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Tramadol HCl 45 mg Oral Capsules

FDA-approved generic
Dose form
Capsules
Active ingredients
Tramadol Hydrochloride

Tramadol HCl 45 mg Oral Capsules are a solid dosage form consisting of two halves of either gelatin or vegetarian-based shells that encapsulate a precise 45 mg dose of the active ingredient, Tramadol Hydrochloride. These capsules are designed for ease of swallowing and to ensure accurate dosing for the patient. Tramadol is an opioid analgesic that acts on the central nervous system to relieve moderate to moderately severe pain in adults. It is commonly used to treat conditions such as chronic pain, postoperative pain, and pain caused by an injury or medical procedure.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
Starting at
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Tramadol Hydrochloride
Capsules
65d8da1c7d6d49c28849ac50
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Tramadol HCl 45 mg Oral Capsules are a solid dosage form consisting of two halves of either gelatin or vegetarian-based shells that encapsulate the active pharmaceutical ingredient, Tramadol Hydrochloride. The capsules are designed to be swallowed whole, making them a convenient option for patients who may have difficulty with other forms of medication administration.

Tramadol Hydrochloride is a centrally acting analgesic with a multimodal mechanism of action. It works by binding to the mu-opioid receptor and inhibiting the reuptake of norepinephrine and serotonin in the central nervous system. This dual action results in both the alteration of the perception of pain and an improvement in mood, which can be particularly beneficial in chronic pain conditions. Tramadol is commonly used to manage moderate to moderately severe pain in adults, such as that associated with osteoarthritis, neuropathic conditions, and post-surgical pain. It may also be used in the management of chronic pain when other treatment options are not sufficient.

It is important for prescribers to consider the individual patient's pain severity, response to previous analgesic treatments, and risk factors for addiction, abuse, and misuse before prescribing Tramadol HCl. Additionally, prescribers should monitor patients regularly for efficacy, side effects, and potential signs of dependence or abuse. Patients should be advised to take the medication exactly as prescribed and to avoid consuming alcohol or using other central nervous system depressants while taking Tramadol. They should also be informed about the potential for side effects, which may include nausea, dizziness, constipation, headache, and somnolence, among others.

As compounding pharmacists at Bayview Pharmacy, we are committed to providing high-quality, customized medication solutions to meet the unique needs of each patient. Our Tramadol HCl 45 mg Oral Capsules are carefully prepared to ensure stability, uniformity, and efficacy of the medication. If you have any questions or require further information about this formulation, or if you need guidance on whether it is the appropriate treatment option for your patient, please do not hesitate to reach out to us. We are here to support both patients and healthcare providers with expert advice and comprehensive pharmaceutical care.

Drug Interactions

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Tramadol HCl is an opioid analgesic used to manage moderate to moderately severe pain. When considering the use of tramadol HCl 45 mg oral capsules, it is important to be aware of potential drug interactions that may affect the efficacy of the medication or increase the risk of adverse effects. Tramadol is metabolized by liver enzymes, predominantly by CYP2D6 and CYP3A4, which means that drugs affecting these enzymes can alter tramadol's metabolism and, consequently, its therapeutic effects and side effects.

Concomitant use of tramadol with central nervous system (CNS) depressants such as benzodiazepines, alcohol, anxiolytics, hypnotics, other opioids, or antipsychotics can enhance CNS depression, leading to increased drowsiness, respiratory depression, coma, or even death. Caution is advised when tramadol is prescribed with these medications, and patients should be closely monitored for signs of respiratory depression and sedation.

Tramadol should be used with caution in patients taking selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), triptans, or other drugs that affect serotonin neurotransmission. The concomitant use of these drugs can increase the risk of serotonin syndrome, a potentially life-threatening condition characterized by symptoms such as agitation, hallucinations, tachycardia, hyperthermia, and increased reflexes.

Medications that inhibit CYP2D6, such as quinidine, fluoxetine, or paroxetine, can reduce the metabolism of tramadol, leading to increased plasma levels of tramadol and potential toxicity. Conversely, drugs that induce CYP3A4, such as rifampin or St. John's Wort, can decrease tramadol plasma levels, potentially reducing its analgesic effect.

Patients taking warfarin or other anticoagulants should be monitored for changes in prothrombin time or INR when initiating or discontinuing tramadol therapy, as tramadol may enhance the anticoagulant effect of these medications.

It is also important to consider the potential for drug interactions with over-the-counter medications and herbal supplements. For example, the use of tramadol with other over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen, should be done cautiously to avoid increased risk of side effects or liver damage.

Patients should be advised to inform their healthcare provider of all medications they are currently taking, including prescription drugs, over-the-counter medications, and herbal supplements, before starting tramadol therapy. Healthcare providers should assess the patient's medication regimen for potential drug interactions and adjust the tramadol dosage or regimen accordingly to support the safe and appropriate pain management.

If you have any questions or require further information regarding drug interactions with tramadol HCl 45 mg oral capsules, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to both patients and prescribers.

How Does it Work

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Tramadol HCl 45 mg Oral Capsules are a solid dosage form designed to deliver a specific dose of tramadol hydrochloride, which is a centrally acting synthetic opioid analgesic. The medication is encapsulated within two halves of either gelatin or vegetarian-based shells, creating a capsule that is easy to swallow. This form of medication is beneficial for patients who may have difficulty swallowing tablets or for those who prefer the convenience of a capsule.

The active ingredient, tramadol hydrochloride, works by binding to the mu-opioid receptors in the brain and spinal cord, which are part of the central nervous system. This binding action alters the perception of and response to pain by blocking the transmission of pain signals. Additionally, tramadol inhibits the reuptake of two neurotransmitters, serotonin and norepinephrine, which further helps in modulating the pain response and can provide an antidepressant effect.

Tramadol HCl 45 mg Oral Capsules are commonly prescribed for conditions such as postoperative pain, osteoarthritis, neuropathic pain, and other pain syndromes where an opioid analgesic is appropriate. It is essential for patients to take the medication exactly as prescribed to minimize the risk of side effects and to avoid potential dependency or abuse.

For prescribers, it is important to note that tramadol has a potential for abuse and addiction, which can lead to overdose and death. Therefore, it should be prescribed with caution in individuals with a history of substance abuse or addiction. Additionally, tramadol can interact with other medications, and its use should be carefully considered in patients taking MAO inhibitors, SSRIs, or other CNS-active drugs due to the risk of serotonin syndrome.

Patients should be advised that tramadol may cause side effects such as dizziness, drowsiness, nausea, constipation, headache, and dry mouth. It is important to avoid alcohol and other CNS depressants while taking this medication. Patients should also be counseled on the potential for withdrawal symptoms if the medication is discontinued abruptly after long-term use.

If you have any questions or require further information about Tramadol HCl 45 mg Oral Capsules, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support to ensure the safe and appropriate use of this medication.

Frequently Asked Questions

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What is Tramadol HCl 45 mg Oral Capsule?

Tramadol HCl 45 mg Oral Capsule is a prescription medication used for the management of moderate to severe pain. It contains 45 milligrams of the active ingredient Tramadol Hydrochloride and is formulated as a solid capsule which is easy to swallow.

How should I take Tramadol HCl 45 mg Oral Capsules?

Tramadol HCl 45 mg Oral Capsules should be taken exactly as prescribed by your healthcare provider. The capsules are usually taken by mouth with or without food. Do not chew, divide, or break the capsules. Swallow them whole with a sufficient amount of water.

Can I open the capsule and sprinkle the content on food?

No, you should not open the capsule. Tramadol HCl 45 mg Oral Capsules are designed to be swallowed whole in order to ensure the correct release and absorption of the medication.

What are the advantages of using the capsule form of Tramadol HCl?

The capsule form of Tramadol HCl provides a precise dosage of the active ingredient, allows for convenient and easy swallowing, and helps to mask any unpleasant taste of the medication.

Are there any specific storage instructions for Tramadol HCl 45 mg Oral Capsules?

Yes, Tramadol HCl 45 mg Oral Capsules should be stored at room temperature, away from light and moisture. Keep the capsules in their original packaging until ready to use, and keep out of reach of children and pets.

What should I do if I miss a dose of Tramadol HCl 45 mg Oral Capsule?

If you miss a dose, take it as soon as you remember. However, if it is near the time for your next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Tramadol HCl 45 mg Oral Capsules?

Like all medications, Tramadol HCl 45 mg Oral Capsules can cause side effects. Common side effects include dizziness, nausea, constipation, headache, and drowsiness. If you experience severe or persistent side effects, contact your healthcare provider immediately.

Is Tramadol HCl 45 mg Oral Capsule an addictive medication?

Tramadol is an opioid, and although it has a lower risk of addiction compared to other opioids, it can still lead to dependence and abuse. It is important to take the medication exactly as prescribed by your healthcare provider.

Can I consume alcohol while taking Tramadol HCl 45 mg Oral Capsules?

No, consuming alcohol while on Tramadol can increase the risk of dangerous side effects or overdose. It is important to avoid alcohol while you are taking this medication.

Is it safe to drive or operate heavy machinery while taking Tramadol HCl Oral Capsules?

Tramadol HCl can cause drowsiness, dizziness, or impair your thinking and reactions. You should not drive, operate heavy machinery, or perform any activity that requires full attention until you know how this medication affects you.

Can I take Tramadol HCl 45 mg Oral Capsules if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, discuss the risks and benefits of taking Tramadol HCl with your healthcare provider. This medication may have adverse effects on the fetus or an infant being breastfed, so it should only be used if the potential benefits justify the potential risks to the child.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

This preparation is a controlled substance. Additional prescribing, refill, and shipping restrictions apply, and the states Bayview can dispense it to are narrower than for non-controlled preparations.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Tramadol HCl 45 mg Oral Capsules
Capsules
90 capsules
controlled

Take 1 capsule by mouth

Every 6 hours as needed