Tramadol or Tramol is a morphine-like pain reliever. Tramadol or Tramol is not covered by the
Opium Act, in contrast to the slightly heavier opiates/opioids such as morphine and methadone.
Tramadol is a strong pain reliever depending on the dose and prescribed for severe pain, such as: after injury,
surgery, or from cancer. Also nerve pain and joint pain from osteoarthritis. It is occasionally
prescribed for premature ejaculation in case other medicines did not work. The time to effect depends on the
type you use. Capsules, dissolving tablets, effervescent tablets and drops work within 1 hour.
Suppositories work within 2 to 3 hours. The effect lasts 6 to 8 hours. Modified-release tablets and
capsules work for 12 hours. The once-daily tablets work for 24 hours. Use tramadol for as long as you
need it and on a regular schedule. For example, every 4 to 6 hours (regular capsules and tablets), every 12
hours or every 24 hours.
How to use
Ordinary Tramadol: take with half a glass of water. Do not chew or crush the granules contained therein, as this will inadvertently release all the active ingredient at the same time. The granules are made in such a way that they dissolve slowly so that they have fewer side effects and last longer. Opioids like tramadol have many side effects. Most
side effects are strongest in the first week and gradually disappear over time. Nausea,
constipation, vertigo (vertigo), excessive sweating and drowsiness (sedation) are common. Sometimes
delusions or hallucinations can occur. The trick is to dose in such a way that a good balance is achieved
between pain relief and side effects, with the expected build-up of tolerance in mind. As an indication, the
starting dose is usually between 50 and 100 milligrams depending on the severity of the pain and body
Tolerance occurs after long-term use of any opioid; over time, a higher dose is needed to achieve the
desired effect (usually analgesia) than in the beginning. Withdrawal from use of any opioid occurs. After
someone has "kicked off" once, the tolerance has disappeared, so the normal starting dose can be started
again the next time. Tramadol is slower and less effective than morphine, making it less interesting for