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Welcome to kimboapotheke pharmacy where you can Buy Tramadol Online. Buy Tramadol Online Without Prescription.Tramadol is a centrally acting synthetic opioid analgesic used orally and parenterally in pain management. The United States Food and Drug Administration (US FDA) has approved Tramadol for the management of moderate to severe pain. Tramadol has minimal sedation and respiratory depression and has less gastrointestinal effect. We are the best online store where you can Buy Tramadol Online.

It produces nausea, vomiting, dizziness, headache, somnolence, vertigo, seizures, etc. Concomitant use of Tramadol with CNS depressants should be avoided because Tramadol may potentiate the respiratory and CNS depressant effects of these drugs. There is an increase risk of convulsions in patient with epilepsy or history of seizures. It is contraindicated in patient receiving warfarin because it prolongs international normalized ration (INR) and prothrombin time and extensive ecchymoses.

The concomitant use of Tramadol and serotonergic agents (e.g. Mirtazipine, Selegiline, Venlafaxine etc) is contraindicated because of the risk of serotonin syndrome. It has also got significant drug abuse potential. In Nepal, Tramadol is available as 50 mg capsule and 100 mg controlled release tab. It is also available as 50 mg and 100 mg injection. The safety profile, contraindications, drug interactions and the economic parameters should be considered before prescribing Tramadol.

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Tramadol Online is a synthetic opioid analgesic and is chemically trans-2 (dimethylaminomethyl)-1-(m-methoxyphenyl)- cyclohexanol hydrochloride. It is a centrally active analgesic, which is used orally and parenterally for the relief of moderate to moderately severe acute or chronic pain, including postoperative, gynecologic and obstetric pain, as well as pain of various other organs, including cancer.

Tramadol Online is available as oral as well as parenteral dosage forms and is one of the commonly prescribed analgesics in the hospital settings. In this article, the authors review the drug profile of Tramadol in order to enhance the rational prescribing of this drug.

Contraindications: It is contraindicated in patients hypersensitive to Tramadol, intoxication with alcohol, hypnotics, centrally acting analgesics, opioids or psychotropic drugs. Contraindicated in patient receiving warfarin because it prolongs international normalized ration (INR) and prothrombin time and extensive ecchymoses.

The concomitant use of Tramadol and serotonergic agents (e.g. Mirtazipine, Selegiline, Venlafaxine etc) is contraindicated because of the risk of serotonin syndrome.

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Adverse effects: 1, 3 Best Online store where you can Buy Tramadol Online Without Prescription. Tramadol can produce common as well as serious adverse effects. Some of the common side effects include pruritus, constipation, diarrhea, nausea, vomiting, dizziness, headache, somnolence, vertigo. The serious side effects are postural hypotension (rare), syncope (rare), tachyarrhythmia (rare) anaphylactoid reaction, impaired cognition, seizure (at therapeutic dose range), hallucinations and dyspnea (rare).

It is also known to cause difficulty in concentration, paresthesia, suicidal tendencies, symptoms of serotonin syndrome (e.g. hyperreflex, fever, shivering, agitation, diaphoresis etc). These adverse effects are reported in less than 1% of patients receiving the drugs.

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