· Tramadol acts at the level of the brain, binding to opioid receptors and affecting the reuptake of certain neurotransmitters, which reduces the perception of pain.
· Works best for chronic pain when combined with other pain relievers such as NSAIDS, gabapentin, and/or amantadine.
· Generally well tolerated, but may cause sedation and/or incoordination. Tastes bitter, hide well in food. Pets may drool if they taste the medication.
· Occasional to rare side effects include anxiety, agitation, tremor, poor appetite, vomiting, constipation, or diarrhoea.
· Best to start with a low dose and increase as needed.