Check out our most popular compounded medications! Get Started
Dashboard
Formulas

Tramadol hydrochloride 10 mg/ml Oral Liquid

FDA-approved generic
Dose form
Oral Liquid
Active ingredients
Tramadol Hydrochloride

Our Tramadol hydrochloride 10 mg/ml Oral Liquid is a specially crafted medication designed for oral use. This liquid formulation ensures a precise dose of tramadol, a potent analgesic, to effectively manage moderate to severe pain in patients who may find it difficult to swallow pills or tablets. The liquid form is particularly beneficial for pediatric and geriatric patients, or those with dysphagia or other conditions that impair swallowing. By providing this medication in an oral liquid, we aim to improve patient compliance and therapeutic outcomes in the treatment of various pain-related disease states.

View more
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
Get started as a patient
Get Started
This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
Check if we ship to your state
No prescription yet?

Get a one-page sheet with everything your doctor needs to prescribe this and send it to Bayview.

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
Oral Liquid
65d765cce81c2cf081522ed7
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.

Check your state

Available in

Tap a state to check it.

Our current service area

Currently licensed Limited basis, registration pending Not available for this formula Not currently licensed

Select a state on the map or use the checker.

Formula Information

A small arrow pointing down

Tramadol hydrochloride 10 mg/ml Oral Liquid is a carefully prepared medication designed for oral use, offering a precise and manageable method of drug administration. This liquid formulation is particularly beneficial for patients who experience difficulty swallowing tablets or capsules, such as those in pediatric and geriatric groups, or individuals with dysphagia. The liquid form allows for flexible dosing, which can be easily adjusted according to the specific needs of the patient, ensuring both safety and efficacy.

Tramadol 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 serotonin and norepinephrine. Tramadol is often used in the management of pain that is not relieved by non-opioid analgesics, and it can be particularly useful in chronic pain management, including conditions such as osteoarthritis or neuropathic pain.

When prescribing Tramadol hydrochloride 10 mg/ml Oral Liquid, it is important for healthcare providers to consider the individual patient's pain severity, response to treatment, and potential risk factors for abuse, addiction, or misuse. Regular monitoring for these risks and appropriate adjustment of therapy is recommended. Additionally, prescribers should be aware of potential drug interactions and the risk of serotonin syndrome when tramadol is used in conjunction with other serotonergic drugs.

Patients should be counseled on the proper use of this medication, including the importance of adhering to prescribed dosages and the potential side effects, which may include nausea, dizziness, constipation, or somnolence. It is also crucial for patients to understand the importance of not sharing their medication with others and to keep it out of reach of children to prevent accidental ingestion or misuse.

Bayview Pharmacy is committed to providing high-quality, patient-specific formulations like Tramadol hydrochloride 10 mg/ml Oral Liquid. Our team of compounding pharmacists is available to answer any questions and provide additional information to both patients and healthcare providers. If you have any questions or require further assistance regarding this formulation, please do not hesitate to reach out to us.

Drug Interactions

A small arrow pointing down

Tramadol hydrochloride is an opioid analgesic used to manage moderate to moderately severe pain. When prescribing or dispensing tramadol hydrochloride 10 mg/ml oral liquid, it is crucial to consider potential drug interactions that may affect the efficacy and safety of the medication. Tramadol is metabolized in the liver by the enzyme CYP2D6, and drugs that inhibit or induce this enzyme can alter tramadol's plasma concentration. For example, co-administration with CYP2D6 inhibitors such as fluoxetine, paroxetine, or bupropion can increase tramadol levels, potentially leading to increased risk of seizures and serotonin syndrome. Conversely, CYP2D6 inducers like rifampin or St. John's Wort may reduce tramadol's effectiveness by decreasing its plasma concentration.

Tramadol also has serotonergic properties and should be used with caution when combined with other serotonergic drugs, including SSRIs, SNRIs, MAOIs, triptans, and certain tricyclic antidepressants, due to the risk of serotonin syndrome, a potentially life-threatening condition. Symptoms of serotonin syndrome may include mental status changes, autonomic instability, neuromuscular aberrations, and gastrointestinal symptoms. Patients and prescribers should be vigilant for signs and symptoms of serotonin syndrome, especially during initiation or dosage increases of these agents.

Additionally, tramadol's CNS depressant effects can be potentiated when used concomitantly with other CNS depressants such as benzodiazepines, alcohol, antipsychotics, sedatives, anxiolytics, or other opioids. This can increase the risk of respiratory depression, sedation, and hypotension. Patients should be closely monitored for signs of respiratory depression and sedation, particularly when initiating therapy or increasing the dose of tramadol or the concomitant CNS depressant.

Tramadol may also interact with anticoagulants like warfarin, and there have been reports of altered INR and bleeding events in patients on stable warfarin therapy. Regular monitoring of INR levels is recommended when tramadol is prescribed to patients taking warfarin. Additionally, tramadol can increase the risk of seizures, and this risk may be further elevated when combined with medications that lower the seizure threshold, such as certain antipsychotics or antidepressants.

It is important for patients to inform their healthcare provider of all medications they are taking, including over-the-counter drugs and herbal supplements, to avoid potential drug interactions. Prescribers should review the patient's medication history to assess for possible interactions and adjust the tramadol dose accordingly or consider alternative pain management strategies. If you have any questions or concerns regarding the use of tramadol hydrochloride 10 mg/ml oral liquid or potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

A small arrow pointing down

Tramadol hydrochloride 10 mg/ml Oral Liquid is a specially crafted medication designed for ease of administration through the oral route. This liquid formulation is particularly beneficial for patients who have difficulty swallowing pills or tablets, such as children and the elderly, or for those who require a precise dosage that cannot be easily achieved with solid dosage forms. The liquid form allows for flexible dosing, which can be adjusted according to the specific needs of the patient.

The active ingredient in this formulation, tramadol hydrochloride, is a centrally acting synthetic opioid analgesic. It 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 and response to pain, thereby providing relief. Additionally, tramadol inhibits the reuptake of two neurotransmitters, serotonin and norepinephrine, which further contributes to its analgesic effects. By modulating these pathways, tramadol effectively decreases the sensation of pain and enhances pain tolerance.

Tramadol hydrochloride 10 mg/ml Oral Liquid is commonly used to manage moderate to moderately severe pain in patients who require around-the-clock treatment for their pain condition. It is suitable for various disease states where pain management is a critical component of treatment, such as postoperative pain, chronic conditions like arthritis, or cancer-related pain. It is important to note that tramadol has a potential for abuse and dependence, and should be used with caution, following the prescriber's instructions closely.

For optimal results, the medication should be taken exactly as prescribed, and the dosing should be individualized according to the severity of the pain, the patient's response to treatment, and their overall health status. The liquid formulation allows for easy dose adjustments, which can be particularly useful in titrating the dose to the minimum effective amount, thereby reducing the risk of side effects.

Patients and prescribers considering the use of Tramadol hydrochloride 10 mg/ml Oral Liquid should be aware of potential side effects, which may include nausea, dizziness, constipation, headache, and somnolence, among others. It is also important to discuss any other medications the patient is taking, as tramadol can interact with various other drugs, potentially leading to serious adverse effects.

If you have any questions or require further information about Tramadol hydrochloride 10 mg/ml Oral Liquid, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support and guidance to ensure the safe and appropriate use of this medication.

Other Uses

A small arrow pointing down

Tramadol hydrochloride is primarily known for its analgesic properties and is used to manage moderate to moderately severe pain in patients who require continuous treatment for an extended period. However, beyond its principal indication, tramadol hydrochloride oral liquid may have other uses that are off-label and should be approached with caution under a physician's guidance. It has been investigated for the treatment of neuropathic pain, a type of chronic pain caused by nerve damage, although it is not a first-line treatment. Additionally, due to its inhibitory effects on the reuptake of serotonin and norepinephrine, tramadol has been considered for use in certain patients with chronic pain who may also be experiencing symptoms of depression, although it is not an approved antidepressant.

Furthermore, tramadol may help alleviate pain related to fibromyalgia. The liquid formulation, in particular, could be favorable for individualized dose titration which is often required for managing this condition. Tramadol is also occasionally used as an adjunctive therapy for refractory restless legs syndrome, although it should be noted that such use is not extensively supported by clinical trials. Individuals with swallowing difficulties, including those with neurological conditions like multiple sclerosis or Parkinson's disease, may also benefit from the liquid formulation when they experience pain, assuming that tramadol's pharmacological profile is consistent with their management plan.

It is imperative for prescribers to consider the potential for abuse, addiction, and withdrawal symptoms associated with tramadol, even though it is a Schedule IV controlled substance which is considered to have a lower risk compared to Schedule II opioids. In pediatric and geriatric populations, dosing should be appropriately adjusted based on clinical factors such as renal and hepatic function, weight, and the presence of comorbid conditions. For children under 12 years of age, the use of tramadol is contraindicated.

Healthcare providers must ensure that any off-label use of tramadol hydrochloride 10 mg/ml oral liquid is based on sound clinical judgment and that patients are thoroughly informed about the risks and benefits of such use. It's also crucial to maintain open communication with patients to monitor for any adverse effects or unusual responses to the medication. If patients or prescribers have any questions regarding the use of tramadol hydrochloride oral liquid for indications other than those approved, please reach out to us at Bayview Pharmacy for comprehensive advice and support.

Frequently Asked Questions

A small arrow pointing down

What is Tramadol hydrochloride 10 mg/ml Oral Liquid?

Tramadol hydrochloride 10 mg/ml Oral Liquid is a specially prepared liquid form of the pain medication tramadol. It is designed for oral use and allows for accurate dosing in a form that is easy to swallow, particularly suited to individuals who have difficulty swallowing pills, such as children and the elderly.

Who might need to use the oral liquid form of Tramadol?

Patients who have difficulty swallowing pills, have certain swallowing disorders, or have an aversion to solid dosage forms may benefit from the Tramadol oral liquid. It is also suitable for pediatric and geriatric patients who require a convenient and accurate dosage form.

How should Tramadol hydrochloride Oral Liquid be administered?

Tramadol hydrochloride Oral Liquid should be measured with a proper dosing syringe, cup, or spoon to ensure the correct dose is given. It is then taken orally according to the prescribed schedule and dosage provided by a healthcare professional.

Can the dose of Tramadol hydrochloride Oral Liquid be adjusted?

Yes, the dose can be adjusted, but it should only be done under the guidance of a healthcare provider. The liquid form allows for flexibility in dosing that can be tailored to the specific needs of the patient.

Is Tramadol hydrochloride Oral Liquid suitable for chronic pain management?

Yes, Tramadol hydrochloride Oral Liquid can be used for managing chronic pain. However, it should be used as part of a comprehensive treatment plan and under strict medical supervision to monitor effectiveness and avoid potential dependency or side effects.

Are there any side effects associated with Tramadol hydrochloride Oral Liquid?

Like all medications, Tramadol oral liquid can have side effects, including nausea, dizziness, constipation, headaches, and drowsiness. If you experience these or any other concerns, it’s important to consult with your healthcare provider.

Can Tramadol hydrochloride Oral Liquid be taken with food?

Yes, Tramadol hydrochloride Oral Liquid can be taken with or without food. However, taking it with food might help alleviate potential nausea. Follow your healthcare provider's instructions regarding food intake.

What should I do if I miss a dose of Tramadol hydrochloride Oral Liquid?

If you miss a dose, take it as soon as you remember. However, if it's close to the time of your next dose, skip the missed dose and resume your normal dosing schedule. Do not double doses.

How should Tramadol hydrochloride Oral Liquid be stored?

Store Tramadol hydrochloride Oral Liquid at room temperature, away from light and moisture, and out of reach of children and pets. Do not store in the bathroom and ensure the bottle is tightly closed.

Can Tramadol hydrochloride Oral Liquid be used for children?

Tramadol hydrochloride Oral Liquid can be used for children as prescribed by a healthcare provider. However, careful consideration to dosing and monitoring is required due to the differences in pharmacodynamics and pharmacokinetics between children and adults.

Is a prescription required for Tramadol hydrochloride Oral Liquid?

Yes, a prescription from a licensed healthcare provider is required for Tramadol hydrochloride Oral Liquid. Tramadol is a controlled substance and must be used under medical guidance to ensure safety and efficacy.

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.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

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 hydrochloride 10 mg/ml Oral Liquid
Oral Liquid
controlled

Take orally

Every 6 hours as needed