The main effect of Tramadol on the human body in oncology is pain medication. The drug belongs to the class of opioid analgesics, has a combined effect. It has a central mechanism of efficiency. The tool gives a pronounced analgesic effect, due to which its use is widespread among cancer patients with inoperable forms of pathology.
general information
Tramadol prescribed for oncology (tablets, injections) is recommended if pain intensity is assessed as moderate and pronounced. The drug can be used not only in case of pain associated with malignant processes, but also with pain of a different etiology. Often, the drug is prescribed to people who are worried about pain due to a trauma or surgical intervention. If medical manipulation or diagnosis is supposed to bring a strong unpleasant sensation to the patient, the drug can be used as a means to weaken sensations during the process.
The doctor prescribing this remedy will tell you how often to take Tramadol injections during oncology, how many tablets to take per day, and at what time. Dosage is always selected strictly individually. It is necessary to consider what pains are, how strong they are.
About dosage
Prescribing "Tramadol" in oncology, the doctor takes into account the age group and characteristics of the patient’s health. If a person is older than 14 years of age, the pain syndrome is assessed as moderate, 1 ml of the drug is administered per procedure, which corresponds to 50 mg of the active substance hydrochloride. If after half an hour or an hour the pain does not subside, the reception is repeated.
If the pain is severe, you can use the medication with four-hour intervals between doses. A single dosage reaches 0.5 g. If such a dosage option is selected, it is necessary to monitor the patient's condition, preferably using modern equipment.
Action Features
Widely used in therapeutic practice in oncology and metastases, Tramadol is prescribed to relieve soreness caused by the pathological process. Tests have shown that the analgesic effect is observed within 4-8 hours. In general, it is recommended to use no more than 0.4 g of the drug per day, but a malignant neoplasm and surgery of the patient allow an increase in doses at the discretion of the doctor.
If it is necessary to achieve a pronounced analgesic effect in the case when the patient is older than a year old, but less than 14 years old, a single dosage is selected based on the weight of the patient. It is recommended to take 1-2 mg of substance per kilogram. It is advisable to use the tool in the form for injective administration. For dilution of the contents, purified water prepared for injections is used.
Application rules
“Tramadol” produced in ampoules for oncology is prescribed to relieve the pain caused by the malignant process and the selected treatment methods. In order for the medication to show the desired effect, it must be correctly administered. If the medicine is injected into a vein, slow administration is required. It is allowed to inject an analgesic into muscle tissue and subcutaneously.
The appointment of "Tramadol" is possible if the patient has kidney or liver failure. This condition requires specialized dosage. A similar approach in the case of old age. If the pain is severe, Tramadol is used once a day or less. In chronic pain syndrome, the intervals between doses should be made as long as possible, since the half-life of the drug increases, there is a risk of a cumulative effect.
If the patient is older than 75 years of age, even with normal functioning of the liver and kidneys, it is necessary to prescribe Tramadol with the longest possible intervals between doses.
Does it help or not?
There are practically no reviews from patients about the use of Tramadol in oncology and metastases. As a rule, with this diagnosis, the drug is prescribed in the fourth stage, when the patient's condition is already quite poor. You can find the responses of people caring for such patients. Many recognize that Tramadol at first has a strong, pronounced effect, but its duration is quite short-lived, so you have to use the product often. Doctors note that in the case of a severe oncological process, Tramadol must be used in such dosages and with such a frequency that it alleviates pain - that is, choose individually, monitoring the patient's condition.
As can be seen from the reviews, injections of "Tramadol" in oncology can improve the quality of life of the patient, make the last stage of an incurable disease less painful. When the medication stops showing the desired result, they begin to combine it with other painkillers. "Tramadol" is considered the penultimate method of pain relief in cancer patients. Only "Promedol" has an even stronger effect, which is prescribed if "Tramadol" ceases to act, the pain becomes too intense.
Undesirable consequences
As can be concluded from the reviews, with oncology Tramadol (tablets, injections) can cause unwanted adverse reactions from the patient’s body. Many note that the head hurts and is spinning, stool is broken and nauseous. Sometimes patients vomit. There is a possibility of itchy lesions on the skin, asthenia and dyspepsia. Some have symptoms of psychostimulation, excessive activity of sweat-producing glands, diarrhea. Perhaps a feeling of dry oral mucous membranes.
In 5% of patients, blood pressure decreases, weight decreases, tachycardia develops. Approximately the same frequency of cases of paresthesia, tremor, abdominal pain, visual impairment. There is a risk of hallucinations and decreased urine output. The likelihood of any side effect becomes higher if you use Tramadol for a long course, in a high dosage. At high doses, there is a chance of getting used to the tool.
Safety First
If, with oncology, Tramadol caused undesirable reactions not described in the instructions for use that accompany the drug, you should consult your doctor. This probably indicates a poor tolerance of the drug by the body. The doctor will choose an analog or advise you to completely abandon the drug.
It is forbidden to use Tramadol if the patient uses MAOI, as well as within a couple of weeks after discontinuing the course of such treatment. The medication is prohibited for pregnant and lactating women. In the case of lactation, an exception is possible if the patient's vital indicators require it. The medicine is not used for children under one year of age.
As can be seen from the reviews, with oncology, Tramadol is prescribed to relieve pain, while the therapeutic program is fraught with the danger of developing a hypersensitivity reaction. Such manifestations are a categorical contraindication to the continuation of treatment. Also, restrictions are conditions in which the activity of the central nervous system, respiratory center is inhibited. This is possible with alcohol poisoning, excessive use of sleeping pills, psychotropic, narcotic pain medication.
Safety nuances
According to reviews, with oncology Tramadol, it is sometimes necessary to prescribe to people who have hepatic or renal failure, as well as people who have had a TBI and patients with epilepsy. Sometimes it becomes necessary to prescribe an analgesic to people who have increased intracranial pressure, as well as people who are inherent in dependence on opioid formulations. All these cases require the use of anesthetic strictly under the supervision of a doctor, carefully and with a regular check of the body's performance.
Extremely accurately, only if it is possible to constantly monitor the patient’s condition, “Tramadol” is prescribed against the background of drugs for anesthesia, psychotropic and sleeping pills. Combined use with narcotic painkillers should be avoided, since such a practice is associated with an increased risk of unpredictable mutual influence of medicines.
About combinations and risks
As can be seen from the reviews, with oncology Tramadol is sometimes prescribed to people in need of preparations containing carbamazepine. With such complex treatment, the effectiveness of the pain medication may decrease.
Avoid drinking alcohol while using the analgesic.
During the use of painkillers, it is necessary to refrain from controlling machines, aggregates, devices that require an increased reaction rate and special attention. Avoid work involving such conditions.
But aren't there too many?
According to reviews, with oncology Tramadol is used to alleviate pain of medium and high strength, and it is recommended to choose the frequency of use individually, taking into account the peculiarities of the case. For this reason, there is a risk of an overdose of the drug. This condition can be suspected by the convulsiveness of the patient and the depression of the respiratory center.
To provide the patient first aid, it is necessary to provide ventilation of the pulmonary system. An urgent hospitalization in the intensive care unit with connection to specialized equipment and the appointment of funds for the relief of symptoms inherent in a particular case is recommended. Blood dialysis does not give the desired result. With convulsions, “Diazepam" can be prescribed. The use of "Naloxone" is practically ineffective, since it does not allow to stop the symptoms of the toxic effects of the drug, in addition, it increases the risk of convulsions.
Mutual influence
If the patient is shown drugs that depress the central nervous system, the combination of these drugs with Tramadol can cause mutual activation of central effects. The same process is observed when drinking alcohol. The likelihood of inhibition of the respiratory function of the body increases. It is known that in rare cases, patients using antipsychotics against the background of Tramadol analgesia developed epileptic seizures. Under the influence of carbamazepine, the period of effectiveness of the analgesic in question is reduced, its analgesic effect is weakened.
Combination with MAOI is accompanied by an increased risk of the formation of central nervous system conditions that threaten the patient's life. Inhibition of respiratory activity and impaired blood flow are possible.
All variants of the combined effect of funds on each other can develop with prolonged use, and in the case of short-term, one-time administration.
Use: reasonable and in moderation
In medicine, there are many cases of dependence on opioid medications. Among other drugs that can provoke addiction, a certain danger is Tramadol. Although it is usually prescribed to cancer patients, and people who have used the analgesic for a long period of time admit that there is no dependence, the unjustified use of the drug turns it into a drug. This applies to non-medical use.
The abuse of "Tramadol" is accompanied by a violation of behavioral reactions and the formation of mental disorders. Officially, this medication does not belong to the list of narcotic drugs, but is classified as a potent drug. Excessive use is classified in the legal sciences as substance abuse.
Curious to know
Previously, Tramadol belonged to the class of narcotic painkillers. Affiliation was revised on the basis of numerous scientific works that showed that among addicted to opiates, people with addiction to Tramadol are very rare. In addition, tolerance to the active compound of the drug is formed with only a small degree of probability.
Currently, Tramadol is one of the fairly affordable drugs. In drugstores, the medication is dispensed strictly in the presence of a doctor’s prescription. One package costs a little more than a hundred rubles, which makes the analgesic available to a wide segment of the population - as you know, oncology does not distinguish between patients with different income levels.