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Acema (Tramadol)

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Acema is used for the management of pain in adults. Although it's a little weaker than other opioids, it can still be addictive and habit-forming. Acema is available as both an immediate-acting tablet and an extended-release tablet.

Other names for this medication:
Acema, Acupain, Adamon, Antram, Arrestadol, Avdol, Axedol, Decotram, Didol, Dolex, Eltram, Ivydol, Jpdol, Madol, Ondol, Opiran, Orchidol, Painadol, Paintrol, Postadol, Ramadol, Ryzolt, Simol, Tamody, Taxidol, Traceta, Tramabit, Tramadex, Tramafen, Tramak, Tramataur, Tramospas, Tramot, Tranat, Trapidol, Trasic, Trectadol, Tromar, Trydol, Typhon, Veeradol, Xidol, Xtram, Zytram

Similar Products:
Asacol, Neurontin, Colcrys, Colospa, Lunesta, Sporanox, Claritin, Crestor, Celebrex, Prometrium

Also known as: Tramadol


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

{name} is used to treat moderate to severe pain in adults.

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


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) Acema: 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:

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

Detailed Acema dosage information


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.


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 Acema Dividose dosage information

Side effects

The most common side effects associated with Acema 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.


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

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

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Effectiveness of psychotherapy and combination treatment for chronic depression. Alterations in human placental 11beta-hydroxysteroid dehydrogenase type 1 and 2 with gestational age and labour. More recent advances in coronary bypass graft surgery techniques, both off- and on-pump, and analysis of prospective and retrospective data have shown a clearly improved survival rate in patients undergoing coronary bypass graft surgery and the persistence of a durable result. The effect of thermally induced stress what drug can replace atenolol relaxation was modeled as a simultaneous change in the cartilage mechanical properties and reduction of strain occurring within irradiated spots according to the heating history. Within the former, four patterns of pain distribution could be indentified, and the latter were sub-divided according to severity, history, and neurological involvement. It is argued that these two factors may initiate vicious circles which could lead to the death of myocardial cells and thus to myocardial infarction. A33scFv-green fluorescent protein, a recombinant single-chain fusion protein for tumor targeting. In 100 preparations it has been stated that with reference to the operation of sphincteroplasty, the main vascular-nervous fasciculus should be considered the one, which composition includes posterior branches of the obturative arteries, veins and nerve. the adhesive potential to intact enamel of recently introduced all-in-one adhesives was inferior to that of an etch-and-rinse system. Reply about review in clinical observation at back-rotation traction in treating external humeral epicondylitis.

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Effects of angiotensin II receptor antagonists on insulin resistance syndrome and leptin in sucrose-fed spontaneously hypertensive rats. Four members of a family presenting with sinus bradycardia, a short P-R interval, intraventricular conduction defects, recurrent supraventricular tachycardia (SVT), syncope, and cardiomegaly had His bundle studies and were found to have markedly shortened A-H intervals (30 to 55 msec.) with normal H-V times (35 to 50 msec.). Anti-C1q was recorded at the first visit and at the time of flare. No significant MSUV changes occurred in ROIs contralateral to Raprl-DBS. Six to 12 h after estradiol injection, the amplitude and area under the curve (AUC) of the GH pulses were markedly increased. Irradiation with 750 or 100 eV electrons leads to 2-butanol desorption and partial conversion to butanone, as indicated by the appearance of a peak at 1709 cm(-1).

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Impact of a clinical pharmacist-enforced intensive care unit sedation protocol on duration of mechanical ventilation and hospital stay. Eighteen patients were studied prospectively who underwent a laparoscopic esophagogastric devascularization procedure for variceal hemorrhage. The pattern of labelling was similar in both hyperplastic glands and adenocarcinomas. Significantly more injuries involved a tackle from the side and a lateral or medial tackle force. Finally, functional bench test results for the system are presented. As shown by its capacity to form a covalent complex via Schiff can you mix zyrtec with cold medicine base, XRCC1 binds AP sites. PMMoV was detected in four out of six seawater samples collected near point sources of secondary treated wastewater off southeastern Florida, where it co-occurred with several other pathogens and indicators of fecal pollution. This is the largest and most thorough study to assess the incidence of vestibular disorders and their correlation with hearing thresholds in children with CMV. Naming, blaming, and claiming in public disputes: the 1998 Maine referendum on civil rights protection for gay men and lesbians. Nowadays, patients with symptomatic heart failure and intraventricular conduction delay can be treated with a cardiac resynchronization therapy.

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