Tramadol: use, effects and risks

Tramadol is a versatile painkiller that is often used to treat moderate to severe pain. It is often used for chronic illnesses or after operations in particular. But how exactly does tramadol work and what should patients look out for? In this blog, you can find out everything you need to know: from the correct dosage and possible side effects to risks such as dependence and withdrawal. We also take a look at alternatives and clarify whether tramadol could really be the best choice for you or your pet.

What is Tramadol?

Tramadol belongs to the opioid group and is primarily prescribed as a strong painkiller. It works in the central nervous system by reducing the perception of pain and at the same time weakening the sensation of pain. Tramadol is often used for moderate to severe pain, for example after injuries or operations.

Compared to other opioids, it has a lower dependency potential, but should still be used with caution. Tramadol is available in various forms - as capsules, drops, suppositories or injections. It is important that it is always taken exactly as prescribed by a doctor in order to minimise possible risks.

Tramadol: effects and dosage

Tramadol unfolds its effects by inhibiting the perception of pain in the brain and spinal cord. It blocks the transmission of pain signals and at the same time provides a slightly euphoric feeling that many find pleasant. The usual starting dose is 50 mg, but can be gradually increased by the doctor if necessary - up to 400 mg per day, depending on the individual intensity of the pain.

Pro of Tramadol:

• Effective pain relief: Especially for chronic or severe pain.
• Diverse dosage forms: Capsules, drops, tablets or injections, as required.
• Lower risk of respiratory depression: Compared to other opioids such as morphine.

Contra of Tramadol:

• Abhängigkeitspotenzial: Even if used correctly, there is a risk of habituation.
• Side effects: From nausea and dizziness to constipation or drowsiness.
• Restrictions for combinations: Interactions with alcohol or other painkillers such as ibuprofen can be dangerous.

It is crucial that Tramadol is only taken as directed by a doctor to minimise side effects and risks.

Tramadol and side effects

As with any medication, side effects can also occur with tramadol. The most common are comparatively mild and often subside on their own after a short time. These include

• Nausea and vomiting: Especially at the beginning of treatment.
• Dizziness and light-headedness: Especially at higher doses.
• Verstopfung: A typical side effect of opioids.

In rare cases, however, more serious reactions may occur, such as

• Krämpfen: Especially in case of overdose or in combination with other medications.
• Allergic reactions: Rash, itching or swelling can be indications.
• Respiratory problems: Especially in case of overdose or in combination with other centrally depressant substances such as alcohol.

Another interesting aspect is the possible effect of tramadol on weight. Some patients report undesirable changes that can range from weight loss to appetite disorders. If you are interested in this topic in more detail, take a look at our blog post Tramadol: effects, side effects and possible risks for weight in which we go into this in detail.

Tramadol and alcohol

The combination of tramadol and alcohol should be avoided at all costs. Both substances have a depressant effect on the central nervous system, which significantly increases the risk of respiratory depression, extreme drowsiness or even unconsciousness.

Interactions with other medicines

Interactions are also possible if medications such as antidepressants or ibuprofen are taken at the same time. They can increase the effects of tramadol or cause undesirable side effects.

To avoid risks, it is important to inform the doctor about all medications and substances taken.

Dangers: Dependence and withdrawal

Despite its effectiveness, tramadol harbours risks that should not be underestimated. Prolonged use or improper dosing can lead to physical and psychological dependence. What is particularly insidious is that the potential for dependence often makes itself felt gradually. Those affected often report an increased craving for the medication that goes beyond mere pain relief. Sudden withdrawal can also trigger unpleasant symptoms such as restlessness, sleep disorders, sweating and seizures. To minimise these risks, the drug should always be taken under medical supervision and discontinuation should be gradual.

Alternatives to Tramadol

In addition to traditional painkillers such as ibuprofen or paracetamol, natural alternatives such as CBD-Produkte is becoming increasingly important. Cannabidiol (CBD), a non-psychoactive component of the hemp plant, shows promising results in the treatment of pain. CBD has an anti-inflammatory and calming effect without the risk of addiction or severe side effects of opioids such as tramadol. CBD can provide gentle but effective support, particularly for chronic pain, inflammation or accompanying symptoms such as stress and sleep problems.

CBD-Öl or capsules are considered to be well tolerated by many users. Nevertheless, it is important to customise the dosage and ideally consult a doctor or cannabinoid expert. For some patients, CBD could be an attractive alternative to relieve pain in a natural way while placing less strain on the body.

Click here if you want to learn more about CBD.

Tramadol for special target groups

Tramadol is not only used in humans, but also in veterinary medicine. It is prescribed for dogs in particular to relieve pain after injuries or operations. However, the dosage for animals differs significantly and must always be determined by a vet. Caution is also advised for older people. As the metabolism works more slowly with age, the effects and side effects can be more intense. Close monitoring of the therapy is particularly important here.