السلام عليكم ورحمة الله وبركاته
ازيكم يا جماعة .................. هل ممكن تقبلوا هذه المشاركة ؟
ولكن عذرا .............. فانا لا استطيع صوغ مشكلة بطريقة مقبولة او وضع اسئلة محفزة جميلة مثلكم زملائي الاعزاء
ولكننى اريد ان يعلم الجميع عن هذا الدواء وينتبهوا له جيدا للانني قابلت حالتين تعرضا له
الدواء اسمه Tramadol
الحالة الاولي:
في راوند النفسية و العصبية جاء مريض وزوجته في الاربعينات من عمره.قصته انه كان يعاني من ضعف جنسي , وكعادة معظم الشعب (وهذا ليس ذنبهم وحدهم بل نحن الاطباء مشاركون بالنصيب الاكبر فيه) لجا لسؤال الاصدقاء
ودله صديق السوء علي دواء علي هيئة نقط اسمه Tramadol فتناوله مرة بعد مرة حتي وجد نفسه قد ادمن هذا الدواء(behavioral changes, tolerance, increased sleeping )هذا ما اتذكره
كان بالفعل لا يعلم ان هذا الدواء يؤدي للادمان ولم يكن يتعاطي حتي السجائر ولا اريد ان اخبركم الوظيفة المحترمة اللتي يعمل بها والتي لا يمكن ان يتجه صاحبها للادمان بارادته ابدا. وهذا يدل علي ان اي شخص نقابله معرض لهذة الخدعة ايضا
ز وما ان اكتشف ذلك حتي اسرع الي المستشفي يريد العلاج من الادمان.
الحالة الثانية:
في قسم الcardiology الداخلي مريض اخر في الاربعينات ايضا يعاني من ischemic heart disease
personal history:
fisherman , addict to all drugs you know and don't know heavy smoker
complaint:
acute onset of chest pain and severe drowziness of one day duration
present history:
the condition is preceeded in this day by ingestion of 11 drops of Tramadol (prescribed ) for him by his (good) friends for sexual dysfuntion
he didn't take any other drugs this day and this was the first and the only time to take it.
iin the first case the dotors in psychiatry clini told us that this drug is converted in the body into morhine - like substance
i gathered some info on it
But couldnt search for pictures or trade name in Egypt(but the patients both told me the name Tramadol)l
اتمني ان تفيدكم مشاركتي (علي قد حالها يعني)
وان اري مشاركاتكم للتعرف علي هذا الدواء وكيف يحصل عليه المريض بهذه السهولة ( نسيت اسال المريضين)
GENERIC NAME: tramado
l
BRAND NAME: Ultram
DRUG CLASS AND MECHANISM: Tramadol is a man-made (synthetic) analgesic (pain reliever). Its exact mechanism of action is unknown but similar morphine. Like morphine, tramadol binds to receptors in the brain (opioid receptors) that are important for transmitting the sensation of pain from throughout the body to. Tramadol, like other narcotics used for the treatment of pain, may be abused. Tramadol is not a nonsteroidal antiinflammatory drug (NSAID) and does not have the increased risk of stomach ulceration and internal bleeding that can occur with NSAIDs.
PRESCRIPTION: Yes
GENERIC AVAILABLE: Yes
PREPARATIONS: Tablets (immediate release): 50 mg. Tablets (extended release): 100, 200, and 300 mg.
STORAGE: Store at room temperature, 15-30°C (59-86°F). Store in a sealed container.
PRESCRIBED FOR: Tramadol is used in the management of moderate to moderately severe pain. Extended release tablets are used for moderate to moderately severe chronic pain in adults who require continuous treatment for an extended period.
DOSING: The recommended dose of tramadol is 50-100 mg (immediate release tablets) every 4-6 hours as needed for pain. The maximum dose is 400 mg/day. To improve tolerance patients should be started at 25 mg/day, and doses may be increased by 25 mg every 3 days to reach 100 mg/day (25 mg 4 times daily). Thereafter, doses can be increased by 50 mg every 3 days to reach 200 mg day (50 mg 4 times daily). Tramadol may be taken with or without food.
Recommended dose for extended release tablets is 100 mg daily which may be increased by 100 mg every 5 days but not to exceed 300 mg /day. Extended release tablets should be swallowed whole and not crushed or chewed.
DRUG INTERACTIONS: Carbamazepine reduces the effect of tramadol by increasing its inactivation in the body. Quinidine (Quinaglute, Quinidex) reduces the inactivation of tramadol, thereby increasing the concentration of tramadol by 50%-60%. Combining tramadol with monoamine oxidase inhibitors (for example, Parnate) or selective serotonin inhibitors [(SSRIs, for example, fluoxetine (Prozac)] may result in severe side effects such as seizures or a condition called serotonin syndrome.
Tramadol may increase central nervous system and respiratory depression when combined with alcohol, anesthetics, narcotics, tranquilizers or sedative hypnotics.
PREGNANCY: The safety of tramadol during pregnancy has not been established.
NURSING MOTHERS: The safety of tramadol in nursing mothers has not been established.
SIDE EFFECTS: Tramadol is generally well tolerated, and side effects are usually transient. Commonly reported side effects include nausea, constipation, dizziness, headache, drowsiness, and vomiting. Less commonly reported side effects include itching, sweating, dry mouth, diarrhea, rash, visual disturbances, and vertigo. Some patients who received tramadol have reported seizures. Abrupt withdrawal of tramadol may result in anxiety, sweating, insomnia, rigors, pain, nausea, diarrhea, tremors, and hallucinations. [/left]
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السبت يناير 17, 2009 12:54 pm
