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The potential impact of more stringent controls on availability tramadol and treatment Respondents strongly agreed that tighter regulation would lead to a significant reduction in the medical availability of tramadol, especially in the outpatient setting .
In order to compensate for this reduced availability, other analgesics would be substituted; mainly NSAIDs, COX-2 tramadol hcl en español tramadol and ritalin high tramadol hcl recommended dosage tramadol 50 mg nl inhibitors and – in the hospital setting in a few countries – strong opioids .
If NSAIDs or COX-2 inhibitors were to be prescribed, their lower efficacy means that fewer patients would achieve satisfactory pain relief, especially those with conditions which have a tramadol neuropathic pain component .
There would also be a higher incidence of serious side effects on the gastrointestinal, renal and cardiovascular systems, tramadol especially over the long term or in elderly patients .
Other possible consequences mentioned by respondents include the higher cost of alternative analgesics and a decline in patient compliance, owing to tramadol schedule australia tramadol vs tylenol 4 tramadol controlled august tramadol good dose patients’ fears of addiction to strong opioids and their possible side effects .
All the respondents stated that the quality of pain management would be adversely affected, so many patients would how to get prescription of ultram opiate withdrawal with clonidine dosage tramadol par jour Buy be left without appropriate treatment for moderate to severe pain, especially in the outpatient setting .
As strong opioids are not readily available in several countries, including tramadol India and Pakistan, some respondents foresee they would no longer have any appropriate medication for cancer pain or the long-term treatment of chronic pain .
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