Doloran

Doloran Uses, Dosage, Side Effects, Mechanism of Action, How Long Does it Take to Work? Doloran is a brand name. Its generic name is Tramadol.

Doloran

Doloran, (generic name: tramadol hydrochloride), is an opioid medication used to treat moderate to severe pain. It is an opioid agonist, meaning it stimulates opioid receptors in the brain, activating them and producing an analgesic effect. Doloran also works on serotonin and norepinephrine receptors, further enhancing its pain-relieving effect. Doloran is available in both immediate-release and extended-release forms.

Uses For Doloran

Doloran is prescribed to treat moderate to severe pain in both adults and children, as well as in adolescents between the ages of 12 and 18. It is also used off-label to treat pain associated with fibromyalgia, painful neuropathy, and headaches. Because of its opiate-like effects, Doloran is sometimes prescribed for the treatment of opioid dependence.

Mechanism Of Action

Doloran works by binding to opioid receptors in the brain and spinal cord, and increasing the activity of serotonin (which helps reduce the pain signals sent to the brain). Doloran also binds to the norepinephrine receptor, which further enhances its pain-relieving effect. The combination of its opioid and monoamine agonism is responsible for its analgesic effects.

How Long Does It Take To Work?

Doloran typically begins to work within 30 minutes to an hour of being taken. The duration of its effects usually last about 4-6 hours. With extended-release tablets, effects may last up to 12 hours.

Absorption

Doloran is rapidly and completely absorbed from the gut into the blood stream, with peak blood levels occurring one to two hours after ingestion. It is highly soluble in water, and rapidly distributed throughout the body.

Route Of Elimination

Doloran is broken down and eliminated by the liver and kidneys. About 90% of an administered dose is eliminated via the kidneys, and 10% via the bile. It typically takes 4-6 hours for tramadol to be eliminated from the body.

Dosage

Dosage of Doloran depends on the task of its use. A starting dose of the medication is usually 25-50mg every four to six hours, for which the maximum dose should not exceed 400mg in a day. For treating breakthrough pain, the dose can be increased to 150-200mg per day. Extended release tablets should be taken once a day, with the maximum dose not exceeding 300mg in a day.

Administration

Doloran can be taken orally or administered through an IV. Oral tablets and capsules should be taken with food to reduce the risk of gastrointestinal adverse effects. Oral liquid preparations should be administered with a specifically designed measuring device, and not with a regular teaspoon.

Side Effect

Common side effects of Doloran include nausea, vomiting, drowsiness, dizziness, headache, constipation, and dry mouth. Other side effects may include difficulty urinating, loss of appetite, sweating, confusion, and itchy skin. In some cases, more serious side effects such as respiratory depression, hallucinations, and seizures can occur.

Toxicity

Doloran is generally considered safe and well-tolerated when used as prescribed. But at higher doses, especially when taken with other medications that also act on the central nervous system, it can be toxic, and may lead to serious respiratory depression, comas, and even death.

Precautions

Doloran should be taken with caution, especially in individuals with a history of alcohol abuse or addiction, mental illness, thyroid problems, kidney or liver disease, or a history of convulsions, seizures, or head injury. Doloran should not be taken concomitantly with MAO inhibitors, muscle relaxants, sedatives or other narcotic medications.

Interaction

Doloran may interact with certain medications such as anticoagulants, antidepressants, monoamine oxidase inhibitors, drugs for high blood pressure, drugs for mental illness, antihistamines, muscle relaxants, and opioids, increasing the risk of toxicity and other side effects.

Disease Interaction

Doloran may interact with certain diseases such as seizure disorders, head injury, liver or kidney disease, and respiratory depression, increasing the risk of toxicity and other side effects. Patients with any of these diseases should talk to their doctor before starting tramadol therapy.

Drug Interaction

Doloran can interact with several drugs, including alcohol, Monoamine Oxidase inhibitors (MAOIs), anticoagulants, sedatives, muscle relaxants, and opioids. These interactions can increase the risk of toxicity and other side effects. Patients should check with their doctor before starting or stopping any medication while taking tramadol.

Food Interactions

Doloran should be taken with food to reduce the risk of gastrointestinal adverse effects. Grapefruit juice should be avoided when taking tramadol, as it can increase the absorption of the drug and potentially increase its toxicity. Certain foods such as aged cheese, red wine, and pickled or smoked meats can also interact with tramadol.

Pregnancy Use

Doloran is not recommended for use in pregnant women. It is not known whether the drug is harmful to developing babies or if it passes into breast milk. Women who are pregnant or breastfeeding should talk to their doctor before taking tramadol.

Lactation Use

Doloran should not be used during breastfeeding. It is not known whether the drug is harmful to developing babies or if it passes into breast milk. Women who are breastfeeding should talk to their doctor before taking tramadol.

Acute Overdose

Overdose of tramadol can lead to respiratory depression, comas, and even death. Symptoms of an overdose can include pinpoint pupils, confusion, slowed breathing, seizure, and loss of consciousness. Treatment for an overdose may include administration of naloxone, an opioid antagonist, or other supportive care measures.

Contraindication

Doloran is contraindicated in patients who are hypersensitive to it or any of its components. It is also contraindicated in patients who are taking MAO inhibitors, strong CYP3A4 inhibitors, and certain opioid drugs such as meperidine. Additionally, tramadol should not be taken in combination with alcohol or other CNS depressants.

Use Direction

Doloran should be taken as directed by a physician. It should be taken with food to reduce the risk of gastrointestinal adverse effects. The dosage of tramadol should be adjusted based on patient’s response and symptoms. It should not be taken concomitantly with MAO inhibitors, muscle relaxants, sedatives, or other narcotic medications.

Storage Condition

Doloran should be stored at room temperature in a light-resistant, child-resistant container. It should be kept away from heat and moisture, and out of the reach of children and pets.

Volume Of Distribution

Doloran has a volume of distribution of 0.4L/kg, meaning that 0.4L of the drug is distributed throughout the body for every kg of the patient’s weight.

Half Life

Doloran has a half-life of 4-6 hours, meaning it takes 4-6 hours for half of the drug to be eliminated from the body.

Clearance

Doloran has a clearance rate of 0.11L/kg/hour, meaning that 0.11L of the drug is eliminated from the body every hour for every kg of the patient’s weight.

Here you find in details version of Doloran

Some Frequently Asked Questions About Doloran

What is Doloran?

Doloran is an opioid-type pain reliever (analgesic) used to treat moderate to moderately severe pain. It is available in both immediate-release and extended-release formulations.

What is the generic name of Doloran?

Doloran's generic name is Ultram.

What is the mechanism of action of Doloran?

Doloran works by binding to and activating opioid receptors located in the brain, which helps reduce the perception of pain.

Is Doloran a controlled substance?

Yes, Doloran is classified as a Schedule IV controlled substance in the United States, suggesting that it has a low potential for abuse.

How fast does Doloran work?

Doloran works within 30 minutes of taking a dose and its effects can last up to 4-6 hours.

How should Doloran be taken?

Doloran should be taken exactly as prescribed by the doctor. It can be taken with or without food but should not be crushed, split, or chewed before taking.

What are the side effects of Doloran?

The most common side effects of Doloran include nausea, vomiting, constipation, headache, dizziness, drowsiness, and dry mouth.

Can I take acetaminophen and Doloran together?

Yes, acetaminophen and Doloran can be taken together as long as the total daily dose of acetaminophen does not exceed 4,000 milligrams.

What are the signs of an overdose of Doloran?

Signs of an overdose of Doloran include extreme drowsiness, confusion, shallow breathing, faster heart rate, nausea, vomiting, and fainting.

Can Doloran be used for back pain?

Yes, Doloran is often prescribed for the treatment of back pain.

Is Doloran addictive?

Yes, Doloran can be addictive when taken in large amounts or for long periods of time.

What should I do if I forget to take a dose of Doloran?

If you forget to take a dose of Doloran, take it as soon as you remember, but do not double your dose. Call your doctor if you have any questions or concerns.

Can Doloran be taken with alcohol?

No, Doloran should not be taken with alcohol as it can increase the risk of side effects such as extreme drowsiness and respiratory depression.

Should I avoid caffeine while taking Doloran?

Yes, as caffeine can increase the risk of nervousness, difficulty sleeping, and fast or irregular heartbeat.

Is Doloran safe for long-term use?

Doloran is generally considered safe for short-term use, but its effects can diminish with long-term use, increasing the risk of addiction and overdose.

Can Doloran be taken during pregnancy?

Doloran should not be taken during pregnancy as it can cause harm to the fetus.

Can I take Doloran if I have a history of drug abuse?

No, Doloran should not be taken if you have a history of drug abuse as it can be addictive and could cause relapse.

Will Doloran show up on a drug test?

Yes, Doloran may show up on a drug test, though the results may vary depending on the type of test.

Can I take Doloran if I have liver or kidney disease?

Doloran should be used with caution in patients with a history of liver or kidney disease, as they may be more sensitive to its effects.

Can I take Doloran with anti-anxiety medications?

No, Doloran should not be taken with anti-anxiety medications, as it may increase the risk of adverse reactions.

What should I do if I experience any side effects from Doloran?

If you experience any side effects from Doloran, contact your doctor as soon as possible.

What other pain relievers can be taken with Doloran?

Doloran can be taken with other non-opioid pain relievers such as ibuprofen and acetaminophen.

What is the maximum daily dose of Doloran?

The maximum daily dose of Doloran is 400 milligrams per day for adults.

Does Doloran cause constipation?

Yes, constipation is a common side effect of Doloran.

Can I take Doloran and Doloran Plus together?

No, Doloran and Doloran Plus should not be taken together as it may increase the risk of adverse reactions.

Can Doloran be taken for headaches?

Yes, Doloran is often prescribed for the treatment of headaches.

Is Doloran ever prescribed for arthritis?

Yes, Doloran is sometimes prescribed for the treatment of arthritis.

Does Doloran interact with other medications?

Yes, Doloran may interact with other medications, so it is important to discuss any other medications you are taking with your doctor before taking Doloran.

Can Doloran be taken for menstrual cramps?

Yes, Doloran can be prescribed for the treatment of menstrual cramps.

Can Doloran be crushed for easier swallowing?

No, Doloran should not be crushed before taking because the medication may be released too quickly, leading to increased risk of side effects.

What other conditions can Doloran be used to treat?

Doloran may be prescribed to treat chronic pain, fibromyalgia, and neuropathic pain, among other conditions.

Can I take Doloran while breastfeeding?

No, Doloran should not be taken while breastfeeding as it can be passed through breast milk and could cause harm to a nursing baby.

Can Doloran be taken with anti-depressants?

Yes, Doloran can be taken with certain types of anti-depressants, but should not be taken with monoamine oxidase inhibitors (MAOIs).

Can Doloran be taken with vitamins or supplements?

Yes, Doloran can be taken with certain vitamins and supplements, but it is important to discuss any medications you are taking with your doctor before taking Doloran.

Can Doloran be taken with antihistamines?

Yes, Doloran can be taken with certain antihistamines, but it is important to check with your doctor before taking any medication.

Can I take Doloran with other pain relievers?

No, Doloran should not be taken with other opioid-type pain relievers as this increases the risk of adverse reactions and overdose.

Is Doloran metabolized by the liver?

Yes, Doloran is metabolized in the liver and it is important to discuss any history of liver or kidney disease with your doctor before taking Doloran.

How long will Doloran stay in my system?

Doloran can stay in the system for up to 24 hours after the last dose.

What should I do if I miss a dose of Doloran?

If you miss a dose of Doloran, take it as soon as you remember, but do not double your dose. Call your doctor if you have any questions or concerns.

Can I take Doloran while taking other medications?

Yes, Doloran can be taken with certain medications, but it is important to discuss any medications you are taking with your doctor before taking Doloran.

Does Doloran affect blood pressure?

Yes, Doloran may cause an increase in blood pressure, so it is important to talk to your doctor if you have any concerns.

What is Doloran HCL?

Doloran HCL (hydrochloride) is a prescription medication used to treat pain. It is available in both immediate-release and extended-release formulations.

What are the withdrawal symptoms of Doloran?

The withdrawal symptoms of Doloran may include insomnia, agitation, anxiety, nausea, vomiting, sweating, and runny nose.

Can Doloran cause hallucinations?

Yes, Doloran can cause hallucinations, especially at higher doses.

Is Doloran the same as Vicodin?

No, Doloran and Vicodin are different medications. Doloran is an opioid-type pain reliever while Vicodin is a combination of an opioid and acetaminophen.

Can Doloran be taken with other medications for pain?

Yes, Doloran can be taken with other medications for pain, but it is important to discuss any medications you are taking with your doctor before taking Doloran.