Guest guest Posted March 29, 2006 Report Share Posted March 29, 2006 ULTRAM® is a centrally acting synthetic opioid analgesic. Although its mode of action is not completely understood, from animal tests, at least two complementary mechanisms appear applicable: binding of parent and M1 metabolite to µ-opioid receptors and weak inhibition of re-uptake of norepinephrine and serotonin. Opioid activity is due to both low affinity binding of the parent compound and higher affinity binding of the O-demethylated metabolite M1 to µ-opioid receptors. In animal models, M1 is up to 6 times more potent than tramadol in producing analgesia and 200 times more potent in µ-opioid binding. Tramadol-induced analgesia is only partially antagonized by the opiate antagonist naloxone in several animal tests. The relative contribution of both tramadol and M1 to human analgesia is dependent upon the plasma concentrations of each compound (see CLINICAL PHARMACOLOGY, Pharmacokinetics). Tramadol has been shown to inhibit reuptake of norepinephrine and serotonin in vitro, as have some other opioid analgesics. These mechanisms may contribute independently to the overall analgesic profile of ULTRAM. Analgesia in humans begins approximately within one hour after administration and reaches a peak in approximately two to three hours. Apart from analgesia, ULTRAM administration may produce a constellation of symptoms (including dizziness, somnolence, nausea, constipation, sweating and pruritus) similar to that of other opioids. In contrast to morphine, tramadol has not been shown to cause histamine release. At therapeutic doses, ULTRAM has no effect on heart rate, left-ventricular function or cardiac index. Orthostatic hypotension has been observed. http://www.ortho-mcneil.com/html/comi/products.jsp Not an MD I'll tell you where to go! Mayo Clinic in Rochester http://www.mayoclinic.org/rochester s Hopkins Medicine http://www.hopkinsmedicine.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 30, 2006 Report Share Posted March 30, 2006 Thanks, . Ultram and Tramodol are the same thing, right? Maybe the fact that Tramodol doesn't cause histimine release is the reason it doesn't give me headaches, while percocet does. > > ULTRAM® is a centrally acting synthetic opioid analgesic. Although its mode > of action is not completely understood, from animal tests, > at least two complementary mechanisms appear applicable: binding of parent > and M1 metabolite to µ-opioid receptors and weak > inhibition of re-uptake of norepinephrine and serotonin. > > Opioid activity is due to both low affinity binding of the parent compound > and higher affinity binding of the O-demethylated metabolite > M1 to µ-opioid receptors. In animal models, M1 is up to 6 times more potent > than tramadol in producing analgesia and 200 times > more potent in µ-opioid binding. Tramadol-induced analgesia is only > partially antagonized by the opiate antagonist naloxone in > several animal tests. The relative contribution of both tramadol and M1 to > human analgesia is dependent upon the plasma concentrations > of each compound (see CLINICAL PHARMACOLOGY, Pharmacokinetics). > > Tramadol has been shown to inhibit reuptake of norepinephrine and serotonin > in vitro, as have some other opioid analgesics. These > mechanisms may contribute independently to the overall analgesic profile of > ULTRAM. Analgesia in humans begins approximately > within one hour after administration and reaches a peak in approximately two > to three hours. > > Apart from analgesia, ULTRAM administration may produce a constellation of > symptoms (including dizziness, somnolence, nausea, > constipation, sweating and pruritus) similar to that of other opioids. In > contrast to morphine, tramadol has not been shown to cause > histamine release. At therapeutic doses, ULTRAM has no effect on heart rate, > left-ventricular function or cardiac index. Orthostatic > hypotension has been observed. > > > http://www.ortho-mcneil.com/html/comi/products.jsp > > > > > Not an MD > > I'll tell you where to go! > > Mayo Clinic in Rochester > http://www.mayoclinic.org/rochester > > s Hopkins Medicine > http://www.hopkinsmedicine.org > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 30, 2006 Report Share Posted March 30, 2006 Yes, Ultram is a brand name. There are others and different formulations. Ultram = tramadol hydrochloride Not an MD I'll tell you where to go! Mayo Clinic in Rochester http://www.mayoclinic.org/rochester s Hopkins Medicine http://www.hopkinsmedicine.org [ ] Re: INFO - Ultram (tramadol hydrochloride) Thanks, . Ultram and Tramodol are the same thing, right? Maybe the fact that Tramodol doesn't cause histimine release is the reason it doesn't give me headaches, while percocet does. > > ULTRAM® is a centrally acting synthetic opioid analgesic. Although its mode > of action is not completely understood, from animal tests, > at least two complementary mechanisms appear applicable: binding of parent > and M1 metabolite to µ-opioid receptors and weak > inhibition of re-uptake of norepinephrine and serotonin. > > Opioid activity is due to both low affinity binding of the parent compound > and higher affinity binding of the O-demethylated metabolite > M1 to µ-opioid receptors. In animal models, M1 is up to 6 times more potent > than tramadol in producing analgesia and 200 times > more potent in µ-opioid binding. Tramadol-induced analgesia is only > partially antagonized by the opiate antagonist naloxone in > several animal tests. The relative contribution of both tramadol and M1 to > human analgesia is dependent upon the plasma concentrations > of each compound (see CLINICAL PHARMACOLOGY, Pharmacokinetics). > > Tramadol has been shown to inhibit reuptake of norepinephrine and serotonin > in vitro, as have some other opioid analgesics. These > mechanisms may contribute independently to the overall analgesic profile of > ULTRAM. Analgesia in humans begins approximately > within one hour after administration and reaches a peak in approximately two > to three hours. > > Apart from analgesia, ULTRAM administration may produce a constellation of > symptoms (including dizziness, somnolence, nausea, > constipation, sweating and pruritus) similar to that of other opioids. In > contrast to morphine, tramadol has not been shown to cause > histamine release. At therapeutic doses, ULTRAM has no effect on heart rate, > left-ventricular function or cardiac index. Orthostatic > hypotension has been observed. > > > http://www.ortho-mcneil.com/html/comi/products.jsp > > > > > Not an MD > > I'll tell you where to go! > > Mayo Clinic in Rochester > http://www.mayoclinic.org/rochester > > s Hopkins Medicine > http://www.hopkinsmedicine.org > Quote Link to comment Share on other sites More sharing options...
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