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    TRAMADOL HCL-ACETAMINOPHEN

    precautions

    What should I know regarding pregnancy, nursing and administering TRAMADOL HCL-ACETAMINOPHEN to children or the elderly?

    If you are:

    Pregnant:

    FDB Only When Necessary: AVAILABLE DATA SUGGEST NO KNOWN RISK; OTC PRODUCT, NO FDA PREGNANCY WARNINGS

    FDB Only When Necessary: NEONATE SEIZURE/WITHDRAWAL SYN/FETAL DEATH REPORTED;SMALL TERATOGENIC RISK

    Nursing:

    No Known Risk: LOW LEVELS EXCRETED WITH LOW RISK FOR ADVERSE EFFECTS IN INFANT

    Absolute Contraindication: LOW AMOUNTS EXCRETED; MONITOR FOR RESPIRATORY DEPRESSION

    An adult over 60:

    management or monitoring precaution: General-Dosage reduction may be needed, depending on renal and hepatic status. Start at low initial doses and titrate slowly. Pulmonary-Respiratory depression is the chief risk for elderly. Neuro/Psych-Lowers seizure threshold; may be acceptable in patients with well-controlled seizures in whom alternative agents have not been effective. Risk for increased confusion and delirium. May increase fall risk. Avoid treatment with 3 or more CNS active drugs

    management or monitoring precaution: Hepatic-Elderly are more susceptible to hepatotoxicity. Strict adherence to a maximum daily dose of 3000mg is advised.

    Giving TRAMADOL HCL-ACETAMINOPHEN to a child under 12:

    management or monitoring precaution: Use weight based dosing in children less than 12 years.

    Severe Precaution: Contraindicated post adenoidectomy and/or tonsillectomy, Risk of slowed or difficult breathing and respiratory depression. Avoid in patient with obstructive sleep apnea, lung disease.

    Contraindication: Risk of slowed or difficult breathing and respiratory depression. Contraindicated age< 12 years,

    Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, expect as may be authorized by the applicable terms of use.

    CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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