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Online Pharmacy Tramadol - Ordering Tramadol From An Online Pharmacy

tramadol preparations ordering tramadol online

Tramadol, also called Ultram in the United States, is a synthetic narcotic analgesic prescribed for treating moderate to moderately severe pain in adults. It has been used to manage chronic and post-operative pain since the late 1970s. In 2008, 26.6 million prescriptions for Tramadol were dispensed from pharmacies throughout the United States.

Though tramadol is designated as a Schedule IV drug under Arkansas and Kentucky state law, and the Military Pain Act of 2008 requires it to be treated as a controlled substance when dispensed through pharmacies on military bases, it is not a federally controlled substance. Tramadol is widely available through a variety of online pharmacies. The Food and Drug Administration has, however, required manufacturers to inform physicians about recent tramadol abuse information and online pharmacy tramadol labeling has been updated to contain a warning that tramadol may induce physical and psychological dependence.

Tramadol’s Chemistry

The tramadol molecule is structurally akin to codeine, a narcotic also used to treat moderate to severe pain, and both compounds are metabolized similarly in the liver. However, tramadol’s closest chemical analogue is the antidepressant Effexor. Many physicians believe that tramadol is an effective antidepressive as well, and it has occasionally been prescribed in off-label use for depression as well as for the treatment of obsessive-compulsive syndrome and pre-mature ejaculation.

Tramadol’s Actions

Tramadol is most often prescribed as a means of managing the pain associated with chronic neuralgia. The medication is also commonly used by veterinarians for the management of chronic and post-operative pain in dogs, cats and other small mammals kept as pets. Tramadol has been prescribed for fibromyalgia, diabetic neuropathy, neuropathy following an outbreak of herpes zoster or shingles, restless leg syndrome and migraine headache, although the Food and Drug Administration has not specifically approved the drug for treatment of these conditions.

Tramadol depresses the central nervous system, and so should not be used in combination with alcohol, tranquilizers or any other substance that is also a central nervous system depressant. Tramadol should also never be taken in combination with selected serotonin reuptake inhibitors (SSRIs) like Prozac®, Zoloft®, Paxil®, or Luvox® since Tramadol demonstrates certain SSRI-like actions itself. For that reason, patients using tramadol have been known to experience severe anxiety and a heightened seizure threshold if the medication is abruptly stopped in addition to the other more common symptoms of opiate withdrawal including restlessness, elevated blood pressure, sweating, nausea, vomiting, pain, and insomnia. Patients who stop taking tramadol are always recommended to work with their doctors to wean themselves safely off the drug.

Tramadol is contraindicated for women who are pregnant or nursing.

Tramadol Preparations

Tramadol comes in a variety of different preparations including tablets, capsules, and intravenous injectables. When the drug is combined with acetaminophen it is called Ultracet. The recommended oral dose is 400 mg per day. Patients taking larger than recommended oral doses (700 mg) have experienced seizures. More typical tramadol side effects can include nausea, vomiting, seating, constipation, dry mouth and drowsiness.

In rare cases, tramadol has been linked to allergic reactions. Allergic reactions to tramadol include breathing difficulties including wheezing, skin rash including hives or swelling of the face or the inside of the mouth, and seizures.

Ordering Tramadol Online

Tramadol is widely available through a variety of online pharmacies. Some of these pharmacies will process existing prescriptions, and some of them work in conjunction with on-site physicians who review information prospective patients submit through an online medical history. After the tramadol prescription is approved by a physician, the medication order generally takes anywhere from between 24 hours to one week to be sent. Orders are generally delivered by FedEx. Online pharmacies take Visa and MasterCard credit cards and gift cards, and some of them will also deliver COD (cash on delivery.)

In recent months, some online tramadol pharmacy customers have reported that VISA will no longer process tramadol purchase transactions. It is thought that VISA may be responding to the warning letter the Food and Drug Administration submitted to Johnson and Johnson in May 2009 stating that a promotional website commissioned by the drug’s manufacturer, German pharmaceutical company Grünenthal GmbH, overstated the benefits of the medication and minimized its addictive risks. Visa has made no official announcement of any such policy however.

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