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Anatram (Tramadol)

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Anatram is a strong painkiller used to treat moderate to severe pain. It is generally used when non-opioid painkillers don't work as well to control the pain anymore. Anatram may cause drowsiness. You shouldn't drive or use heavy machinery or perform dangerous activities until you know how this drug affects you.

Other names for this medication:
Acema, Admadol, Armadol, Arodol, Arrestadol, Atdol, Bludol, Contradoc, Damol, Dolmeri, Dolocet, Dolriz, Doltel, Domaspas, Eltram, Euphodol, Kamadol, Lagesic, Meridol, Nopidol, Opiran, Painex, Rimol, Ryzolt, Tramacip, Tramak, Tramazac, Trambax, Tramed, Tramoflex, Tramot, Trapain, Trapidol, Ubitdol, Ultrax, Vegadol, Xidol

Similar Products:
Mobic, Neoral, Decadron, Geodon, Alprostadil, Sporanox, Glucophage, Furadantin, Risperdal, Zyrtec

Also known as: Tramadol


{name} ER is an pain medicine similar to an opioid. This medicine is used to treat moderate to severe pain.

The extended-release form of tramadol is for around-the-clock treatment of pain. This form of tramadol is not for use on an as-needed basis for pain.


Follow the directions on your prescription label and read all medication guides. Never use Anatram ER in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to take more of Anatram ER.

Never share Anatram ER with another person, especially someone with a history of drug addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medicine where others cannot get to it. Selling or giving away this medicine is against the law.

Stop taking all other opioid medications when you start taking Anatram ER.

Anatram ER can be taken with or without food, but take it the same way each time.

Swallow the capsule or tablet whole to avoid exposure to a potentially fatal overdose. Do not crush, chew, break, open, or dissolve.

Measure liquid medicine with the supplied syringe or a dose-measuring device (not a kitchen spoon).

Never crush or break a Anatram ER pill to inhale the powder or mix it into a liquid to inject the drug into your vein. This practice has resulted in death.

You may have withdrawal symptoms if you stop using Anatram ER suddenly. Ask your doctor before stopping the medicine.

Store at room temperature away from moisture and heat. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.

Do not keep leftover Anatram ER. Just one dose can cause death in someone using it accidentally or improperly. Ask your pharmacist where to locate a drug take-back disposal program. If there is no take-back program, mix the leftover medicine with cat litter or coffee grounds in a sealed plastic bag throw the bag in the trash.

Detailed Anatram ER dosage information


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose can be fatal, especially in a child or other person using the medicine without a prescription. Overdose symptoms may include severe drowsiness, pinpoint pupils, slow breathing, or no breathing.

Your doctor may recommend you get naloxone (a medicine to reverse an opioid overdose) and keep it with you at all times. A person caring for you can give the naloxone if you stop breathing or don't wake up. Your caregiver must still get emergency medical help and may need to perform CPR (cardiopulmonary resuscitation) on you while waiting for help to arrive.

Anyone can buy naloxone from a pharmacy or local health department. Make sure any person caring for you knows where you keep naloxone and how to use it.


Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F) away from moisture, light and heat. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Anatram are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


You should not take Anatram ER if you are allergic to it, or if you have:

severe asthma or breathing problems; a stomach or bowel obstruction (including paralytic ileus); if you have recently used alcohol, sedatives, tranquilizers, or narcotic medications; or if you have used an MAO inhibitor in the past 14 days (such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine).

Anatram ER should not be given to a child younger than 12 years old. Anatram ER should not be given to anyone younger than 18 years old.

Do not give Anatram ER to anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids.

Seizures have occurred in some people taking Anatram ER. Your seizure risk may be higher if you have ever had:

a head injury, epilepsy or other seizure disorder; drug or alcohol addiction; or a metabolic disorder.

Tell your doctor if you have ever had:

breathing problems, sleep apnea; liver or kidney disease; urination problems; problems with your gallbladder, pancreas, or thyroid; a stomach disorder; or mental illness, or suicide attempt.

If you use Anatram ER during pregnancy, your baby could be born with life-threatening withdrawal symptoms, and may need medical treatment for several weeks.

Ask a doctor before using Anatram ER if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.

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UNC-13L, UNC-13S, and Tomosyn form a protein code for fast and slow neurotransmitter release in Caenorhabditis elegans. Rapid quantitative analytical tool for characterizing the preparation of biodiesel. In a second model -- scratched primary cultured astrocytes -- Lv-shGFAP, alone or associated with Lv-shVIM, decreased astrocytic reactivity and glial scarring. Structural and mutational studies on the importance of oligosaccharide binding for the activity of yeast PNGase. With the appropriate diagnosis established, he underwent local fractionated radiation therapy and systemic chemotherapy but succumbed to the disease.

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The precision and efficiency of the precipitation are shown at various concentrations of high-density lipoprotein cholesterol. These findings indicate a lack of effect of TNF-alpha on proliferation and differentiation in healthy and psoriatic keratinocytes. The health-related quality of life of all workers was still impaired. The technique allowed a modelling of the breast like a mastopexy through the inferior pedicle. The results compared with original spongy monolith demonstrated that a higher adsorption capacity was achieved on a shorter column, and a stable low back pressure was obtained at high throughput elution even with a longer column. Recent studies indicate that ROS modulate signal transduction in mammalian cells. Based on our results, we propose that an equilibrium exists between the monomeric and oligomeric forms of cofilin in intact cells that is regulated by cofilin phosphorylation. The aim of our study was to evaluate the results of lateral tibial plateau fractures treated with arthroscopically assisted percutaneous osteosynthesis (AAPO). A cross-sectional survey was conducted in a public health unit in Duque de Caxias, a county with one of the lowest per capita incomes in Rio de Janeiro state. Secondary outcome variables included duration of diarrhea, duration of excretion of Vibrio cholerae in stool, fluid requirement, and proportion of children with clinical or bacteriological relapse.

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Ring-contraction vs ring-expansion reactions of spiro-cyclopropanecarboxylated sugars. The reasons are: disregard for biomechanics, overestimation of the potentials of new surgical techniques or new implants or poor adherence to established procedures. Traumatic brain injury (TBI) can result in serious and disabling neuropsychiatric disorders, such as cognitive deficits and personality change, as well as severe and chronic psychosis. The regulatory properties of the cholinergic receptor protein similar to those of allosteric enzymes were discussed. Osteoporosis is a health care issue in which family physicians play a major role. Vitamin E reduced retina and brain nitrite levels in all stress and E groups compared with their respective control groups. Steroids were continued for 1 week following the ED visit according to the protocol arm. Kinetic studies reveal that the stimulation of AIB transport is characterized by an increase in maximum uptake rate and an unaltered apparent Michaelis constant.

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Isoelectric focusing analysis showed the presence of the two actin polypeptides beta and gamma typical for non-muscle actins in all three actins. The progression of CYP-induced cystitis was clearly reflected in the urine matrix by the temporal and quantitative changes in the cytokine levels. Linezolid: in infants and children with severe Gram-positive infections. Improvements and decline in the physical functioning of Israeli older adults. FAFLP is apparently as well suited for epidemiological typing of serotype Typhimurium as is PFGE, and FAFLP can provide a source of molecular markers useful for studies of genetic variation in natural populations of serotype Typhimurium. The Registry was validated by a review of the medical records maintained at the CSSS de Chicoutimi, the regional university hospital and, by the estimation of the number of hospitalizations for ALS patients using the Quebec Hospital inpatient database (MED-ECHO). anthracis infections can be stopped by using antibiotics such as ciprofloxacin. Only a few studies have been published on the analysis of resin and fatty acids with MS techniques. Biological significance of allele specific loss of the p53 gene in breast carcinomas.

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Mutational analyses of hnRNP R indicate that facilitation of initiation and reinitiation requires distinct domains of hnRNP R. A comparison of the Bodansky and Huggins-Talalay phosphatase tests. We describe a woman who presented with unilateral progressive skin thickening. Epidermolysis bullosa acquisita (EBA) is a severe autoimmune skin disease characterized by autoantibodies to type VII collagen, the major component of anchoring fibrils. The resected tumor was metastatic liver cancer, the center of which had mostly atheromatous necrosis. Mutation of the ERK-2 target S105 residue into an alanine was found to decrease viral release and budding efficiency of the HTLV-1(ACH) molecular clone from transfected cells. Infradiagnosis of chronic obstructive pulmonary disease (COPD) may be related to the lack of knowledge about the disease and/or the scarce use of diagnostic procedures. One patient with a conjunctival papilloma and one patient with a limbus-based papilloma were treated with excision and cryotherapy.

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Using theoretically based recruitment methods for older adults and a neighborhood approach through organizations such as a NORC may result in greater numbers of older adults participating in health promotion programs. Correlation between the first and second signal systems during formation of differentiation in neuroses in children. Receiver operating characteristic (ROC) curves were used to assess the sensitivity and specificity of the SF-36 as a screening tool for detecting depressive symptoms. Intriguingly, we found that RCAD knockdown led to dramatic reduction of C53/LZAP and DDRGK1 proteins. However, in recent years mortality was reported to decrease in one community concomitant with increasing use of revascularization. Identification of Phosphoryl Choline as an Important Constituent of Plant Sap. Analysis of the data suggested that heat treatment of CaP coatings affects cell attachment. Anti-T cell monoclonal antibodies allow its induction in organ transplantation and autoimmune disease essentially through the stimulation of regulatory T cells. A descriptive study by a cross-sectional structured survey to137 IC: 17 policy-makers, 32 civil servants and 88 communities-beneficiaries (41 vulnerable-groups(VG) and 47 rural-homes-groups(RHG)) to assess the 1996-2005 Colombian Food and Nutrition National Plan (FNNP) using key informants (KI) of the security food programme directed to VG and RHG has been done.

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Water and fat samples were measured and compared to data in the literature. Chiral primary amine mediated conjugate addition of branched aldehydes to vinyl sulfone: asymmetric generation of quaternary carbon centers. The association with black ethnicity may be related to differences in pelvic anatomy. Nighttime eating: commonly observed and related to weight gain in an inpatient food intake study. The putty had excellent handling characteristics, was biocompatible, and was as effective as autograft bone in achieving near complete bony restoration of a large, critical-sized defect. Systemic sepsis commonly produces brain dysfunction, sepsis-associated encephalopathy, which can vary from a transient, reversible encephalopathy to irreversible brain damage. We have previously reported that Nished, a ubiquitous transcription factor, interacts with a positive sequence element, the Intron Regulatory Element (IRE) as well as a negatively acting element, the Cardiac-Specific Sequence (CSS), in myosin light chain-2 (MLC2v) gene to promote activation and repression of the gene in cardiac and skeletal muscle cells respectively. The potential utility of functional images correlated to anatomic images would include noninvasively detecting clinically and radiographically occult cancers, assessing response to therapy, discriminating between benign and malignant breast masses, and ultimately reducing the number of invasive and costly surgical interventions. Treatment given for intra-articular disease is the key component of surgical management.

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The procedure was proposed to patients presenting with nodule(s) in one lobe of the thyroid and fulfilling predetermined inclusion criteria. Gerbilline cholesteatoma development Part I: Epithelial migration pattern and rate on the gerbil tympanic membrane: comparisons with human and guinea pig. These findings indicate a novel regulatory pathway whereby T3 positively regulates hepatic FGF21 expression, presenting a novel therapeutic target for diseases such as non-alcoholic fatty liver disease. A light-microscopical study with particular reference to the occurrence of primary liver carcinoma, islet-cell tumors, and epidermoid cysts of the skin. Three types of sliding motion were characterized: random diffusion, paused motion, and directed motion. A limited number of cases involving the brainstem have been reported and may be misdiagnosed as brainstem gliomas. Minocycline impedes African trypanosome invasion of the brain in a murine model. Normal human serum was shown to inhibit the mitogenic effects of bacterial lipopolysaccharide and Con A on mouse spleen lymphocytes and reduce the in vitro antibody response to SRBC by these cells. AAC contains targeting information in each of its three modules, which has led to a search for the dominant targeting region.

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Sediments revealed distinct levels of total organic matter, fine fraction, redox potential, trace elements (arsenic, cadmium, chromium, copper, nickel, lead and zinc) and organic contaminants (polycyclic aromatic hydrocarbons, polychlorinated biphenyls and a pesticide: dichloro diphenyl trichloroethane). Immunologic behavior of human cysteine-rich secretory protein 1 (hCRISP1) in primates: prospects for immunocontraception. Overall, factor loadings for positive affect items were invariant over time with the exception of the pleased item. DRG neurons with dichotomizing axons have been reported and are thought to be related to referred pain. Dislocations may be observed in field ion images by a change of the normal concentric atom terraces at crystallographic poles to spirals. The transgene restored chondrocyte hypertrophy and vascular invasion in the bones of the mutant mice but did not induce osteoblast differentiation. Measurement of dynamic hyperinflation after a 6-minute walk test in patients with COPD. Downregulation of the phosphatase CDC25A could solely be responsible for the slow growth phenotype in MCF10A/Bcl-2 cells. This increase in Ser19 phosphorylation was associated with enhanced TH activity and was due, in part, to glutamate-receptor-mediated calcium influx and possibly calcium/calmodulin-dependent protein kinase II (CaMKII) activation. Good correlations were obtained between the observed and calculated isotope abundances for both p-CO and CGA.

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Since obesity is related to breast cancer risk only among never users of HT, as HT use declines the relative impact of obesity on breast cancer incidence may grow. On June 29, 2012, mid-Atlantic storms resulted in a large-scale power outage affecting up to three million people across multiple (US) states. A 22-year claritin 10 mg pill image -old man was admitted with abdominal pain, nausea and vomiting secondary to ingestion of multiple foreign bodies. Lysozyme content of the stomach and its possible relationship to peptic ulcer. Use of albumin polymers during breast cancer surgery improves postoperative seroma outcome. The permanent nature of motor deficits is a consistent cornerstone of cerebral palsy definitions. The receptor mechanisms were determined by BQ-123 and BQ-788, receptor antagonists for ET(A) and ET(B) receptors, respectively, and also by IRL-1620, a selective agonist for ET(B) receptors. Academic detailing can assist health plans in promoting preventive care improvements by primary care clinicians. Vinyl chloride and liver and brain cancer at a polymer production plant in Louisville, Kentucky.

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Disulfide bond assignment, lipid transfer activity and secondary structure of a 7-kDa plant lipid transfer protein, LTP2. Time fluctuations of the phase modulation in a liquid crystal on silicon display: characterization and effects in diffractive optics. In contrast to the clean surface for the hydrogen-covered surface distinct defects structures consisting of missing O and Zn atoms could be identified. Moreover, repair of mitomycin C (MMC)-induced DSBs and sister chromatid exchanges (SCEs), two RAD51-dependent processes, are 53BP1 independent. A modest delay in therapy to allow for delivery probably has no deleterious effect. Given the lack of effective vaccines to control Streptococcus suis infection and the lack of a rapid and reliable molecular diagnostic assay to detect its infection, a polyclonal antibody was raised against the whole-cell protein of S. Clinicians commonly administer steroid injections to patients who are candidates for TKA but may be unaware of the potential long term complications.

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For the proper description of the temperature dependence of the difference Deltaepsilon between the two coexisting phases below the critical temperature, it turned out that good fits with the Ising value for the order parameter exponent beta required the addition of a corrections-to-scaling contribution or a linear term in reduced temperature. The development of penicillin and its efficacy in the treatment of syphilis transformed syphilis management for many with and at risk for infection. For this retrospective study, our breast imaging database was reviewed and the cases imaged between the years 1999 and 2001 were used to identify patients with calcifications who were recommended for a six-month follow-up or biopsy. Studies of structural MRIs and PET data in patients with MCD have found widespread changes outside the visually identified lesions. The patients were prospectively followed up for a period of 18 months. As Ki67 needs an exact quantification, this marker is a prototype of a new generation of tissue-based biomarkers. To explore differences in patient-provider communication for English-speaking, HIV-infected Hispanic and non-Hispanic white patients. Extracellular protons inhibit N-methyl-D-aspartate (NMDA) receptors with an IC50 value in the physiological pH range.

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