Published in:
01-10-2006 | Adis Drug Profiles
Tramadol Extended-Release Tablets
A Viewpoint by Bill H. McCarberg
Author:
Bill H. McCarberg
Published in:
Drugs
|
Issue 15/2006
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Excerpt
Tramadol is an oral analgesic that has been approved in the US for >10 years and in Europe for >30 years for the management of moderate to moderately severe pain. While the efficacy and safety of immediate-release tramadol are well established, the requirement of administration every 4–6 hours[
1] makes this formulation less than optimal for the long-term management of chronic pain, due to the possible lack of continuous analgesic coverage throughout the day and night. Additionally, the repeated peaks and troughs in tramadol levels that occur with frequent administration may be associated with a higher incidence of adverse effects. …