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Paxmax (Tramadol)
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Paxmax

Paxmax is used for the management of pain in adults. Although it's a little weaker than other opioids, it can still be addictive and habit-forming. Paxmax is available as both an immediate-acting tablet and an extended-release tablet.

Other names for this medication:
Acema, Acuvin, Armadol, Arrestadol, Avdol, Axedol, Cadol, Dolex, Dolfre, Eltram, Inodol, Ivydol, Jpdol, Kevtram, Nobligan, Omodol, Opidol, Orchidol, Paintrol, Ramax, Standol, Takol, Taramol, Tramache, Tramazac, Transic, Trapain, Tridol, Urogendo

Similar Products:
Maxolon, Sustiva, Feldene, Diamox, Cozaar, Mysoline, Czartan, Setuvir, Ulkus, Finabald, Minipril, Estiva, Ladiwin,

Also known as: Tramadol

Description

Paxmax 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.

Dosage

Usual Adult Dose for Pain:

Adults (17 years or older): 50 to 100 mg orally every 4 to 6 hours as needed for pain -For patients not requiring rapid onset of analgesic effect: Initial dose: 25 mg orally once a day; titrate in 25 mg increments every 3 days to reach a dose of 25 mg four times a day; thereafter increase by 50 mg as tolerated every 3 days Maximum dose: 400 mg per day.

Usual Adult Dose for Chronic Pain:

Extended-Release (ER): 18 years or older (tramadol-naive): 100 mg orally once a day -Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions -Maximum Dose: 300 mg/day For patients CURRENTLY receiving Immediate-Release (IR) Paxmax: Initial Dose: Calculate 24-hour IR requirement and initiate with a total daily ER dose rounded down to the next lowest 100 mg increment orally once a day Conversion from OTHER Opioids: Discontinue all other around the clock opioid drugs prior to initiating therapy -Initial dose: 100 mg ER orally once a day -Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions -Maximum Dose: 300 mg/day.

Usual Geriatric Dose for Pain:

Dose selection should be cautious generally starting at the low end of the dose range Over 75 years: Maximum dose of Immediate-release: 300 mg per day.

Usual Geriatric Dose for Chronic Pain:

Dose selection should be cautious generally starting at the low end of the dose range Over 75 years: Maximum dose of Immediate-release: 300 mg per day.

Usual Pediatric Dose for Pain:

Paxmax is not recommended for use in pediatric patients 17 years or older: See Adult Dose.

Detailed Paxmax dosage information

Overdose

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.

Storage

Store the patches at room temperature in a closed container, away from heat, moisture, and direct light.

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 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.

Contraindications

You should not take Paxmax 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).

Paxmax ER 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 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 Paxmax 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 Paxmax 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 Paxmax ER if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.

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Haplotype analysis suggests that all three affected sibs inherited one identical parental haplotype. To express mouse lipopolysaccharide response protein (mLRP) and prepare rabbit anti-mLRP serum. Regional dissections of 105 human cadavers were carried out to identify the normal range of position of the mental foramen. Des-gamma-carboxy prothrombin (DCP) is elevated in many patients with HCC, but also in severe alcoholics without HCC. Brain-to-brain embolism: an unknown pathway to consider in ischemic strokes. Hence, to stratify dengue prevalence in space may be an efficacious strategy to target surveillance and control efforts in a cost-effective manner particularly in Venezuela where dengue is hyperendemic and public health resources are scarce.

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Genetics of mating in members of the Chaetomiaceae as revealed by experimental and genomic characterization of reproduction in Myceliophthora heterothallica. DSRCT should be considered in the differential diagnosis of young women presenting with abdominal distension and multiple masses on imaging. To the best of our knowledge, only 32 cases have been reported in the literature. Dietary intake did not correlate significantly with ADHD symptoms, presence of one or more impulse control disorders, Barratt impulsiveness, or cognitive functioning. Data were collected from cancer patients by interview technique using structured validated questionnaire. Refractory Haematuria Resulting From Peritoneal Dissemination of Metastatic Gastric Cancer: Radiation Therapy For A Nodule Infiltrating The Urinary Bladder. Synthesis, characterization and antimicrobial evaluation of lipid based norfloxacin prodrug. We apply a constant stretching force to single engineered disulfide bonds and measure their rate of reduction by DTT.

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Few studies have investigated the expression of the virulence attributes of oral Candida isolates in patients with diabetes mellitus. These associations differed between community and care home settings, and were generally stronger in the community. Dose-related increases in myocardial blood flow were observed with both drugs. Isolated HE-protein from hemagglutinating encephalomyelitis virus and bovine coronavirus has receptor-destroying and receptor-binding activity. A computer analysis is based on nearest neighbor segmentation and the connection between anatomical structures to partition the images into different tissue categories: from which, high resolution brain parenchymal and vascular surfaces are constructed and rendered in juxtaposition, aiding in surgical planning. The density of EEC and tuft cells is altered by luminal environmental changes that may occur following bypass surgery or in the presence of mucosal inflammation. We have established a human-human hybridoma producing a monoclonal antibody against a tumor-associated carbohydrate-specific antigen, Hanganutziu-Deicher (HD) antigen. Knowing the link better may help us formulate a novel strategy for cancer immunotherapy. PlantRGDB also offers graphical viewer-integrated sequence information for displaying the structure of each retrocopy. It is not known if G6PD-deficient people are at more risk for other diseases.

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Chemical extraction of incinerated sewage sludge ash (ISSA) can effectively recycle P, but it may change the speciation and mobility of the remaining metals. Traumatic skin lesions: prophylaxis and therapy of infection using mezlocillin. Semiconservative DNA replication has provided an elegant solution to the fundamental problem of how life is able to proliferate in a way that allows cells, organisms, and populations to survive and replicate many times over. The relations among marrow metastases, age at diagnosis, and clinical outcome illustrate the biologic heterogeneity of neuroblastoma. No author has a financial or proprietary interest in any material or method mentioned. Finally, if not treated, this inflammation can cause the loss of the implant.

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