Identifying Fake / Real Tramadol

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Unfortunately, the sale of counterfeit drugs is on the rise. Selling fake drugs on the street and online is a multi billion dollar operation. Manufacturers and distributors are lining their pockets with money that has not been obtained in good faith. Tramadol is only one in a million examples of fake medication that is being sold illegally. This growing concern has lawmakers and law enforcers very upset.

Law enforcement is looking for ways to crack down on online pharmacies that participate in selling fake drugs to unsuspecting consumers. While some pharmacies are not legal there are some that are legal and consumers should complete a research of the company before buying a non prescription medication. Blind faith and blind trust is not an option in some cases.

Tramadol is a prescription pain that is widely brought and sold and often counterfeited. Buyers should educate themselves on what real Tramadol looks like VS what fake Tramadol looks like. Tramadol like other real or prescription medications has a visual imprint. The imprint is used to identify the name and manufacturer of the drug. Consumers who are attempting to identify a real tramadol from a fake one should run the imprint through a pill identifier.

Real Tramadol is used to treat backaches and other chronic pain on a continually basis. There are two type of prescription Tramadol; both pills are white in color. One has the imprint (AN 627) on one side, and is 9.00 mm in size. The other pill is has an “M” imprint on one side and another imprint “T7” on the other side; it is 8.00 mm in size. Both of these pills are round in size, 50 mg strength, and available by prescription only.

It may be difficult for some people to distinguish between the real deal and the fake pill. Knowing what a real Tramadol looks like should be enough knowledge to know when a fake Tramadol is being introduced. Look for the imprints. If it does not relieve pain and other unusual symptoms occur it is safe to assume that the medication is not what it claims.

Millions of people have been taken advantage of and have lost a considerable amount of money. It stands to reason that so many people are looking for pain medication at a lower price than what they are paying. Cheaper is not always better. Most counterfeit drugs can cause adverse health defects and may even cause death. Great attention and caution should be given to medications being sold on the open market without a prescription.

Consumers should educate themselves on the kinds of medication they are taking, and how to identify pills that are not real. Buying from reputable online pharmacies which are licensed to distribute these medications will help to ensure consumers are receiving the accurate drugs they have ordered. Companies that are not familiar, new, or have a bad reputation are sending out too many red flags; avoid these companies at all costs. Your life and health may depend on it.

How Does Tramadol Interact With Diabetes?

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Diabetics have to be cautious when taking any type of medication. This includes medications for relief of moderate to severe pain such as tramadol. The narcotic-like medication has been an effective pain reliever for nearly 40 years. The drug is generally safe for most diabetics to take, but some precautions need to be taken to ensure a safe experience with tramadol.

According to the American Diabetes Association, diabetics should discuss taking medications such as tramadol with their doctor. Some medications for diabetes cannot be mixed with tramadol or other similar medications. In some instances, medications a patient is currently taking may need to be altered in dosage.

It is also important for anybody taking tramadol to take the correct dosage amount at the correct times. Overdosing can be especially dangerous for diabetics. Signs of an overdose of tramadol may include shallow breathing, extreme fatigue, muscle weakness and slow heartbeat. Since tramadol suppresses the central nervous system, any signs of an overdose should be taken seriously.

Diabetics may notice more pronounced side effects with tramadol. Common side effects of tramadol include constipation, dizziness, dry mouth, diarrhea, increased sweating, mild itching, nausea, headache, trouble sleeping, weakness and vomiting. Diabetics should also be aware of potential cardiovascular side effects such as tachycardia and high blood pressure.

The risk of side effects is higher is all users of tramadol if more than the stated dosage is consumed on a regular basis. Some diabetics on tramadol have experienced vision issues, but this is often corrected with adjusted dosages. Diabetics planning to use tramadol on a long-term basis should check with their doctor.

Tramadol is meant to be taken over a long period of time for those using it for chronic pain relief. The medication does not behave in the same way other pain relievers act. It attaches itself to specific parts of the bloodstream in order to target the areas where it is needed. Diabetics should be closely monitored if tramadol is going to be taken for more than 90 days.

Most pain relievers do not conflict with common diabetic medications, but there are exceptions. Doctors usually require regular blood tests to make sure there are no issues with medications such as tramadol. If a dosage is missed, it should not be doubled. Either wait until the next required dosage time or take it as soon as possible if it is not too far past the dosage time. Alcohol should never be consumed with tramadol.

Most people taking medications such as tramadol who experience side effects report them within the first 45 to 90 days of taking such medications. If a diabetic who is taking tramadol notices any of the mentioned side effects, it is important to seek medical attention immediately and contact a doctor or trusted health care professional.

Who Invented Tramadol and What Are Their Other Claims to Fame?

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Tramadol, also found under the label names Rybix ODT, Ryzolt and Ultram, is a prescription analgesic medication used to treat moderate to severe pain. This medication is in a class of drugs known as opiates and include Demerol and morphine and works by altering the brain’s interpretation of pain. Because it is an opiate medication, Tramadol can be habit-forming however if taken as directed by a healthcare professional, Tramadol is generally safe and effective.

Potential side effects of Tramadol include fatigue, mood fluctuations and constipation. Most side effects are relatively mild and subside as your body becomes acclimated to the medication. Individuals taking this medication should exercise caution when operating heavy machinery and should avoid consuming grapefruit juice which can cause a serious interaction.

The manufacturer behind Tramadol is Ortho-McNeil-Janssen Pharmaceuticals, a pharmaceutical research and manufacturing company based in the United States. Ortho-McNeil-Janssen Pharmaceuticals’ primary emphasis is on developing medications used in pain management, acid reflux and infectious bacterial diseases.

Ortho-McNeil-Janssen Pharmaceuticals is responsible for the creation of several popular medications for pain management, aside from Tramadol. The widely used Duragesic patch is an opioid delivery dermal bandage that provides the medication fentanyl via slow absorption through the skin. The advantage to this method of delivery is that the medication is continuously provided to the patient and does not require regular consumption of medication in pill form.

In addition to Tramadol and Duragesic, Ortho-McNeil-Janssen Pharmaceuticals also produces combination pain medications that contain opiates including Tylenol with codeine, Tylox (oxycodone and acetaminophen) and a version of Ultram that also contains acetaminophen. Another medication this manufacturer offers is Parafon forte, a combination pain reliever that contains the muscle relaxer chlorzoxazone combined with acetaminophen. Finally, the company also manufacturers Nucynta (tapentadol), which is indicated for moderate to severe pain and affects both the ascending and descending neural pathways that create the sensation of pain. This is a unique action, in contrast to other opioid medications which only affect the ascending pathways.

In addition to medications intended for pain management, Ortho-McNeil-Janssen Pharmaceuticals also produces Aciphex (rabeprazole sodium). This medication is used to treat symptoms of heartburn and acid reflux and works by reducing the amount of stomach acid that reaches the esophagus. This action also helps to reduce erosion in the esophagus caused by continuous exposure to acid that can cause ulcers.

For the treatment of bacterial and fungal infections, Ortho-McNeil-Janssen Pharmaceuticals manufacturers injectable Doribax injectable antibiotic, Levaquin injectable antibiotic, Floxin tablets for ear infection, Nizoral antifungal cream, Sporanox antifungal capsules. The company was also the manufacturer of Propulsid, a popular medication used to treat stomach ulcers and acid reflux. Propulsid however, is no longer available for use in the United States.

http://www.aciphex.com/

http://www.nucynta.com/

http://www.ortho-mcneil.com/ortho-mcneil/shared/pi/duragesic.pdf#zoom=100

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000960/

Tramadol Pill Identification

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Tramadol (generic name: Tramadol Hydrochoride) is a synthetic opioid analgesic that acts by suppressing specific neurotransmitter pathways in the central nervous system. An example of a use would be treating chronic, moderate to severe, lower back pain.

Tramadol comes in three oral formulations: Tramadol hydrochloride (HCl), Tramadol HCl Extended-Release (ER), and Tramadol HCl/Acetaminophen. With extended release, peak blood concentrations are reached after 12 hours and steady-state levels are reached after four days of daily doses.

Tramadol is a water and alcohol soluble, crystalline white, odorless, and bitter powder. The three formulations are sold only as oral tablets. The Tramadol HCl and Tramadol ER tablets are white or off-white (grey), while the Tramadol HCl/Acetaminophen tablets are beige/yellow or orange/red. The shapes that the tablets come in are either round, elliptical/oval, or capsule-shaped, and the imprinting can be with black ink or without ink.

The available dosages are:
• Tramadol HCl: 50 mg
• Tramadol HCl Extended-Release: 100, 200, and 300 mg
• Tramadol HCl/Acetaminophen: 37.5 mg/325 mg

To assist with identification of Tramadol tablets the following table is organized by shape, then color, then imprinting. This information can then be used to find the formulation, dosage, manufacturer, and any trade names if they exist. Formulation abbreviations are “T” for Tramadol HCl, “T ER” for Tramadol HCl Extended-Release, and “T/A” for Tramadol HCl/Acetaminophen.

SHAPE COLOR IMPRINT INK DYE FORMULATION DOSE MANUFACTURER BRAND NAME
capsule-shaped beige/yellow 537 T/A 37.5/325 mg Caraco Pharm.
capsule-shaped beige/yellow 650 O-M T/A 37.5/325 mg Teva Pharm.
capsule-shaped beige/yellow AN 617 T/t 37.5/325 mg Amneal Pharm.
capsule-shaped off-white 7171 M T 50 mg Mallinkrodt Pharm.
capsule-shaped orange/red KALI 083 T/A 37.5/325 mg Par Pharm.
capsule-shaped white 377 T 50 mg Caraco Pharm.
elliptical/oval white 06 59 T 50 mg Ortho McNeil Ultram
elliptical/oval white 93 58 T 50 mg Teva Pharm.
elliptical/oval white APO TR 50 T 50 mg Apotex Corp.
elliptical/oval white PLIVA 616 T 50 mg Pliva Inc.
elliptical/oval white R714 T 50 mg Purepac Pharm.
round beige/yellow M P/T T/A 37.5/325 mg Mylan Pharm.
round beige/yellow P/T M T/A 37.5/325 mg Mylan Pharm.
round white 100 ER T ER 100 mg Ortho McNeil Ultram ER
round white 200 ER T ER 200 mg Ortho McNeil Ultram ER
round white 300 ER T ER 300 mg Ortho McNeil Ultram ER
round white 466 WATSON T 50 mg Watson Pharm.
round white AK 627 T 50 mg Akyma Pharm.
round white AN 627 T 50 mg Amneal Pharm.
round white cor 127 T 50 mg Akyma Pharm.
round white E 311 T 50 mg Sandoz Labs
round white G TI 50 T 50 mg Par Pharm.
round white M T7 T 50 mg Mylan Pharm.
round white MP 717 T 50 mg Mutual Pharm.
round white par 821 black ink T ER 100 mg Par Pharm.
round white par 822 black ink T ER 200 mg Par Pharm.
round white PP100 black ink T ER 100 mg Purdue Pharma Ryzolt
round white PP200 black ink T ER 200 mg Purdue Pharma Ryzolt
round white PP300 black ink T ER 300 mg Purdue Pharma Ryzolt

Information about Taking Tramadol During Pregnancy

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Tramadol is a medication that is prescribed to treat severe and/or chronic pain. Because of this drug’s benefits, many female patients want to continue using it during pregnancy and, possibly, during labor. However, it has not yet been decided whether or not it is safe for women to take Tramadol while pregnant.

The Food and Drug Administration (FDA) has defined Tramadol as a Category C drug. Pregnancy Category C drugs are drugs that have been tested on animals and that have shown significant risks to unborn fetuses. When a drug is placed in this category, however, it also means that it has not yet been established that it can harm human beings. Pregnancy Category C drugs should be used with extreme caution.

Tramadol’s narcotic-like effects are the main issue that is talked about when a woman is considering taking this drug during pregnancy and/or labor. This drug can penetrate the placenta barrier and cause the unborn child to develop an addiction to it before birth. Tramadol taken during pregnancy can cause potentially fatal withdrawal symptoms as early as 24 hours after birth. Symptoms that have been reported include neonatal seizures and tachycardia (rapid heart rate).

Another risk that should be taken into consideration is the potential for the mother to develop a dependence on this drug. Tramadol addiction can lead to many problems including the increased risk of overdose. If the mother experiences the symptoms of an overdose, her unborn child may suffer from oxygen deprivation and may develop problems such as mental retardation. In rare cases, drug overdoses have caused miscarriages.

Studies that have been conducted with animals have shown that Tramadol may cause fetotoxicity. This condition occurs when the mother ingests a substance that, after it penetrates the placenta barrier, causes undesirable effects. Fetotoxicity can cause abnormal growth, mental retardation, stillbirth, and, possibly, miscarriage. Although it has not yet been established if this risk is present to humans, caution should be used.

There are many studies currently underway to prove whether or not it is safe to take Tramadol during the labor process. The results have, thus far, been surprisingly positive. The majority of cases have shown that Tramadol can significantly shorten the length of labor with little to no side effects. However, extreme caution should still be used. These studies have also shown that consumption of this drug during labor may cause the mother to start vomiting and may also cause heart palpitations in both mother and child.

Although the final decision should, naturally, be made by the patient and her doctor, the general consensus is that Tramadol should not be taken during pregnancy unless it has been firmly established that it can help more than it will hurt.