Showing posts with label tramadol. Show all posts
Showing posts with label tramadol. Show all posts

Tramadol use in treatment of Pain

Tramadol is used to treat moderate to moderately severe pain . The extended release from of Tramadol is for around the clock treatment of pain.
    Tramadol is an opioid  analgesic which has two different mechanisms of action(MOA). 1.By binding to  μ-opioid receptors.  2.By inhibiting re-uptake of serotonin and norepinephrine ( Neurotransmitters which play important role in mood ).When administered Tramadol is metabolized to O-desmethyltramol which is significantly more potent opioid .
               It's analgesic effect initiates 1 hour after oral administration and reaches to peak effect in 2 to 4 hours . Common adverse effects include diziness, nause,vertigo,constipation , headache,vomitting, somnolance.
      Tramadol is first  developed and marketed as "Tramal"by Grunenthal GmbH ,a German company in 1977 .It is now available with brand names Conzip,Rybix,Ryzolt,Ultram,Ultram ER,ODT.

Dosage:
Tablets 50 mg - Immediate release
Tablets 100,200,300 mg -Extended release
Capsules 100,200,300 mg-Extended release

Chemistry of Tramadol:
Structure:
Tramadol stereoisomers
IUPAC Name:2-[(Dimethylamino)methyl]-1-(3-methoxyphenyl)cyclohexano

Moleuclar Forumula:C16H25NO2

Molecular weight:263.4

Mechanisam of action: Tramadol acts by binding to μ-opioid  receptors and also by inhibiting reuptake  of serotonin and norepinephrine .