Action Dose, Indication Contraindication Side Effect Nursing Consideration

frequency
& route

Brand Name: A centrally acting 50mg /tab For moderate to -Contraindicated in CNS: dizziness, • Reassess patient’s
synthetic q8 PO moderately patients vertigo, headache, level of pain at least 30
Ultram, Ultram analgesic severe pain hypersensitive to somnolence, CNS minutes after
ER compound not drug or other stimulation, administration
chemically opioids, in asthenia, anxiety, • Monitor CV and
related to opioids. breastfeeding confusion, respiratory status.
Generic Thought to bind women, and in those coordination Withhold dose and
Name: to opiate with acute disturbance, notify prescriber if
receptors and intoxication from euphoria, respirations decrease
tramadol inhibit reuptake alcohol, hypnotics, nervousness, or rate is below 12bpm
of centrally acting sleep disorders, • Monitor bowel and
nonrepinephrine analgesics, opioids, seizures, malaise bladder function.
and serotonin or psychotropic CV: vasodilation Anticipate need for
drugs. Serious EENT: visual laxative
hypersensitivity disturbances • For better
reactions can occur, GI: nausea, analgesic effect, give
usually after the first constipation, drug before onset of
dose. Patients with vomiting, intense pain.
history of dyspepsia, dry • Monitor patients at
anaphylactic reaction mouth, diarrhea, risk for seizures. Drug
to codeine and other abdominal pain, may reduce seizure
opioids may be at anorexia, threshold.
increased risk. flatulence
- Use cautiously in GU: urine
patients at risk for retention, urinary
seizures or frequency,
respiratory menopausal
depression; in symptoms,
patients with proteinuria
increased intracranial Muskuloskeletal:
pressure or head hypertonia
injury, acute Respiratory:
abdominal respiratory
 conditions, or renal depression
or hepatic Skin: pruritus,
impairment; or in diaphoresis, rash
patients with
physical dependence
on opioids.

Brand Name:

Ultram, Ultram
ER

Generic
Name:

tramadol