It has become a popular choice for both. It has become a popular choice for both acute and chronic pain. All patients had fractures, sprains, strains, or contusions resulting from minor trauma, and were judged not to require parenteral analgesia. On a point visual analog pain scale, both groups rated initial pain at The pain score in the tramadol group decreased to 54 at one hour, then plateaued.
Methods: A randomized, prospective, double-blind clinical trial was conducted in an urban teaching emergency department with an annual census of 41, Participants comprised a convenience sample of 68 adult ED patients with acute musculoskeletal pain caused by minor trauma.
Thirty-three patients received tramadol mg , and 35 patients received hydrocodone-acetaminophen 5 mg hydrocodone with mg acetaminophen. Children who take either of these medications are at risk of life-threatening breathing problems, addiction, overdose, and death. Women who are pregnant or who plan to become pregnant should not take tramadol or hydrocodone.
Taking these medications or other opioids during pregnancy can cause life-threatening health problems in the baby after birth. Women who are breastfeeding should also avoid taking opioids, including tramadol and hydrocodone, as the baby can receive unsafe levels of these drugs through breast milk.
Occasionally, tramadol or hydrocodone can cause severe side effects that require emergency medical attention, including:. Tramadol and hydrocodone can have dangerous interactions with other medications and substances. These interactions can increase the risk of life-threatening side effects, such as breathing problems and coma. They can also be fatal. It is crucial for a person to tell a doctor about all the medications and supplements that they are taking before using tramadol or hydrocodone.
Drinking alcohol or taking illicit drugs while taking tramadol or hydrocodone can cause dangerous or fatal side effects. Other medications and supplements that can cause adverse interactions with tramadol and hydrocodone include:. When medicines combine tramadol or hydrocodone with acetaminophen, there are other interactions to consider. For example, taking additional acetaminophen with the medication can lead to liver damage. Other medications, vitamins , and supplements can also cause dangerous effects when people take them with hydrocodone or tramadol, so it is essential that people make a doctor aware of everything that they are taking.
Taking these medications at the wrong dose or for an extended period can lead to addiction and overdose. People should see a doctor if pain is interfering with their daily life and OTC pain relievers are not providing relief. A doctor can recommend a suitable treatment to help control the pain. If a woman takes tramadol or hydrocodone during pregnancy, the baby may experience severe withdrawal symptoms after birth. These symptoms may include extreme irritability, high-pitched crying, shaking, vomiting, diarrhea, unusual sleep patterns, and lack of weight gain.
People who think that they may be addicted to an opioid medication should seek medical help. They can also call the U. A range of treatments is available to help a person stop taking opioids safely and minimize withdrawal symptoms. Seek emergency medical care if a person who has been taking opioids shows signs of overdose, such as:. If a person has overdosed on opioids, call or the local emergency services number and give them naloxone, if it is available.
Naloxone is a medication that can reverse an opioid overdose. It is available at some pharmacies. While prescription opioids, such as tramadol and hydrocodone, are useful for severe pain and some types of cough, people should take them with caution and only as a doctor advises. It is vital to be aware of the possible side effects and risks and to seek medical attention when necessary. People should ensure that they keep all opioid medications away from children.
When they are no longer taking the medicine, they should dispose of it at an approved medication disposal site.
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