 100, 200, and 300 mg/day doses, too.

It is very dangerous to start Tramadol if:

- you are over 75 years old or under 18 years old;
- you have severely reduced renal (kidney) or hepatic (liver) functions;
- you take other opioids such as oxycodone, methadone, fentanyl, morphine.

Please, consult your MD before purchasing Tramadol no prescription needed - he or she will tell you about the safest way of taking Tramadol or will explain you why you should not start this med at all.

It is wrong to say that healthcare providers and investigators know everything about Tramadol. This unique medication is still being clinically tested. For instance, Tramadol proves to be effective and safe in surviving diabetic neuropathy, post-herpetic neuralgia, fibromyalgia, restless leg syndrome, Anti-Depressant withdrawal aid (especially for Venlafaxine or Effexor), migraine headache, obsessive-compulsive disorder and premature ejaculation.

You will be amazed to find out that Tramadol is one of the most reliable and useful pills available to veterinarians for treating animals in pain. So, Tramadol may be used to cure post-operative, injury-related, and chronic pain in dogs, cats and other mammals. It is less ruinous than some non-steroidal anti-inflammatory substances that may be dangerous for animals. Tramadol dosage for animals for sufficient analgesia is 1-4 mg/kg. Overdosing can be lethal!

Pregnancy and breastfeeding Tramadol warning: please, do not forget that Tramadol is extremely dangerous for the unborn baby! According to Food and Drug Administration classification it is a FDA pregnancy category C med that must not be taken by pregnant women unless the potential benefits of Tramadol outweigh the serious risks!

If the future mother takes the drug during pregnancy, Tramadol causes severe and even fatal side effects in newborn babies including neonatal withdrawal. Tramadol is known to pass into breast milk that is not you should not breastfeed your nursing baby if you follow the course of Tramadol therapy!

The common adverse effects of Tramadol include:

- nausea and vomiting, constipation, diarrhea, indigestion;
- sweating;
- drowsiness (less than with natural opioids);
- dizziness, fatigue;
- headache;
- dry mouth;
- seizures (very seldom in less than 1% of patients).

Please, bear in mind that almost 71% of all Tramadol patients experience some of the side effects listed above!

Tramadol withdrawal symptoms are also rather severe. They are typical for patients who followed the course of Tramadol therapy for a long time taking high amounts of the med. People who took Tramadol as general pain relief can experience uncontrollable nervous tremors and muscle contracture if they gave up the med too abruptly. Anxiety and other similar sensations are also possible when you stopped Tramadol. Some patients develop respiratory depression common for opioid withdrawal. Some docs underline negative effects of opioids on cognitive functioning and personality.

As you can see, Tramadol is a wonderful way out if you are in pain, but it can become ruinous if you take in too long and in large doses. If you keep asking yourself where can I get Tramadol online, please, make an appointment with your physician to find out the safest way of taking and stopping Tramadol before swallowing the first tablet. Think twice! Maybe you can do without any opioids at all?