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Commonly reported side effects of tramadol include: pruritus, agitation, anxiety, constipation, diarrhea, hallucination, nausea, tremor, vomiting, and diaphoresis. Other side effects include: insomnia, pruritus, and diaphoresis.
Give tramadol exactly as it was prescribed for your pet. For pain relief, the usual dose in dogs is 0.45-1.8mg per pound of pet's weight given by mouth every 8-12 hours. For treating chronic cancer pain in dogs, the usual dose is 0.45-1.8mg per pound of pet's weight given by mouth every 6 hours.
Summary: Since chronic pain syndromes and depression simultaneously occur in many patients, it is likely that tramadol and an SSRI will be used together. However, concomitant use of these drugs is known to increase the risk for seizures and serotonin syndrome (see the figure below).
Tramadol works by changing the way the brain and body perceive pain. Specifically, tramadol both inhibits serotonin and norepinephrine reuptake AND activates opiate receptors in the central nervous system to enhancing the inhibitory effects on pain transmission in the spinal cord.























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