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SyXx
Veteran Member


Date Joined Nov 2012
Total Posts : 890
   Posted 2/17/2013 12:00 PM (GMT -6)   
I should be able to take 1 50mg tablet of tramadol right? My back is killing me, I called last week to see if it was ok, because from what I could find 50mg was safe to use. My hep never called me back and after nonstop pain for 4 days I am at the point I need to take something. I have some tramadol from back in September when I broke my arm still in the cabinet.
 
I am not sure if anyone else with cirrhosis has taken it.

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 2/17/2013 12:26 PM (GMT -6)   
Syxx, the acetaminophen in Tramadol is the concern. There are only 325 mg in it, so you could safely take 2 with no problems. I was actually told, both prior to and post transplant, that I could take up to 1200 mg of acetaminophen a day. I actually take 1000 mg a day, the amount in 2 Lortab daily. It's ibuprofen that is a no-no. Prior to transplant, I did have cirrhosis.

We are not meant to suffer, but to use caution in what we take.

Hugs,
Connie
hep93
Forum moderator - Hepatitis


"But that was yesterday, and I was a different person then."

Lewis Carroll, Alice in Wonderland

Liver transplant recipient, Oct. 27, 2011, at Mayo Hospital, Jacksonville, FL

SyXx
Veteran Member


Date Joined Nov 2012
Total Posts : 890
   Posted 2/17/2013 12:41 PM (GMT -6)   
I believe Tramadol does not contain tylenol, so that is a good thing. I just wanted to know if anyone else was prescribed it and took it without issues.

I need to take something to get some relief, and thought since I have not got a response and at this point do not expect one I would ask if anyone here takes or has taken tramadol. It is not going to help immensely, but I figured it might take a little bit of the edge off until tomorrow when I can see my GP.

I tried one 325mg tablet of tylenol the other day, and as I thought it did nothing.

Mae be here
Veteran Member


Date Joined Nov 2012
Total Posts : 1290
   Posted 2/17/2013 1:00 PM (GMT -6)   
Hey Syxx,

Just checked brother's med list and just as I thought, he was discharged with 50mg of tramadol (ultram) prn every 4 hours for pain. Granted this is post-transplant, but he had cirrhosis prior to TP.

He hasn't shown evidence of any problems with it, 4 weeks out.

Hope this helps :)

Post Edited By Moderator (hep93) : 2/17/2013 12:03:14 PM (GMT-7)


hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 2/17/2013 1:05 PM (GMT -6)   
Syxx, Tylenol is acetaminophen, which is okay. It's ibuprofen that is a no-no. Check OTC med labels closely. You can also use the following site for info: Rxlist.com

Hugs,
Connie
hep93
Forum moderator - Hepatitis


"But that was yesterday, and I was a different person then."

Lewis Carroll, Alice in Wonderland

Liver transplant recipient, Oct. 27, 2011, at Mayo Hospital, Jacksonville, FL

AIHer
Regular Member


Date Joined May 2012
Total Posts : 196
   Posted 2/17/2013 1:18 PM (GMT -6)   
I have cirrhosis caused by AIH and my hep is happy for me to take tramadol which I believe is called Ultram in the US.

But that doesn't mean it is OK for anyone else.

Ann
PS tramadol does not contain paracetamol (acetaminophen ).

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 2/17/2013 4:10 PM (GMT -6)   
AIHer, RxList says otherwise...Tramadol/Ultram contains acetaminophen. Tylenol IS acetaminophen. Acetaminophen is OK in small doses. Do you understand this, Syxx?

Hugs,
Connie
hep93
Forum moderator - Hepatitis


"But that was yesterday, and I was a different person then."

Lewis Carroll, Alice in Wonderland

Liver transplant recipient, Oct. 27, 2011, at Mayo Hospital, Jacksonville, FL

SyXx
Veteran Member


Date Joined Nov 2012
Total Posts : 890
   Posted 2/17/2013 4:52 PM (GMT -6)   
Yes, it said ultracet had tylenol. I took 1 pill, its not doing anything.

Thanks for the input everyone.

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 2/17/2013 5:21 PM (GMT -6)   
Try moist heat. It will relax the muscles. And you can take another Tramadol without concern.

Hugs,
Connie
hep93
Forum moderator - Hepatitis


"But that was yesterday, and I was a different person then."

Lewis Carroll, Alice in Wonderland

Liver transplant recipient, Oct. 27, 2011, at Mayo Hospital, Jacksonville, FL

SyXx
Veteran Member


Date Joined Nov 2012
Total Posts : 890
   Posted 2/17/2013 5:42 PM (GMT -6)   
I have one left, taking it before bed.

I rotate heat, ice and have stretches I try. It helps while heating icing or stretching but pain comes back 10 to 20 min later.

Anyways, thanks for help in determining that tramadol is OK.

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 2/17/2013 8:13 PM (GMT -6)   
Ice has never done a thing for me except make pain worse. I rely on moist heat and it helps a lot. I hope you will be able to get some decent sleep.

Hugs,
Connie
hep93
Forum moderator - Hepatitis


"But that was yesterday, and I was a different person then."

Lewis Carroll, Alice in Wonderland

Liver transplant recipient, Oct. 27, 2011, at Mayo Hospital, Jacksonville, FL

AIHer
Regular Member


Date Joined May 2012
Total Posts : 196
   Posted 2/18/2013 2:15 AM (GMT -6)   
Sorry to disagree about tramadol Connie but tramadol, certainly here in UK, is the generic name for tramadol hydrochloride - and just that. Having looked up on Rx list the brand called Ultracet contains tramadol AND acetaminophen but the brand name Ultram only contains tramadol.

http://www.rxlist.com/ultram-drug.htm

My generic tablets certainly only contain tramadol hydrochloride - I am looking at the packet now!

I did not realise Syxx was taking Ultracet as it was referred to as tramadol.

It is confusing isn't it?


Ann
PS I was only so certain about this as I can't take acetaminophen (or paracetamol as we call it here) - long story - and my hep is aware of this and advised tramadol.

SyXx
Veteran Member


Date Joined Nov 2012
Total Posts : 890
   Posted 2/18/2013 6:21 AM (GMT -6)   
I just took 1 ultram. First time I heard of ultracet was looking at rxlist.

AIHer
Regular Member


Date Joined May 2012
Total Posts : 196
   Posted 2/18/2013 6:45 AM (GMT -6)   
Ah I see - sorry I misunderstood your post.

More importantly - did it help?!

Ann

SyXx
Veteran Member


Date Joined Nov 2012
Total Posts : 890
   Posted 2/18/2013 7:47 AM (GMT -6)   
I took 1 ultram and 1 benedryl before bed. I actually slept good, not sure if it was that combination or that I finally found a comfortable position. Either way, it was the first time in a week I got more than 4 hours of sleep.

I still need to go to the doctors, I want to go but at the same time I do not want to go. I feel weird going to try to get pain medication.

A.Ziffle
Veteran Member


Date Joined May 2011
Total Posts : 2071
   Posted 2/18/2013 8:03 AM (GMT -6)   
 I can identify with feeling weird about the pain meds and thankfully I haven't had the need for any in a few years . In a way it's good you feel that way , Nothing wrong with being overly conscious of what the implications are for taking that stuff . In the end you gotta sleep and at the minimum be able manage the discomfort .
 
 
 A. Ziffle
" There are some few people I respect and admire, but I don’t think much of the species ".

Samuel Clemens

SyXx
Veteran Member


Date Joined Nov 2012
Total Posts : 890
   Posted 2/18/2013 8:12 AM (GMT -6)   
I know I should not worry about it. I do not have an addictive personality at all, and I hate to take the stuff. I know I have the right to be comfortable, it just always feels weird. I was their in mid-january, and I feel like if I go 2 times within a month of each other that I am doing something wrong. I woke up this morning feeling great, but within an hour of moving around the pain started up. I can sometimes find a comfortable position that allows me to be comfortable but as soon as I move the pain starts up, the killer part is the radiating pain.

Anywasy, at least I got some good sleep last night. I just need to determine if I should deal with it or go in today.

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 2/18/2013 1:11 PM (GMT -6)   
You are probably going to need surgery at some point. Meantime, go to the doctor and get more Tramadol or something else. Your motives are pure...you're in a lot of pain. I see no problem for you with meds, especially given the situation.

Hugs,
Connie
hep93
Forum moderator - Hepatitis


"But that was yesterday, and I was a different person then."

Lewis Carroll, Alice in Wonderland

Liver transplant recipient, Oct. 27, 2011, at Mayo Hospital, Jacksonville, FL

SyXx
Veteran Member


Date Joined Nov 2012
Total Posts : 890
   Posted 2/18/2013 1:21 PM (GMT -6)   
I got some physical therapy finally, which is something I have been asking for since last summer. She initially wanted me to go to this speciality place, problem is it is a 1.5 hour drive and they wanted me there 3 days a week. I would miss so much work.

Anyways, they called me and set me up with that. I am not going to go in today, I hope to get a call from the nurse with some meds but who knows if they will call back or not.

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 2/18/2013 1:28 PM (GMT -6)   
You need to let the nurse know that you cannot do PT without Tramadol, at least for now.

Hugs,
Connie
hep93
Forum moderator - Hepatitis


"But that was yesterday, and I was a different person then."

Lewis Carroll, Alice in Wonderland

Liver transplant recipient, Oct. 27, 2011, at Mayo Hospital, Jacksonville, FL

SyXx
Veteran Member


Date Joined Nov 2012
Total Posts : 890
   Posted 2/18/2013 2:11 PM (GMT -6)   
Yeah, I am just tired of dealing with doctors. If it was something serious I would be all over it, but it is just pain so I will deal.

I got some sleep last night so that was good. I told my wife, she kind of freaked out on me. She says I get quiet and aggitated when I am in this much pain. I told her it is just the good side of me coming out LOL.

Anyways, thanks for the help with the tramadol answers. I think that helped me get a good 8 hours last night.

hep93
Elite Member


Date Joined Jul 2005
Total Posts : 12014
   Posted 2/18/2013 4:48 PM (GMT -6)   
You must tolerate pain a lot better than I do.

Hugs,
Connie
hep93
Forum moderator - Hepatitis


"But that was yesterday, and I was a different person then."

Lewis Carroll, Alice in Wonderland

Liver transplant recipient, Oct. 27, 2011, at Mayo Hospital, Jacksonville, FL

SyXx
Veteran Member


Date Joined Nov 2012
Total Posts : 890
   Posted 2/18/2013 5:38 PM (GMT -6)   
I have a high pain tolerance. I fell off a roof broke my back and dislocated my forearm badly. I did not have meds when they set it. I also have most dental work done without novacaine.

Anyways, I did get some meds. Oxycodone HCL. I just took one, should feel better in about 20 min.

Sleep, here I come.
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