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Dolmeri (Tramadol)
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Dolmeri

Dolmeri is an oral medication that is used to help relieve ongoing moderate to moderately severe pain. Dolmeri is similar to opioid (narcotic) analgesics. It works in the brain to change how your body feels and responds to pain.

Other names for this medication:
Accupain, Adamon, Armadol, Arodol, Avdol, Bludol, Contradoc, Cormadol, Cosdol, Decotram, Didol, Dolex, Drobit, Esgiypyrin, Hyperdol, Ibudol, Lagesic, Medol, Midol, Moludol, Nobligan, Nomadol, Nopidol, Opidol, Opiran, Redimol, Rybix, Servodol, Stemadol, Taxidol, Traceta, Tramabit, Tramacip, Tramacon, Tramadex, Tramasol, Tramazac, Tramest, Tramex, Tramoflex, Trampar, Trapain, Trapidol, Trasic, Trofel, Vardol, Victadol, Zotadol, Zytram

Similar Products:
Furadantin, Arava, Strattera, Symmetrel, Cipro, Propecia, Geodon, Amaryl, Ceclor, Stanlip, Myofen, Bronchilet, Topspas, Hvpocid, Servodol,

Also known as: Tramadol

Description

Dolmeri 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.

Dosage

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) Dolmeri: 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:

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

Detailed Dolmeri dosage information

Overdose

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.

Storage

Store at room temperature between 15 and 25 degrees C (59 and 77 degrees F) away from moisture and heat. 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 Dolmeri 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.

Contraindications

You should not take Dolmeri if you are allergic to tramadol, 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).

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

Do not give Dolmeri to anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids.

Seizures have occurred in some people taking Dolmeri. 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.

To make sure Dolmeri is safe for you, 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 tramadol 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 tramadol if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.

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Clinical evaluation of the effect of a proteolytic enzyme mouthwash on plaque and gingivitis in young adults. The alga contained five quinones, i.e., plastoquinone A, plastoquinone C, plastoquinone D, alpha-tocopherylquinone, and ubiquinone-9. Loss of Smad5 leads to the disassembly of the apical junctional complex and increased susceptibility to experimental colitis. These data refute the original hypothesis that inhibitory short-looped feedback of circulating LH governs the timing of subsequent LH discharges in ovariectomized sheep. PGA/HA biomaterial seems to be well suited for cell-free and cell-based regenerative treatment strategies in spinal surgery. Schistosomiasis mansoni, haematobia, and japonica in hamsters: liver granuloma measurements. On the other hand, there was a significant rise in the plasma cortisol during the oral examination with a pre-entry rise in blood sugar and a fall in alpha-amino nitrogen. With this drug, however, no enzyme release was detected at less than lethal doses nor did adenosine have any protective potential against the toxicity of anthramycin. Studies on urinary DOPAC in man by means of a sensitive automated procedure. Obesity-related adjunctive systo-diastolic ventricular dysfunction in patients with hypertension: echocardiographic assessment with tissue Doppler velocity and strain imaging.

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Tanshinone IIA inhibits miR-1 expression through p38 MAPK signal pathway in post-infarction rat cardiomyocytes. Uric acid is discussed as an agent promoting the calcium oxalate crystallization. The correlation coefficient between the increase in SVI and the baseline of IVC variation after an IV fluid was 0.710, and receiver operating characteristic (ROC) curve was 0.85. The effect of thyrotoxicosis upon the recurrence of manic-depressive psychoses has been studied by the use of a routine follow-up system. Mechanical properties of achilles tendon in rats induced to experimental diabetes. At the extracerebral level, melatonin regulates intestinal motility in rats. MRI Markers Predict Cognitive Decline Assessed by Telephone Interview: The Northern Manhattan Study. In its role as a transcription factor, the AR directly affects the expression of several effectors and regulators of essential catabolic and biosynthetic pathways. PPARalpha activator fenofibrate modulates angiotensin II-induced inflammatory responses in vascular smooth muscle cells via the TLR4-dependent signaling pathway. The effect of pretreating rats with 3-methylcholanthrene upon the enhancement of microsomal aniline hydroxylation by acetone and other agents.

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To detect the occurring and developing patterns of multiple organ damage in patients dying from acute decompensated heart failure (ADHF). Here, we describe the isolation, evolution, and structure of a broad-spectrum human monoclonal antibody (mAb), MEDI8852, effectively reacting with all influenza A hemagglutinin (HA) subtypes. The importance of the immunological diagnosis in severe bacterial and mycotic infection during early infancy has been emphasized. MR-guided LTA produces a better survival in patients with HCC than would be expected in untreated patients, and has a mean survival in patients with metastases at least equal to the longest median survival in untreated patients. CT scans from 122 patients who had undergone urodynamic study for lower urinary tract symptoms (LUTS) were registered after exclusion of patients with renal or retroperitoneal disease. The isolate was susceptible to imipenem, aminoglycosides, rifampin, and fluoroquinolones. Histochemical study of pancreatic islet cells in alloxan diabetic rabbits, with reference to glycogen metabolism. ePTFE as an alloplastic material has gained popularity in Asian augmentation rhinoplasty. Proceedings: Vectorcardiographic study of right bundle-branch block with left axis deviation. These results indicate a potential clinical role of CAD in mammography for the detection of breast cancer.

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Mesocolic lymph node histology is an important prognostic indicator for patients with carcinoma of the sigmoid colon: an immunomorphologic study. Distribution of injected 14C-diethylstilbestrol in the chicken and laying hen. Impact of technology overlapping: a case study on colorectal cancer screening. We gave the first genome-wide picture of ATP-dependent chromatin remodeling-histone modification interactions. The rationale of surgery under hypothermia in certain patients with severe hepatocellular disease. Erythromycin and clindamycin resistance and telithromycin susceptibility in Streptococcus agalactiae. Cortical effect of alphaprodine and of chlorpromazine during thiopental narcosis. In this paper, we report the synthesis and optical properties of Fe(III) doped CdS nanobelts (NBs) via simple Chemical Vapor Deposition (CVD) technique to explore their potential in nano-optics. The unfavorable outcomes were defined as myocardial infarction, acute renal failure, worsening respiratory insufficiency necessitating tracheostomy, or death within 30 days of surgery. All patients except one were treated with prednisone and/or azathioprine.

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Results obtained by the two methods were significantly correlated. Nanometric emulsions encapsulating solid particles as alternative carriers for intracellular delivery. Despite clear heterogeneity in the characteristics of comparable trials, pooling of data was undertaken where possible and appropriate. Eleven consecutive patients with BrS referred to 2 academic medical centers underwent combined epicardial-endocardial electroanatomic mapping. Our aim was to estimate the levels of plasma amino acids in chronic pancreatitis patients and study their relationship with disease characteristics as well as exocrine and endocrine insufficiency. Report on compound dislocation of the elbow with entrapment of the brachial artery.

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Increased glomerular filtration rate in patients with major burns and its effect on the pharmacokinetics of tobramycin. Decreased Xrn2 or Senataxin levels produced only a modest release from termination. Introduction of rubella-containing-vaccine to Madagascar: implications for roll-out and local elimination. Previous research findings on the interaction between drugs and microwave radiation were extended to chlorpromazine and to diazepam. Most of the TaLRKs consisted of a trans-membrane domain and predicted to be localized in the plasma-membrane. Data are grouped into the fifth neurontin maximum dose per day , fiftieth, and ninety-fifty percentiles according to body surface area. Hereditary recurrent cholestasis with lymphoedema--two new families.

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Purpura fulminans in a child with combined heterozygous prothrombin G20210A and factor V Leiden mutations. Ultrasound evaluation of diaphragmatic excursion and thickness at end inspiration could be a good predictor of extubation outcome in patients who passed SBT. SET9 expression levels were significantly higher in samples from patients with pathological complete remission than in samples from patients with disease recurrence, which indicates that SET9 acts as a tumor suppressor in breast cancer and that its expression may serve as a prognostic marker for malignancy. Molecular identification of coliform bacteria from colicky breastfed infants. Technic of hepatetectomy and lavage through isolation perfusion of the swine liver. Quantitative expression level of 209 selected genes was assessed using real-time reverse-transcription polymerase chain reaction in 14 cases of FNH and compared with their expression level in 13 cases of liver cirrhosis, 4 adenomas, and 15 hepatocellular carcinomas. Photolabile derivatives of bile acids (8-10 and 13) were synthesized via silver (I) oxide promoted selective etherification of 3alpha-hydroxyls.

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