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Usual Tramadol Dose for Pain

Adults (17 years or older): 50 to 100 mg orally every 4 to 6 hours as needed for pain
For patients not requiring rapid onset of analgesic effect: Initial dose: 25 mg orally once a day; titrate in 25 mg increments every 3 days to reach a dose of 25 mg four times a day; thereafter increase by 50 mg as tolerated every 3 days

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Maximum dose: 400 mg per day
  • Doses should be individualized; for patients not requiring rapid analgesia, tolerability may be increased by a slow dose titration.
  • The US FDA warns against use of tramadol in pediatric patients; product labeling for immediate-release tramadol describes adult patients as 17 years or older.
  • Tramadol should not be used postoperatively in patients up to 18 years after tonsillectomy and/or adenoidectomy or in adolescents up to 18 years who are obese or have conditions that may increase the risk of breathing problems.

Use: For the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate.

Usual Tramadol Dose for Chronic Pain

  • 18 years or older (tramadol-naive): 100 mg orally once a day
  • Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions
  • Maximum Dose: 300 mg/day

Initial Dose: Calculate 24-hour IR requirement and initiate with a total daily ER dose rounded down to the next lowest 100 mg increment orally once a day

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Conversion from OTHER Opioids: Discontinue all other around the clock opioid drugs prior to initiating therapy


Initial dose: 100 mg ER orally once a day
Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions


Maximum Dose: 300 mg/day



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      Opana ER Dosage Guide

      Opana ER Dosage Guide - Opana ER Dosage Generic name: OXYMORPHONE HYDROCHLORIDE 5mg Dosage form: tablet, extended release See also: Opana tablet Opana Injection injection Medically reviewed by Drugs.com. Last updated on Sep 27, 2018. Overview Side Effects Dosage Professional Interactions.

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      Generic Name: oxymorphone hydrochloride Dosage Form: tablet, extended release Show On This Page Boxed Warning Indications and Usage Dosage and Administration Dosage Forms and Strengths Contraindications Warnings and Precautions Adverse Reactions Drug Interactions Use In Specific Populations Drug Abuse

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        Opana (oxymorphone) is an opioid pain medication. An opioid is sometimes called a narcotic. Opana is used to treat moderate to severe pain. The extended-release form of this medicine is for around-the-clock treatment of severe pain. Opana ER is not for use on an as-needed basis for pain. Opana may also..


        Opana Prescribing Information

        Generic Name: oxymorphone hydrochloride Dosage Form: tablet Show On This Page Boxed Warning Indications and Usage Dosage and Administration Dosage Forms and Strengths Contraindications Warnings and Precautions Adverse Reactions Drug Interactions Use In Specific Populations Drug Abuse and Dependence Overdosage

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        Opana ER Uses, Side Effects & Warnings Consumer Information (Cerner Multum)

        Opana ER is an opioid medication used to treat moderate to severe pain. The extended-release form of oxymorphone is for around-the-clock treatment of pain and should not be used on an as-needed basis for pain. Opana ER may also be used for purposes not listed in this medication guide. Important Information.


        Usual Opana Dose for Pain

        The following dosing recommendations can only be considered suggested approaches to what is actually a series of clinical decisions over time; each patient should be managed individually.

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        Use as first Opioid Analgesic:
        Initial dose: 10 to 20 mg orally every 4 to 6 hours as needed for pain
        Maximum initial dose: 20 mg

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          What is OneDrive Personal Vault?

          OneDrive basically runs on trusted Microsoft cloud and its Personal Vault is a protected zone that can only be accessed with fingerprint, face-recognition, PIN, or a code sent to you via SMS or email. This vault is a part of office setup 2019 that has an extra layer of security so that nobody could gain access to your personal data. Plus, it is easily accessible on your PC or similar devices. Following are some of the notable features of OneDrive Personal Vault:

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          • Monitoring of suspicious activities
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            by Semenax Indonesia - Friday, 5 July 2019, 10:26 AM
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            Ingin meningkatkan kualitas sperma? Perbaiki pola hidup sehat Anda terlebih dahulu

            Jika Anda dan pasangan ingin segera mendapatkan momongan, saya menyarankan Anda untuk menjalani pola hidup sehat baik sebelum, saat, dan setelah program hamil selesai. Pasalnya, sperma yang diejakulasikan atau dikeluarkan saat analisis sperma sebelum menjalani program bayi tabung adalah sperma yang terbentuk sejak tiga bulan yang lalu.

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            Lihat halaman ini untuk menetahui cara meningkatkan sperma secara alami

            Berikut ini adalah pola hidup sehat yang harus Anda lakukan untuk meningkatkan kualitas sperma.

            1. Makan makanan bergizi seimbang

            Kualitas sperma dapat dipengaruhi oleh banyak faktor, baik faktor internal maupun faktor eksternal. Salah satu faktor eksternal atau faktor luar yang dapat memengaruhi kualitas sperma adalah jenis makanan yang dikonsumsi.

            Sampai saat ini, masih banyak orang yang salah kaprah dan menganggap jenis makanan tertentu dapat meningkatkan kesuburan pria maupun wanita. Misalnya, pria harus makan tauge supaya spermanya bagus dan wanita harus minum madu untuk meningkatkan kesuburan. Padahal, kenyataannya tidak selalu demikian.

            Sebetulnya, tidak ada makanan atau minuman tertentu yang dapat meningkatkan kualitas sperma. Yang terpenting adalah memastikan makanan yang dikonsumsi sesuai dengan prinsip gizi seimbang.

            Hal ini memang tidak secara langsung meningkatkan kualitas sperma, akan tetapi jelas membuat tubuh Anda jadi lebih sehat. Selain itu, makanan bergizi juga dapat meningkatkan libido alias gairah seksual pria.

            Kalau tubuh sehat dan disertai dengan gairah seksual yang baik, maka tingkat kesuburan pun juga akan meningkat. Alhasil, program hamil yang sedang Anda jalani bersama pasangan dapat berjalan dengan lancar dan peluang untuk memiliki momongan lebih besar.

            2. Olahraga rutin

            Obesitas menjadi salah satu penyebab turunnya kualitas sperma pada pria. Pasalnya, berat badan berlebih dapat mengganggu jumlah dan kualitas sperma itu sendiri, baik dari bentuk maupun pergerakannya yang menjadi tidak bagus. Alhasil, sperma justru tidak dapat membuahi ovum secara optimal.

            Salah satu cara terbaik untuk mengendalikan berat badan adalah dengan olahraga rutin. Selain membantu menurunkan berat badan, olahraga juga dapat membuat tubuh Anda menjadi lebih bugar dan lebih siap untuk menjalani program hamil.

            Pilihlah jenis olahraga yang Anda sukai dan sesuai dengan kondisi kesehatan Anda. Misalnya dengan jogging, yoga, renang, dan sebagainya.

            3. Hindari merokok

            Bagi Anda yang memiliki masalah kesuburan dan ingin segera memiliki momongan, sebaiknya segera hentikan kebiasaan merokok. Faktanya, kualitas dan kuantitas sperma pada pria perokok aktif lebih buruk ketimbang yang tidak merokok.

            Apalagi kalau Anda dan pasangan sudah dinyatakan susah hamil, maka kebiasaan buruk yang satu ini bisa semakin memperparah keadaan. Namun ingat, merokok bukanlah satu-satunya penyebab pria menjadi tidak subur, tapi dapat memperparah gangguan sperma.

            4. Kurangi penggunaan botol plastik

            Botol plastik yang mengandung BPA nyatanya dapat menyebabkan turunnya kualitas sperma. BPA itu sendiri adalah senyawa mirip estrogen yang diketahui dapat menurunkan konsentrasi dan jumlah sperma pada pria.

            Maka itu, hindari menggunakan botol minum berbahan plastik yang banyak mengandung zat berbahaya. Bawalah tempat minum dari rumah dan pastikan tempat minum tersebut mengandung BPA free untuk memastikan botol ini aman untuk Anda.

            5. Hindari menggunakan celana dalam ketat

            Kebiasaan menggunakan celana dalam ketat dapat memengaruhi penurunan kualitas sperma. Lagi-lagi, hal ini tidak hanya disebabkan oleh satu faktor saja, ya.

            Contohnya begini. Kalau Anda rajin olahraga dan makan makanan yang bergizi, maka penggunaan celana dalam ketat sebetulnya tidak terlalu masalah. Hanya saja, hal ini memang berisiko menekan dan meningkatkan suhu buah zakar alias skotum yang menjadi gudang sperma itu sendiri. Terlebih lagi jika Anda mengalami obesitas dan menjadi perokok aktif, hal ini dapat semakin memperparah turunnya kualitas sperma.

            Selain penggunaan celana dalam ketat, kebiasaan sauna atau berendam air panas juga dapat menurunkan kualitas sperma, lho. Pasalnya, suhu panas yang mengenai buah zakar dapat merusak spermatogenesis atau proses pembentukan sperma pada pria. Pada akhirnya, kesuburan akan menurun dan membuat Anda sulit punya anak.

            Kunjungi juga:

            http://lajamjournal.org/index.php/lajam/comment/view/452/0/124849

            http://www.ijpcm.org/index.php/IJPCM/comment/view/609/609/23976

            http://e-journal.unipma.ac.id/index.php/JPAUD/comment/view/3943/0/13892

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