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Ramax (Tramadol)

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Ramax is a strong painkiller used to treat moderate to severe pain. It is generally used when non-opioid painkillers don't work as well to control the pain anymore. Ramax may cause drowsiness. You shouldn't drive or use heavy machinery or perform dangerous activities until you know how this drug affects you.

Other names for this medication:
Adamon, Antram, Avdol, Axedol, Bestodol, Cadol, Cradol, Dolmeri, Dolocet, Dolotram, Doltel, Esgiypyrin, Ibudol, Inodol, Jpdol, Kamadol, Lagesic, Movon, Neutram, Painadol, Pentazen, Radol, Ramadol, Servodol, Siatram, Simol, Standol, Tandam, Topspas, Traceta, Tragesic, Tramacon, Tramadex, Tramasol, Tramazol, Tramex, Trandy, Trasic, Trydol, Typhon, Ultraspas, Urogendo, Vegadol, Xidol

Similar Products:
Sumycin, Dostinex, Amethopterin, Keflex, Trandate, Paxil

Also known as: Tramadol


{name} ER is an pain medicine similar to an opioid. This medicine is used to treat moderate to severe pain.

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


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

Never share Ramax 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 Ramax ER.

Ramax 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 Ramax 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 Ramax 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 Ramax 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 Ramax ER 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 at room temperature between 15 and 30 degrees C (59 and 86 degrees F) away from moisture and heat. Keep in a tightly closed container. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Ramax 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.


You should not take Ramax 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).

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

Do not give Ramax 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 Ramax 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 Ramax 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 Ramax ER if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.

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Perturbation of liver microsomal calcium homeostasis by ochratoxin A. We compare our findings to those in 21 previously reported AGK mutation-positive Sengers patients, confirming that Sengers syndrome is a clinically recognisable disorder of mitochondrial energy metabolism. The brain strategies we use to perceive the world are constantly modified by experience. A set of sensitivity analyses was performed in order to account for sources of systematic uncertainty. The disease may often be prevented and tetracycline has proved effective. The HHC relapse after a medical and surgical treatment is considered a complication of the disease as well as the infection, breakup or other complications.

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In contrast to other digestive enzymes secreted by the pancreas that are activated by proteolysis in the intestine, GP2 undergoes sequential intracellular cleavage. It has been suggested that the use of pure-cut electrosurgical current for endoscopic sphincterotomy may reduce the risk of post-ERCP pancreatitis. Similar to mucosal responses, serum IgG, IgG1, and IgG2a antibody titers were the highest in the group treated with pIL2-encapsidated VLP. In the thymic medullary PVS, S1P lyase was expressed in ER-TR7-positive cells (reticular fibroblasts and pericytes) and CD31-positive vascular endothelial cells. Evaluation of cell viability in chromosomally heterogeneous cell populations. Surprisingly, wound closure in HO-2 KO mice was accompanied by an inflammatory response comparable to WT mice. Brooding rumination and risk for depressive disorders in children of depressed mothers.

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Isolation of Mycoplasma genitalium from patients with urogenital infections: first report from the Latin-American region. This paper develops an initial understanding of how the volatile odorous chemicals and their relative concentrations produced are related to the total odor quality from the process by their odor threshold concentrations and odor signatures. However, one study demonstrates its potential to improve depressive symptoms over time and the other, though nonsignificant, suggests it has a prophylactic effect. Is extracellular volume expansion of peritoneal dialysis patients associated with greater urine output?. The average dose for a scan depended not only on the administered activity and isotope but also on the amount of patient contact required. This article analyses dose measurement and effective dose estimation of dental CBCT examinations.

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The VEGF pathway plays irreplaceable roles during angiogenesis, but how other signals cross-talk with and modulate VEGF cascades is not clearly elucidated. These findings suggest that conceptual processing is a context-dependent process that incorporates motor-related knowledge in a flexible manner. Relationship between intrinsic activity of beta-adrenoceptor agonist and amount of spare receptors in guinea pig taenia caecum. The biological meaning of follicular development is to free fertilizable oocytes at the time of ovulation. Differential modulation of baroreflex control of heart rate by neuron- vs. Peak II demonstrated strong GtH activity in both murrel and carp but this activity could also be detected in peak I and III of carp. For T2, the lowest and the highest mean temperature increases of 2.62 degrees C and 4.39 degrees C where recorded for the carbide and diamond burs, respectively.

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Evoked neuronal activity and reperfusion to the ischemic area also showed a gradual recovery in protected animals. Justification of the significance of Pseudomonas aeruginosa index in assessing the quality of drinking water. The objectives of this study were to determine whether outcomes for patients at one and five years after AMI treated with first-ever percutaneous coronary intervention (PCI) were the same for public and privately funded patients. Kidney transplantation threshold in patients with hepatitis C: a decision analysis model. The resulting RahESCs have 21 chromosomes, express pluripotency markers, differentiate into three germ layer cells, and contribute to the germline. The glutamate synapse in the crayfish appears relatively resistant to these drugs. We scoped the psychological stresses by means of mental tasks as an experimental model of techno-stress.

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Prospective validation of Baveno V definitions and criteria for failure to control bleeding in portal hypertension. To understand the function of TG2 in GPR56-mediated melanoma inhibition, we performed xenograft studies in immunodeficient Tg2(-/-) mice. Perhaps somewhat surprisingly, DEF rats were not more susceptible to seizure induction and showed similar levels of seizure-induced hippocampal histopathology, GAD expression loss, upregulated hippocampal GFAP and growth factor expression, and increased dentate cell and neuronal proliferation as that seen in CON rats. After intercellular adhesion, formation of adherens junctions triggers the formation of E-cadherin-EGFR complexes, correlating with EGFR transactivation. The endogeneous techniques are particularly attractive for the pediatric population, where they can be utilized before dysfunctional patterns of brain behavior become consolidated and further elaborated into clinical syndromes. No right of appeal against GMC finding of serious professional misconduct without suspension or erasure. The results support a transfection model in which endosomal release, mediated by fusion with the endosomal membrane, results in cytoplasmic translocation of the nucleic acid payload. The extensive nature of these infiltrations resulted in grossly apparent nodular foci in the lung, lymphoid tissue and myocardium which were suggestive of a lymphoproliferative disorder. An outbreak of nodavirus infection in turbot larvae is described with respect to histopathology, immunohistochemistry, cell culture cultivation, RT-PCR amplification and sequence analysis of the capsid protein gene RNA2. Sixty-one patients over 65 years of age with type 2 diabetes and 53 age- and sex-matched non-diabetic controls were enrolled.

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The effects of a combination of nomifensine and clobazam (HOE 8476) were compared, on a variety of psychometric measures, with those of its separate monosubstances in a placebo controlled double-blind study with twelve normal volunteers. There were 96 patients referred to a primary care psychologist by their primary care physician. Three minimally invasive surgical methods of left ventricular lead placement are outlined in this article, including specific indications and limitations. Collectively, these data are the first demonstration that NMDARs in RSC are necessary for the retrieval of remote and recent memories of fear-evoking contexts. Although renal blood flow often declines during treatment with beta-blocking drugs, in many cases it is possible to demonstrate relative or absolute vasodilation in the kidney. It has been suggested that this hypervolaemia and blood dilutional effect of endurance training may be advantageous for heat dissipation and greater cardiac stroke volume and lower heart rates during exercise. The energy required to detach a single particle from a fluid-fluid interface is an important parameter for designing certain soft materials, for example, emulsions stabilised by colloidal particles, colloidosomes designed for targeted drug delivery, and bio-sensors composed of magnetic particles adsorbed at interfaces. Concurrent intra-arterial chemoradiotherapy and concurrent systemic chemoradiotherapy were administered in 51 and 33 patients, respectively. Immediate postoperative barium studies following laparoscopic antireflux operations are of little value in determining important postoperative problems among patients undergoing LAO. First, they grow in the characteristic cobblestone morphology of epithelial cells.

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The role of brainstem and limbic structures in regulation of sexual behavioural patterns. This combination of lesions emphasizes the possibility of a common pathogenetic mechanism causing different degrees of media disruption in cervicocranial arteries. The sum total ROA score represents a measure of cartilage abnormalities within each patient. Accumulation of lung fluid in the critically ill patient is believed to attenuate impedance cardiac output (CO(IC)) measurements. The pain-free period after the tonsillotomies was similar between the two techniques and ranged up to three days. This large population-based cohort study demonstrated that patients in Taiwan with previous chronic rhinosinusitis are at greater risk of developing the adenocarcinoma subtype of lung cancer. levaquin antibiotic mayo clinic We analysed CEA, GalNAc-T, MUC-1, c-MET and hTERT mRNA expression in the stomach cancer cell lines and tissues, lymph nodes and peripheral blood of stomach cancer patients using RT-PCR. Infusion of the alpha 1-adrenoceptor blocker prazocin (80 micrograms/min), the alpha 2-adrenoceptor blocker yohimbine (15 micrograms/min) or the non-selective alpha-adrenoceptor blocker phentolamine (15 micrograms/min) during 50 min increased plasma insulin levels by about 1.5-2.5 ng/ml. Overall, these clinical trials show the benefit of aromatase inhibitors in the prevention setting, longer duration of tamoxifen in the adjuvant setting for premenopausal women, and new biologic agents with hormonal therapies.

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To systematically review the observational evidence concerning the effect of screening on breast cancer mortality in actual populations of women ages 50-69 years. Fixed-dose enoxaparin after bariatric surgery: the influence of body weight on peak anti-Xa levels. The Appalachian Preceptorship: over two decades of an integrated clinical-classroom experience of rural medicine what type of drug is ceclor and Appalachian culture. The effect of bromocriptine on the intermediate lobe of the rat pituitary: an electron-microscopic, morphometric study. Is ureteral stenting necessary after uncomplicated ureteroscopic lithotripsy?. In a sample of 195 first-year college students, we found that ACOA status had a unique effect on both alcohol consumption and alcohol-related consequences. Two cases of children who died during the inhalation of superheated steam in a closed room are reported. This encourages further development and evaluation of the full MSP1 block 2 polyvalent hybrid protein as a candidate blood-stage component of a malaria vaccine. An alternative to statin monotherapy is coadministration of a statin and a second agent that has a different mechanism of action. Neonatal ventilation strategies and long-term respiratory outcomes.

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Initially liver morphology of chronic destructive non-suppurative cholangitis (CDNC) is rather atypical. We report a novel single-molecular rupture mechanism revealed by direct sampling of the dominant pathway using a self-optimized path sampling method. dubliniensis to human BEC, these findings support the establishment of this novel species as a clinically significant yeast. We identified 18 inhibitors, of which the majority was common for both tamoxifen- and fulvestrant-resistant cell lines. The results indicate the ability of this method for synthesis of new reagent in nano size and improve quality of in situ chemical oxidation. Adjuncts for pain management in lumbar decompressive surgery are needed to reduce narcotic consumption and promote early mobility. Knowledge management, implemented well, will transform the health care delivery system over the next few decades, into a more cost-effective, error-averse, and accountable public resource. This has been achieved through the construction of gene regulatory networks from the limited data sources and literature via an efficient computation method. Three column thoracic osteotomy xanax drug action (TCTO) is effective to correct rigid thoracic deformities, however, reasons for residual postoperative spinal deformity are poorly defined. There was no difference between the histopathological changes between IP, IRCi and IPCi groups.

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