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Antram (Tramadol)
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Antram

Antram is a centrally-acting opioid agonist and SNRI (serotonin/norepinephrine reuptake inhibitor) used for the management of moderate to severe pain in adults. Antram is a centrally acting synthetic opioid analgesic and SNRI (serotonin/norepinephrine reuptake-inhibitor) that is structurally related to codeine and morphine.

Other names for this medication:
Acuvin, Anazac, Armadol, Bramadol, Cemadol, Dolmeri, Dolocet, Dolodol, Kamadol, Kevtram, Leedol, Meridol, Midol, Mobiya, Mydol, Nictram, Novadol, Ondol, Orchidol, Oshdol, Painadol, Radol, Rybix, Ryzolt, Tacil, Tamody, Tramabit, Tramagesic, Tramataur, Tramazol, Tramdop, Tramol, Trandy, Trazac, Tridol, Ultracon, Ultraspas, Ultrax

Similar Products:
Vasotec, Lodine, Symmetrel, Adipex, Benicar, Kamagra, Rocaltrol, Crestor, Rhinocort, Intagra, Imped, Danilon, Dylock, Obelit, Bromotin, Obimet, Molazol, Asthasol, Rivotril,

Also known as: Tramadol

Description

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

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

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

Dosage

Follow the directions on your prescription label and read all medication guides. Never use Antram ER in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to take more of Antram ER.

Never share Antram ER with another person, especially someone with a history of drug addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medicine where others cannot get to it. Selling or giving away this medicine is against the law.

Stop taking all other opioid medications when you start taking Antram ER.

Antram ER can be taken with or without food, but take it the same way each time.

Swallow the capsule or tablet whole to avoid exposure to a potentially fatal overdose. Do not crush, chew, break, open, or dissolve.

Measure liquid medicine with the supplied syringe or a dose-measuring device (not a kitchen spoon).

Never crush or break a Antram ER pill to inhale the powder or mix it into a liquid to inject the drug into your vein. This practice has resulted in death.

You may have withdrawal symptoms if you stop using Antram ER suddenly. Ask your doctor before stopping the medicine.

Store at room temperature away from moisture and heat. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.

Do not keep leftover Antram ER. Just one dose can cause death in someone using it accidentally or improperly. Ask your pharmacist where to locate a drug take-back disposal program. If there is no take-back program, mix the leftover medicine with cat litter or coffee grounds in a sealed plastic bag throw the bag in the trash.

Detailed Antram ER 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 the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Detailed Antram dosage information

Side effects

The most common side effects associated with Antram 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

You should not take Antram ER if you are allergic to it, or if you have:

severe asthma or breathing problems; a stomach or bowel obstruction (including paralytic ileus); if you have recently used alcohol, sedatives, tranquilizers, or narcotic medications; or if you have used an MAO inhibitor in the past 14 days (such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine).

Antram ER should not be given to a child younger than 12 years old. Antram ER should not be given to anyone younger than 18 years old.

Do not give Antram ER to anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids.

Seizures have occurred in some people taking Antram ER. Your seizure risk may be higher if you have ever had:

a head injury, epilepsy or other seizure disorder; drug or alcohol addiction; or a metabolic disorder.

Tell your doctor if you have ever had:

breathing problems, sleep apnea; liver or kidney disease; urination problems; problems with your gallbladder, pancreas, or thyroid; a stomach disorder; or mental illness, or suicide attempt.

If you use Antram ER during pregnancy, your baby could be born with life-threatening withdrawal symptoms, and may need medical treatment for several weeks.

Ask a doctor before using Antram ER if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.

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Several lines of evidence suggest that micromere signaling plays a key role in endo-mesoderm differentiation along the animal-vegetal (A-V) axis in sea urchin embryos. Thalidomide, because of its potent antiinflammatory and immunomodulatory properties, is being re-evaluated in several clinical fields. Periampullary choledochoduodenal fistula in ampullary carcinoma. Simple first aid and tetanus prophylaxis where appropriate are all that is required. The merits of a parallel genetic algorithm in solving hard optimization problems. To investigate the association between season of birth and psychosis, and to assess whether any association is caused by seasonal fluctuations in foetal growth or other related exposures. The effect on blood coagulation of the exclusive use of transfusions of frozen red cells during and after cardiopulmonary bypass. Sequential temporal differences of infrared transmittance spectra from the radiation intensity (I(lambda)) emerging from a fingertip containing an arterial pulse component (DeltaI(lambda)) are analysed.

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Proton nuclear magnetic resonance studies on hemoglobin: cooperative interactions and partially ligated intermediates. Although syndrome X does not result in an increased risk of cardiovascular mortality, the symptoms are often troublesome and unresponsive to conventional antianginal therapy. On the other hand dye tracers are more convenient for rapid visible indication of their arrival whereas activable tracers require collection and removal to a neutron source, such as a reactor, for indication. All 10 patients had aneurysmal degeneration of the adjacent descending thoracic aorta and 7 had aneurysms of the nonaberrant subclavian artery that required treatment. TGF-beta(1) and EGF protein levels were determined by immunocytochemistry. The entrance time increases sharply when the capillary diameter decreases or when the capillary is constricted by a pinch. We found that not only mocha homozygotes but also other littermates in the inbred strain are blind due to severe defects in both rod and cone photoreceptors on electroretinogram recordings. However, it is not clear whether CD80/CD86 molecules are involved in the pathogenic autoantibody production specifically or in the polyclonal antibody production in human SLE. Second trimester uterine artery Doppler ultrasound as a screening test for adverse pregnancy outcome.

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Poly(D,L-lactide-co-glycolide) (PLGA) solutions in poly(ethyleneglycol)600 (PEG600), N-methyl-2-pyrrolidone (NMP) and poly(ethyleneglycol)500 dimethylether (PEG500DME) as a novel solvent, were investigated as suitable for use in injectable in situ forming depots (ISFD). Seizure control of Gamma Knife radiosurgery for non-hemorrhagic arteriovenous malformations. It makes it possible to visualise in a non-destructive manner the sediments and the water-sediment interface. PEG 3350 is an effective and well-tolerated treatment choice for pediatric constipation, especially as an adjunct to education and behavioral training. Local surgical excision is most often performed for either carcinoma in situ or microinvasive lesions of the anal margin. Syncope and arrhythmias: role of the electrophysiological study. Theoretical study of the methylbenzene side-chain hydrocarbon pool mechanism in methanol to olefin catalysis.

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To compare two methods of assessing a change in stroke volume in response to fluid challenge: esophageal Doppler and thermodilution with the pulmonary artery catheter. Factors associated with pelvic floor dysfunction with emphasis on urinary and fecal incontinence and genital prolapse: an epidemiological study. Nerve growth factor (NGF) is known to promote both the survival of cholinergic neurons after injury and the regeneration of damaged cholinergic axons. Systemic inhibitory effects can be demonstrated from tumor-re-challenged experiments on mice which received 3 rounds of double-gene EGT. Thus, the negative regulation of the PI3-kinase pathway on endothelial tissue factor activity can be explained at least in part by a suppression of this MAP kinase-signaling pathway. The mammalian tooth develops through sequential and reciprocal interactions between cranial neural crest (CNC)- derived ectomesenchymal cells and the stomadial epithelium. The FAE dimethylfumarate (DMF) strongly suppresses chemokine production in human keratinocytes and peripheral blood mononuclear cells. Shared HLA class II-associated genetic susceptibility and resistance, related to the HLA-DQB1 gene, in IgA deficiency and common variable immunodeficiency. Ordinary psychotropic pharmacotherapy was not effective sufficiently and hormonal therapy was tried in these 10 cases.

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Indications and complications of percutaneous endoscopic gastrostomy. The possible role of palmitoyl-CoA in the regulation of the adenine nucleotides transport in mitochondria under different metabolic states. In addition, intravenous injection of kinetin (4 and 6 mg/kg) significantly prolonged the bleeding time by approximately 1.9- and 2.1-fold as compared with normal saline in severed mesenteric arteries of rats. The advantages of the method employed in animal experiments are described. We propose a model which describes how mobile, endosome-like elements of the pre-Golgi compartment function in the generation of the compositional and functional boundary between the widely distributed ER and the more centrally located Golgi stacks. With the formation of gastric pit/gland invaginations, the proliferative cells are mostly confined to the basal half or third of the gastric pit/gland unit, both in the regio glandulae propriae and in the regio glandulae pyloricae. The inverse relationship between methodological quality score and the benefit of SDD on the incidence of pneumonia may have resulted in overly optimistic estimates of SDD in prior meta-analyses. Coherent control of phonons probed by time-resolved x-ray diffraction. We discuss these differences in frequency difference limen, and relate them to different echolocation strategies. In addition, downregulation of Oct-4 was accompanied by increased expression of the endoderm-associated genes Gata6 and alpha-fetoprotein, and a gene trap associated with primitive liver/yolk sac differentiation.

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Pharmacokinetic-interaction study of didanosine and ranitidine in patients seropositive for human immunodeficiency virus. The stable over-expression or knockdown of TGR in TGR-deficient NIH3T3 or TGR-abundant TM4 Sertoli cells, respectively, revealed that TGR enhances the transcriptional activity of RAR by increasing its DNA-binding capacity and restores RAR activity after impairment by reactive oxygen species (ROS). Neurite outgrowth from cochlear neural explants grown on the conducting polymer was equivalent to that on tissue culture plastic but significantly improved with the incorporation of NT-3 and BDNF. Cardiovascular disease is the leading cause of mortality in westernized countries. We conclude that hand trajectory invariance can be produced in an external spatial (experiment 1) or an internal trunk-centered (experiment 3) frame of reference.

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Intraoperative quick intact parathyroid hormone (iPTH) assay (IOPTH) has become a valuable adjunct in parathyroid surgery reliably predicting cure from hyperparathyroid state. There is room for improvement in the ease of access to important information, especially the diagnostic assessment, and the time taken for final reports to reach the general practitioner. The molar tooth pulps of 16 SD rats were surgically exposed and left open to permit infection from the oral environment. We suggest that this method has the potential to predict language deficits in patients undergoing ATLR. The demographics of fertility-related behavior of youth ages 10-18 are reviewed. Statistics is a methodology involving a great number of statistical methods. The diagonalization bottleneck of traditional SCF methods is avoided by carrying out a minimization of the Roothaan-Hall (RH) energy function and solving the Newton equations using the preconditioned conjugate-gradient (PCG) method.

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PAI-2 levels were significantly lower after the 30th GW in patients with PIH and PE. Seasonal variations of nitrogen and phosphorus retention in an agricultural drainage river in East China. This presentation shows the normal sonographic sections and then variations of these sections and the associated anomalies. Adjuvant therapy, mainly radiotherapy, was used in selected malignant cases. The initial half-times of disappearance of the alpha- and beta-subunits of hLH were measured in two normal men and found to be 15-18 min, respectively. Furthermore, dopamine modulates long-term potentiation, a putative cellular mechanism underlying plasticity. Fifty isogroup pools of two plasmas were made from 100U of plasma that were derived from whole blood products that had previously been held overnight. Often, how patients cope with chronic stress is a common underlying factor in the outcome of both dental and systemic illnesses.

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Is there an inherent limit to the efficacy of calcitonin gene-related peptide receptor antagonists in the acute treatment of migraine?. Sequence and methylation in the beta/A4 region of the rabbit amyloid precursor protein gene. The WMRF performed more accurately than the MRF and FCM (SMF: 92.66, 92.15, and 89.22, r2 : 0.92, 0.90, and 0.84, respectively) and achieved higher reproducibility than the MRF, SPOT, and SCANALYZE (MAE: 497, 1215, 1180, and 503, CV: 0.88, 1.15, 0.93, and 0.90, respectively). Principal component analysis (PCA) was applied to observe clusters of similar compounds. Due to the diagnosis revealed and the subsequent radiotherapy, patients with uveal melanoma experienced a reduced quality of life. A pair of prototype right-angle reduction forceps was designed and manufactured specifically to improve the consistency and ease of fracture reduction.

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Administrative and survey data were collected from a sample of enrolled families. Cardioplegic arrest of the heart or exposure to cardioplegic solution in vitro (7 degrees or 37 degrees C) did not alter endothelium-dependent relaxation of epicardial coronary artery segments in response to adenosine diphosphate or acetylcholine (10(-9) to 10(-4) mol/L). To assess the impact of menopause, age, and other factors on quality of asacol reviews life (QOL). Monte Carlo modeling of electron scattering in nonconductive specimens. A new diagnostic approach in patients with type 2 macular telangiectasia: confocal reflectance imaging.

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Although the use of morphological characteristics as predictors of oocyte quality is controversial, such a grading system can provide valuable information for the preselection of oocytes with higher developmental competence and, therefore, may maximise embryo developmental outcome. Two human insulin formulations (regular and biphasic) from three different manufacturers were stored at 5 different temperatures. Anxious temperament appears to be a double-edged sword that may facilitate early detection but not subsequent behavioral or emotional adjustment to T2DM. Arthritis due to albenza pediatric dosage pinworm Mycobacterium kansasii in a woman with human immunodeficiency virus infection. In vitro differentiation of haustorial mother cells of the wheat stem rust fungus, Puccinia graminis f. Some invasive breast carcinomas acquire metastatic potential and may cause the death of the patient.

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Kinetics of the Treponema immobilization reaction under improved conditions. We predict these sites may form a functional variant-specific epitope that evolves under selective pressure from the host immune response and gives rise to antibody escape mutants. Different roles for basic and aromatic amino acids in conserved region 2 of Escherichia coli sigma(70) in the nucleation and maintenance of the single-stranded DNA bubble in open RNA polymerase-promoter complexes. COX-2 was intensely expressed in the epithelial cells of mice vas deferens and nimesulide was able to effectively suppress most of COX-2 expression. It changes its hybridization from sp2-like in the planar case to sp3-like in the transition state. Adaptation changes of metabolism in the human organism during the year are studied in interrelation with functioning of cardiovascular system. Sexual reproduction predominates among organisms mainly because most evolutionary change is concentrated in speciation events, and asexual species cannot speciate in the normal sense. Acute pancreatitis was induced by intraductal glycodeoxycholate and intravenous cerulein infusion.

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At 2-15 min after dosage, ibuterol is more rapidly absorbed from the respiratory tract than terbutaline, but later (15-35 min), absorption of ibuterol is about the same as terbutaline. Using polysulfon fibers, a new bioartificial liver was developed. An epidemic of acute, disseminated toxoplasmosis caused 30 per cent mortality and an apparent 100 per cent morbidity in a captive colony of squirrel monkeys (Saimiri sciureus). SSI is associated with detriment to patient and graft survival following renal transplantation. The implications of these observations are discussed with respect to the ability of a cloned parasite line to express distinct antigenic variants in vivo. Posterior capsule rupture, vitreous loss, best corrected visual acuity (BCVA), intraocular pressure (IOP) in the pre- and postoperative periods and postoperative IOL decentration were recorded. Stem cells, radial glial cells, and a unified origin of brain tumors. A total of 6917 British/Irish white employed mothers with singleton babies. Current and previous sunlight exposures were associated with a higher risk of developing pterygium, with odds ratios of 3.54 and 4.52, respectively. We report two cases of a large-cell neuroendocrine carcinoma of the skin as a distinct histological category.

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Further studies on brain gamma-aminobutyric acid metabolism after administration of pyridoxine to vitamin B-6-deficient suckling rats. In order to solve the above-mentioned problem, Lichtenberger introduced the injection of Bioplastique into the perivalvular tissues. The prognostic usefulness of the determinations of serum IgM, C3 and C4 complement components and circulating immune complexes in early diagnostic of alcoholic liver disease was demonstrated. These results indicate that at least two patterns of MTL delay period activation-sustained and anticipatory-are present during performance of short-delay recognition memory tasks, providing novel evidence that multiple processes govern task performance. Nitric oxide (NO) may be involved in some psychiatric disorders like schizophrenia, depression and bipolar affective disorder (BPAD). QSAR study for the soybean 15-lipoxygenase inhibitory activity of what is the highest dose of zyrtec organosulfur compounds derived from the essential oil of garlic. These findings could help develop effective education and enforcement strategies to enhance occupant safety.

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