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THENGA I-TRAMADOL 200MG X 20 IITEBLETI TRAMAL ONLINE | Abstract Iyathengiswa | UMSHROOMIFI.

Le kholamu eqhubekayo inikezelwe kumngeni wonxibelelwano lwekliniki phakathi kwengqondo kunye nokhathalelo oluphambili-iinkalo ezimbini ezidityaniswe ngokungenakuphikiswa. Thenga iTramadol 200mg kwi-intanethi e-Australia

Tramadol (Ultram^®) sisithomalalisi esichazwa ngokuqhelekileyo ngenxa yomngcipheko ophantsi wokuba likhoboka kunye neprofayili yokhuseleko engcono xa kuthelekiswa nezinye ii-opiates. Nangona kunjalo, iimpendulo ezimbini ezibalulekileyo ziyaziwa ukuba zinokuthi zenzeke nge-tramadol-i-seizures kunye ne-serotonin syndrome. Ezi ziphumo zimbini zingalunganga zinokuvela ngexesha lonyango lwe-tramadol, kodwa kubonakala ngathi kunokwenzeka ukuba kuvele ngexesha lokusetyenziswa gwenxa / ukugqithiswa kwedosi kunye nolawulo oludibeneyo lwamanye amachiza, ngakumbi athomalalisa uxinzelelo. Kweli nqaku, sihlaziya idatha enxulumene ne-tramadol, ukuxhuzula, kunye nesifo se-serotonin. Esi siphambuka se-pharmacologic sinokubaluleka okucacileyo kubo bobabini oogqirha bengqondo kunye neekliniki zokunakekelwa kweprayimari. Thenga iTramadol 200mg kwi-intanethi e-Australia

Internet: tramadol, analgesic, opiate, seizure, serotonin syndrome, antidepressant, polypharmacy, psychiatrist-gqirha interface

Yiya e:

intshayelelo

Ngokutsho kukaMiller et al,¹ iintlungu ezingapheliyo zichaphazela inani elikhulu lezigulane zase-US kwaye zikhokelela kwiibhiliyoni zeedola kwiinkcitho zonyaka zempilo. E-Australia, iindleko zokulawula ubuhlungu obungapheliyo ziqikelelwa ukuba zi-34 yezigidigidi ngonyaka.² Ukunika ezinye iindlela ze-narcotic zonyango, i-tramadol (Ultram^®) yimbumbulu ekhethekileyo ye-pharmacological ekulweni nobuhlungu obungapheliyo. Ukungqina ukuthandwa kwayo, imiyalelo yetramadol eCanada yafikelela phantse kwizigidi ezingama-26 ngo-2006, emele ukuthengiswa kwe-800 yezigidi zeedola.³ Kolu shicilelo lwe-Interface, sixoxa ngeziganeko ezibini ezinokuthi zibe zibi ezinxulumene nale siqhelo esimiselweyo se-analgesic-seizures kunye ne-serotonin syndrome. Thenga iTramadol 200mg kwi-intanethi e-Australia

Yiya e:

Inkcazo yeTramadol

I-Tramadol liyeza le-analgesic eliyi-analogue yokwenziwa ye-codeine. Xa kuthelekiswa nezinye ii-opiates, i-tramadol idume ngokuba namandla angaphantsi kokuxhatshazwa kunye nokuphefumla kancinci ukudangala.⁴ Ngokubhekiselele kwimiphumo ethile ye-neurotransmitter, kwinqanaba eliphakathi, i-tramadol i-mu-opioid receptor agonist. Ubudlelwane be-tramadol be-mu-opioid receptors (i-analgesic effect) yi-10-fold ngaphantsi kwe-codeine. Nangona kunjalo, i-metabolite esebenzayo ye-tramadol, i-o-desmethyltramadol, inobudlelwane obukhulu kakhulu (ukuya kwi-200-fold) kunekhompawundi yomzali. Ukongeza kwimiphumo yayo ephakathi kwi-receptors ye-mu, kwinqanaba le-peripheral, i-tramadol inqanda i-serotonin kunye ne-norepinephrine reuptake. Ezi ziphumo zokugqibela zinokuba yinto ebalulekileyo kwi-analgesia, kodwa zinokuthi zichaze ezinye zeempawu ezingalunganga zechiza. Thenga iTramadol 200mg kwi-intanethi e-Australia

Ngokutsho kukaReeves noCox,⁵ tramadol ineempawu ezininzi ezifana ne-venlafaxine, kuquka ukufana kwesakhiwo kunye ne-serotonergic/noradrenergic reuptake inhibition. Ngokuhambelana nalo mbono, u-Yalcin et al⁶ chaza i-tramadol njengemiphumo efana ne-antidepressant. Akumangalisi ukuba, ukusebenzisa i-chromatography yolwelo ukufumanisa amanqanaba e-tramadol kumchamo, i-venlafaxine inokubangela iziphumo ezingezizo.⁷

Yiya e:

Ukusebenzisana kweziyobisi

I-Tramadol ibala inani elibalulekileyo lokunxibelelana kweziyobisi. Umzekelo, kuphononongo lwamagqala eOstreliya, uRoughhead et al⁸ uvavanye ukusebenzisana kweziyobisi kakubi kubathathi-nxaxheba be-46,859 abathatha i-antidepressants. Kwipesenti ze-8.1 eziye zafumana olu nxibelelwano, i-tramadol yayiyeyona iyeza lihlala libandakanyeka (3.6%). Thenga iTramadol 200mg kwi-intanethi e-Australia

Kwezi ntsebenziswano ezahlukahlukeneyo, i-tramadol inamandla okwenza iziganeko ezibini ezimangalisayo-i-seizures kunye ne-serotonin syndrome. Ezi zinokukhula ngexesha le-tramadol ye-monotherapy nokuba kungokwesiqhelo okanye kwiidosi ezigqithisileyo, kodwa kunokwenzeka ngakumbi ngexesha lolawulo lwe-tramadol kunye ne-antidepressants (Iitheyibhile (Iitheyibhile11 kwaye and22).^4,9 (Ukongezelela kwi-antidepressants, i-tramadol inokusebenzisana nenani lamanye amachiza e-psychotropic kuquka i-antipsychotics kunye ne-anticonvulsants.) Thenga i-Tramadol 200mg kwi-intanethi e-Australia.