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Tramadol

Strip color for tramadol DOA test

Tramadol is used to relieve moderate to moderately severe pain. Tramadol extended-release tablets are only used by people who are expected to need medication to relieve pain around-the-clock for a long time. Tramadol is in a class of medications called opiate agonists. It works by changing the way the body senses pain and comes as a tablet and an extended-release (long-acting) tablet to take by mouth. The regular tablet is usually taken with or without food every 4-6 hours as needed.

Withdrawal symptoms include: nervousness; panic; sweating; difficulty falling asleep or staying asleep; runny nose, sneezing, or cough; numbness, pain, burning, or tingling in your hands or feet; hair standing on end; chills; nausea; uncontrollable shaking of a part of your body; diarrhea; or rarely, hallucinations.

Source: National Institutes of Health


Drug Abuse Recognition (DAR)

As a point of reference, the following objective symptoms: Horizontal Gaze Nystagmus, Vertical Gaze Nystagmus, Lack of Convergence, Pulse, Romberg Stand, Pupil Size, and Pupillary Reaction To Light are determined during a DAR evaluation to identify drug influence and impairment. The following objective symptoms of someone under the influence of tramadol may be used as a reference only, and should not be used to replace certified Drug Abuse Recognition Training.

Please contact Express Diagnostics if you would like more information on DAR-OS or drug abuse recognition training.

Opiates: Buprenorphine, opiates, methadone, oxycodone, tramadol, fentanyl

Horizontal Gaze NystagmusNot Present
Vertical Gaze NystagmusNot Present
Lack of ConvergenceNot Present
PulseSlow
Romberg StandSlow
Pupil SizeConstricted
Pupillary Reaction To LightSlow

Source: Graves & Associates