Error: This is required. Error: Not a valid value. You should seek medical advice in relation to medicines and use only as directed by a healthcare professional. All medicines and poisons in Australia are categorised by how they are made available to the public. Medicines with a low safety risk are usually less tightly controlled than medicines with a higher safety risk. If you are over 65 years of age, there may be specific risks and recommendations for use of this medicine. Please discuss your individual circumstances with your pharmacist, doctor or health professional.

It does not take the place of talking to your doctor or pharmacist. All medicines have risks and benefits. Ask your doctor if you have any questions about why this medicine has been prescribed for you. Your doctor may have prescribed it for another reason. Do not give this medicine to a child under the age of 12 years.

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UK Edition. Do not take Tramadol capsules if you are pregnant, think you may be pregnant or are breast-feeding. Ask your doctor or pharmacist for advice before taking this medicine. Tramadol capsules may make you feel drowsy, dizzy or in rare cases blur your vision. This may be made worse if you drink alcohol or take other medicines such as strong painkillers with tramadol.

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As is typical of opioids, common side effects include constipation, itchiness, and nausea. Activators Triptolide Tripterygium wilfordii.

Life-threatening respiratory depression and death have occurred in children who received tramadol. Tramadol is subject to variability in metabolism based upon CYP2D6 genotype, which can lead to increased exposure to an active metabolite. Serotonin syndrome may occur; may be life-threatening; may occur with use of tramadol alone, with concomitant use of serotonergic drugs, with drugs that impair metabolism of serotonin or tramadol. Women who are ultra-rapid metabolizers of tramadol achieve higher than expected serum levels of opioids, potentially leading to higher levels of M1 in breast milk that can be dangerous in their breastfed infants. In women with normal tramadol metabolism normal CYP2D6 activity, the amount of tramadol secreted into human milk is low and dose-dependent. Owing to the potential for serious adverse reactions, including excess sedation, respiratory depression, and death in a breastfed infant, breastfeeding is not recommended during treatment.

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As is typical of opioids, common side effects include constipation, itchiness, and nausea. Tramadol is used primarily to treat mild to severe pain, both acute and chronic. People with specific variants of CYP2D6 enzymes may not produce adequate amounts of the active metabolite desmetramadol for effective pain control. Tramadol may not provide adequate pain control for individuals with certain genetic variants of CYP2D6 enzymes as they metabolize tramadol to the active molecule. Tramadol's use in pregnancy is generally avoided, as it may cause some reversible withdrawal effects in the newborn. No evidence of this dose having a harmful effect on the newborn was seen.

However, relapse is very common, usually within six months of stopping therapy. Various types of maintenance regimes have been devised with variable success. Acute side effects of PUVA treatment are nausea from the psoralen and blistering and erythema from the UVA. UVA is principally responsible for photo-ageing and penetrates tissues far more deeply than UVB. Long-term risks of PUVA include accelerated skin ageing and an increased incidence of skin cancer.

All drugs used to treat cancer have a narrow therapeutic ratio and considerable potential for causing serious harm. An understanding of their pharmacology, drug interactions and pharmacokinetics is essential for safe and effective use, which should be under specialist guidance of an oncologist. There are six groups of drugs used in cancer chemotherapy. The first four are all cytotoxic, which means they cause cell death. There are many drugs in each group. The descriptions that follow are not intended to give a comprehensive account of all anti-cancer drugs available, rather to explain the modes of action and to give examples from each group.

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