Tramal (tramadol hydrochloride) is a synthetic opioid analgesic. It affects opioid receptors and inhibits the reversible uptake of norepinephrine and serotonin in synapses in the spinal cord. It also has a sedative and antitussive effect. It has an effect 5 to 10 times weaker than morphine. It is used in the treatment of acute and chronic pain such as cancer, infarction, post-traumatic, post-operative nerve pain and pain in the course of inflammation. It occurs most often in the form of capsules, solution for injection, oral drops, rectal suppositories. It is a strong drug from the group of opioids and how other such agents can quickly trigger physical and mental dependence. Tramal, like most opioids, is used as a drug and is increasingly popular among young people, mainly because of the low price compared to illegal drugs. It is attractive for young people because it gives a sense of bliss, agitation, euphoria. As tramadol hydrochloride causes addiction, withdrawal symptoms may include withdrawal symptoms, such as agitation, anxiety, nervousness, insomnia, excessive physical activity, tremors, delirium symptoms, gastrointestinal symptoms: nausea, vomiting, diarrhea, abdominal pain, increase in blood pressure , tachycardia, vascular collapse, muscle and joint pain, convulsions.

Parents of teens should be vigilant and watchful for any changes in the mood and behavior of their children. It is worth noting when the child is aroused or excessively sluggish. Also inadequate to the situation of behavior and mental states such as: euphoria, anxiety, confusion, balance disturbances, tiredness and bewilderment, mood disorders, changes in activity, may indicate the use of the Tramal. This measure also causes narrowing of the pupils, which can help parents identify the situation.

The maximum daily dose of the preparation is 400 mg of tramadol hydrochloride. It is worth noting that after exceeding 400 mg it becomes very dangerous for health and even life, because there is a high risk of convulsions, including loss of consciousness. Tramalu overdose may result in vomiting, fainting, hypotension, tachycardia, respiratory failure, generalized seizures, coma – in which case, seek medical attention immediately. The effects of Tramadol abuse can be tragic and irreversible. Even in a short time serious liver or heart damage can occur. Self-dependence is an irreversible consequence. In addicted person there are negative changes in all spheres of life, personality and attitude to life are changing, it is more difficult to cope in reality and solve everyday problems, it is also harder to enjoy life sober.

Tramal is a very strong drug and must not be combined with alcohol. Combining these two substances increases their effect and can cause complications that are dangerous to health and life. All side effects of both Tramal and alcohol may increase. In addition, dangerous consequences, especially in young people, may be the loss of control over behavior. Intoxication, increased aggression, and loss of consciousness can lead to many dangerous situations.

Already in doses from 150 mg administered once, it causes drowsiness or agitation, euphoria, dizziness, disturbances of balance and various (depending on the person and the adopted dose) mental reactions.