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Tramadol (generic Ultram)


Tramadol (generic Ultram) is a prescription medicine that relieves moderate to severe pain. It acts in the brain to block pain signals and promote a feeling of well-being. Tramadol's action is similar to narcotic pain relievers, but it isn't a narcotic.
*UPDATE* Friday 8/15/2014 - Tramadol no longer available on this site

Free Network Physician Consult Available to All

As of August 18th 2014, tramadol (including Ultram, Ultracet and derivatives) is now classified as a Schedule IV controlled substance, and therefore is no longer available on this site. Although we have done our best to notify existing patients since the DEA ruling has been known to us, tramadol is not a medication you should abruptly stop. If you have been taking tramadol you should consult your physician before abruptly discontinuing its use.

If you would like a free consult with one of the physicians within our network about options to taper away from tramadol and move to another form of treatment, please visit our Physician Contact Form. There is no charge or obligation for the consult and it does not matter whether or not if you are an existing patient.

We highly recommend that patients consult with a physician about switching to an alternative pain relief medication such as Gabapentin (generic Neurontin). Also, please visit our Pain Medications Page. Please call us or email if you have any further questions.



DEA Finalizes Rule to Schedule Tramadol:
Article:
    http://deachronicles.quarles.com/2014/07/dea-finalizes-rule-to-schedule-tramadol
Ruling:
    Federal Register Vol. 79, No. 127 (7/2/2014)
Excerpts from Susan Trujillo's article (7/1/2014) with emphasis added:
...the DEA published its Final Rule in the Federal Register on July 2nd placing tramadol into Schedule IV effective August 18, 2014. (Tramadol is a centrally acting opioid analgesic first approved for use in the U.S. in 1995 under the name "Ultram". Since then, the FDA has approved for marketing generic, combination and extended release versions.) The DEA follows in the path of a number of states that have already taken this step such as Arkansas, Mississippi, and New York. By making tramadol a Schedule IV controlled substance, the DEA makes it easier for the pharmaceutical industry to develop consistent policies and procedures nationwide for how this drug is handled.
...
Though in the past the DEA has allowed for additional time for compliance or staggered the implementation process, it specifically chose to forgo staggered dates here to avoid confusion and inconsistent application of the new requirement.
...
The DEA believes that the 45 day window between July 2nd and August 18th will "provide a reasonable time for distributors to sell existing stock"

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IMPORTANT NOTE: This information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other health care provider. It should not be construed to indicate that the use of the medication(s) shown are safe, appropriate, or effective for you. The information shown is general and does not cover all directions, possible drug integrations, or precautions. Information on this site cannot be used for self-treatment and/or self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care provider. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site nor will we be held responsible for consequences of self-treatment. Consult your health care provider before using any drug.

The following information is a summary about TRAMADOL. It is not intended to replace a doctor's instructions.

Tablets
Chemical Name: TRAMADOL (TRA-ma-doll)

Common uses
This medicine is an analgesic used to treat or prevent pain.


Before using
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. USE OF THIS MEDICINE is not recommended if you are also taking cyclobenzaprine or medicine for depression or other emotional or mood disorders. If you are taking any of these medicines, be sure your doctor knows. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking bupropion, narcotic analgesics, carbamazepine, or have a history of seizures. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.


Directions
Follow the directions for using this medicine provided by your doctor. STORE THIS MEDICINE at room temperature, away from heat and light. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do NOT take 2 doses at once.


Cautions
DO NOT EXCEED THE RECOMMENDED DOSE OR TAKE THIS MEDICINE for longer than prescribed. IF YOU EXPERIENCE difficulty breathing or tightness of chest; swelling of eyelids, face, or lips; or develop a rash or hives, tell your doctor immediately. Do not take any more of this medicine unless your doctor tells you to do so. AVOID ALCOHOL while you are using this medicine. This medicine will add to the effects of alcohol and other depressants. DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine. Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. Caution should be used in the elderly since they may be more sensitive to the effects of this drug. FOR WOMEN: IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. THIS MEDICINE IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED while taking this medicine.


Possible side effects
SIDE EFFECTS, that may go away during treatment, include dizziness, nausea, drowsiness, dry mouth, constipation, headache, or sweating. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience skin rash, itching, seizures, or hallucinations. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.


Drug interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other.


If you take too much
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include cold and clammy skin, low body temperature, slowed breathing, slowed heartbeat, drowsiness, dizziness, lightheadedness, seizures, deep sleep, and loss of consciousness.


Additional information
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

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