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Action Tramadol is a centrallyacting analgesic compound. At least 2 complementary mechanisms appear applicable, binding of parent and M1 metabolite to opioid receptors and weak inhibition of reuptake of norepinephrine and serotonin.
Side Effect nausea, dizziness and somnolence. Drowsiness Dry mouth Constipation Headache Sweating Vomiting Itching Rash Visual disturbances
Nursing Consideration
y
Patient Teachings y May be taken with or without food Tell patient thatdriving or operatingmachinery should beavoided until the effectof drug wears off. Instruct patient torepot cravings tophysician immediately. Inform client thatmedication may cause CNS depression and/orrespiratory depression,particula rly whencombined with otherCNS depressants
Instruct client to report anyadverse reaction to thephysician or nurse. Tellpatient that tolerance or drugdependence may result fromextended use (withdrawalsympto ms have beenreported); abruptdiscontinuatio n should be avoided.