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Accupain (Tramadol)
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Accupain

Accupain is used to relieve moderate to moderately severe pain. Accupain is in a class of medications called opiate (narcotic) analgesics. It works by changing the way the brain and nervous system respond to pain.

Other names for this medication:
Acuvin, Admadol, Armadol, Arrestadol, Bestodol, Bolodol, Cosdol, Damol, Dolodol, Dolstar, Domaspas, Kamadol, Mandol, Meridol, Movon, Nobligan, Nomadol, Novadol, Ospidol, Painadol, Paintrol, Paxmax, Pentazen, Ramadol, Rimol, Rybix, Ryzolt, Sayodol, Siatram, Soztram, Supridol, Tandam, Taxidol, Tramache, Tramadex, Tramex, Tramol, Tramot, Tranat, Tranzat, Trasic, Tremtec, Typhon, Ultracon, Unidol, Victadol, Xidol, Xtram, Zotadol

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Paxil, Ilosone, Antabuse, Benemid, Sildigra, Adalat, Feldene, Duphaston, Tevafen, Cevirin, Ecsit, Amidez, Clominex, Cefuroxime, Budeprion, Biwom,

Also known as: Tramadol

Description

Accupain (tramadol) is a pain medicine similar to an opioid. It acts in the central nervous system (CNS) to relieve pain.

Accupain is used to treat moderate to severe pain in adults.

The extended-release form of tramadol (Accupain ER) is for around-the-clock treatment of pain. Accupain ER is not for use on an as-needed basis for pain.

Dosage

Usual Adult Dose for Pain:

Adults (17 years or older): 50 to 100 mg orally every 4 to 6 hours as needed for pain -For patients not requiring rapid onset of analgesic effect: Initial dose: 25 mg orally once a day; titrate in 25 mg increments every 3 days to reach a dose of 25 mg four times a day; thereafter increase by 50 mg as tolerated every 3 days Maximum dose: 400 mg per day.

Usual Adult Dose for Chronic Pain:

Extended-Release (ER): 18 years or older (tramadol-naive): 100 mg orally once a day -Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions -Maximum Dose: 300 mg/day For patients CURRENTLY receiving Immediate-Release (IR) Accupain: Initial Dose: Calculate 24-hour IR requirement and initiate with a total daily ER dose rounded down to the next lowest 100 mg increment orally once a day Conversion from OTHER Opioids: Discontinue all other around the clock opioid drugs prior to initiating therapy -Initial dose: 100 mg ER orally once a day -Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions -Maximum Dose: 300 mg/day.

Usual Geriatric Dose for Pain:

Dose selection should be cautious generally starting at the low end of the dose range Over 75 years: Maximum dose of Immediate-release: 300 mg per day.

Usual Geriatric Dose for Chronic Pain:

Dose selection should be cautious generally starting at the low end of the dose range Over 75 years: Maximum dose of Immediate-release: 300 mg per day.

Usual Pediatric Dose for Pain:

Accupain is not recommended for use in pediatric patients 17 years or older: See Adult Dose.

Detailed Accupain dosage information

Overdose

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose can be fatal, especially in a child or other person using the medicine without a prescription. Overdose symptoms may include severe drowsiness, pinpoint pupils, slow breathing, or no breathing.

Your doctor may recommend you get naloxone (a medicine to reverse an opioid overdose) and keep it with you at all times. A person caring for you can give the naloxone if you stop breathing or don't wake up. Your caregiver must still get emergency medical help and may need to perform CPR (cardiopulmonary resuscitation) on you while waiting for help to arrive.

Anyone can buy naloxone from a pharmacy or local health department. Make sure any person caring for you knows where you keep naloxone and how to use it.

Storage

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) away from moisture, light and heat. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Accupain are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.

Contraindications

Do not drink alcohol. Dangerous side effects or death could occur.

Avoid driving or hazardous activity until you know how this medicine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.

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The interactive role of income (material position) and income rank (psychosocial position) in psychological distress: a 9-year longitudinal study of 30,000 UK parents. Published studies during the past year about three topics important to the pediatric clinician-- immunizations, neonatal jaundice, and animal-induced injuries-are concisely reviewed. Neural crest cells have been studied intensively over the past 30 years, and it is increasingly apparent that their fate is, at least in part, directed extrinsically by the environment to which they are exposed in vivo. With this new method, it should be possible to measure simultaneously the activation of multiple different kinases in a single cell, enabling the quantitative dissection of signal transduction pathways. We found no clear evidence that Cisapride reduces symptoms of GOR. Triggered release due to environmental pH is evaluated as a method for release targeting. The high prevalence of asthma in pediatric patients underscores the need for effective and safe treatment in this population. Auriculo-condylar syndrome: further evidence for a new disorder. From five cell lines that exhibited low invasive ability, we selected two that had very little CCND2 expression (SCC9 and SCC15), to evaluate whether CCND2 gene transfer would increase the invasive behavior. cayetanensis infection, the duration of which ranged from 6 to 60 days.

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Response of intracranial pressure to nursing interventions is inconsistent. Role of PKR and Type I IFNs in viral control during primary and secondary infection. Moreover, using the Wada test it is possible to make long term forecasts about the cognitive outcome and about the control of seizures. These results demonstrate the different responses of one insect species to two widely distributed plant flavonoids. The increasing occurrence of forest ecosystem degradation is a serious problem in tropical and subtropical regions. Low socioeconomic status (low education and income level) has been found to be associated with increased stroke mortality. Conservation tillage (CT) has been recognized as an advanced agricultural technology that may reduce drought and improve the physical condition of soils worldwide. The conversion of cholesterol to coprostanol and the concentration of urobilinogen and trypsin were significantly reduced in comparison with healthy persons.

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