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Paxmax (Tramadol)

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Paxmax is an opioid (narcotic) pain reliever. It works by binding to mu-opiate receptors in the brain and changes how you feel and respond to pain. Paxmax is usually started at 25 mg per day. After slowly raising the dose over several days, a typical dose would be 50 to 100 mg by mouth every 4 to 6 hours as needed for pain.

Other names for this medication:
Adamon, Admadol, Anatram, Antram, Arodol, Arrestadol, Contradoc, Dolmeri, Esgiypyrin, Euphodol, Meridol, Mydol, Nictram, Nobligan, Painadol, Soztram, Spasteez, Stemadol, Tandam, Topspas, Traceta, Tramache, Tramadol, Tramazac, Tramex, Trandol, Trazac, Tromfil, Trydol, Ubitdol, Ultracon, Ultraspas, Vegadol

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Urispas, Trandate, Altace, Lozol, Eldepryl, Dulcolax, Xalatan, Cordarone, Ceclor, Ilosone, Zopimin, Roxithromycine, Tacrotor, Sparzin, Tenola, Maxalt, Trydol, Samitol, Cilentra, Ibular,

Also known as: Tramadol


Paxmax (tramadol) is a pain medicine similar to an opioid. It acts in the central nervous system (CNS) to relieve pain.

Paxmax is used to treat moderate to severe pain in adults.

The extended-release form of tramadol (Paxmax ER) is for around-the-clock treatment of pain. Paxmax ER 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 Paxmax ER in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to take more of Paxmax ER.

Never share Paxmax 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 Paxmax ER.

Paxmax 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 Paxmax 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 Paxmax 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 Paxmax 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 Paxmax 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 the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Detailed Paxmax-P dosage information

Side effects

The most common side effects associated with Paxmax 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 Paxmax if you are allergic to tramadol, 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).

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

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

Seizures have occurred in some people taking Paxmax. 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.

To make sure Paxmax is safe for you, 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 tramadol 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 tramadol if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.

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Experiences of and attitudes towards HIV/STI prevention among holidaymaking men who have sex with men living in Sweden: a cross-sectional Internet survey. Blastocyst recovery and multifactorial gene expression analysis in the wild guinea pig (Cavia aperea). To assess the awareness and readiness of both spina bifida patients and parents regarding the transition process before transitioning, with a secondary aim that included identifying potential factors associated with successful transition. Even though pathologic resolution of the CNPA did not occur, patient prognosis was determined solely by comorbid illness. Nevertheless, its result should be interpreted together with the results of conventional test and clinical information of patients. Improving aerobic power in primary school boys: a comparison of continuous and interval training.

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We used microarray and real-time PCR analyses to compare mRNA expression in ASMKO and normal mice in two important sites of pathology, lung and brain, and from these data identified and validated several potential biomarkers. Endocrine therapy is a key component in the management of hormone receptor-positive disease. This article concludes with a call to action encouraging all nurses to consider board service as an essential component of improving health and health care and to do their part to help build a Culture of Health in the United States. The MMN in response to a duration change of pure tone and that in response to a phonetic change (Japanese vowel /a/ versus /o/ with 150-ms duration) were recorded. We have also reduced the complexity of overlap calculation of the algorithm by eliminating the common projection plane and directly projecting the detector boundaries onto image voxel boundaries. Less mobile globules are observed when either magnesium cation or ethanol is added before gel-embedding DNA molecules. The variables such as systemic drug therapy should be considered for the examination of gingiva while the diagnosis is considered mainly based on gingival bleeding.

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Synthesis of functionalized diaryldimethylstannanes from the Me2Sn2- dianion by SRN1 reactions. We recommend use of oblique incision for hamstring graft harvest. Yet, this information should be useful in improving ab initio and comparative protein structure modeling. Proposed Termination of Pregnancy Bill in Malawi: Doctors use the best of what they have. When choosing good germplasm, plant fresh weight, stem height, stem diameter and plant fresh weight/dry weight ratio having promoting effects on the plant dry weight and rosmarinic acid content should be considered comprehensively, and plant with vigorous growth, tall stem and more leaves can be choosed firstly. Artificial pedicle screw reconstruction of the cervical spine after lateral paramedian transpedicular approach for lesions of the ventral cervical spinal canal. Activated epithelial cells may be the major source of mediators inducing influx of inflammatory cells (mostly eosinophils) and proliferation and activation of fibroblasts leading to nasal polyp formation. A universal mariner transposon system for forward genetic studies in the genus Clostridium. Thirty-eight HCCs with a diameter of 10 - 140 mm were pathologically and angiographically examined. The primary end point was recovery of a modified Rankin score zero to 2 at 90 days aygestin 5 mg generic name of stroke at phone interview by a single physician blind to treatment.

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