The analgesic effectiveness and safety of oral tramadol were compared with standard analgesics using a meta-analysis of individual patient data from randomised controlled trials in patients with moderate or severe pain after surgery or dental extraction. Calculation of %maxTOTPAR from individual patient data, and the use of > 50%maxTOTPAR defined clinically acceptable pain relief. Number-needed...

Tramadol, a broadly used opioid in recent years, is an effective analgesic agent for the treatment of moderately severe acute or chronic pain. The liver and kidneys are responsible for the metabolism and excretion of opioids, which may cause hepatotoxicity and nephrotoxicity. The present study was designed to evaluate the toxic effects of tramadol on the liver and kidney of experimental rats. T...

Children represent a vulnerable population in which management of nociceptive pain is complex. Drug responses in children differ from adults due to age-related differences. Moreover, therapeutic choices are limited by the lack of indication for a number of analgesic drugs due to the challenge of conducting clinical trials in children. Furthermore the assessment of efficacy as well as tolerance ...

The present study was carried out to evaluate the role of Nigella sativa Linn (NsL) oil against subacute tramadol-induced hepatotoxicity, nephrotoxicity as well as oxidative stress in adult male albino rats. Sixty adult male albino rats were divided into four groups. Group I: control group; 30 rats equally subdivided into: Ia; -ve control group, Ib; +ve control group received saline, Ic; +ve co...

The aim of this study was to evaluate the efficacy, potency and side effects of clonidine as compared to tramadol in post spinal anaesthesia shivering. In this double blind comparative study, 90 American Society Anaesthesiologists grade I & II patients aged between 18-35 years scheduled for elective LSCS under spinal anaesthesia who subsequently developed shivering intra operatively were select...

Propofol is frequently associated with pain on injection. We evaluated the effect of tramadol in a randomised, double-blind study using a tourniquet venous retention technique. Normal saline placebo was given intravenously to patients in Group 1 (n = 30),tramadol 50 mg to Group 2 (n = 30), and lignocaine 50 mg to Group 3 (n = 30). The venous retention of drugs was maintained for 1 minute, follo...

In this paper, a novel chemiluminescence (CL) method for the determination of tramadol has been developed by combining the flow injection technique and its sensitizing effect on the weak CL reaction between sulfite and acidic KMnO4. A mechanism for the CL reaction has been proposed on the basis of fluorescent and CL spectra. Under the optimized conditions, the proposed method allows the measure...

Jun 9, 2010. Effects of repeated tramadol and morphine administration on two doses of oral tramadol (50, 200 mg, 4 times/day) in a within subject crossover design. among conditions in DSST accuracy, simple reaction time, divided . c. (Oxycodone). 3. Major Opioids. a. Morphine b. Fentanyl c. Hydromorphone. Critics point out that the distinctions between Ste 2 and Step 3 opioids are artificial,. ...

Objective: Tramadol is a synthetic analgesic with two mechanisms. The opioid and non-opioid mechanisms are responsible for tramadol side effects. Non-opioid side effects of tramadol are due to the reuptake inhibitions of serotonin and norepinephrine. Some of the side effects include anaphylactoid reactions, CNS depression, hypoglycemia, hypotension, respiratory depression, seizures, and seroton...