What is AN 627

A graduate of Middle Tennessee State University, Demarco Moore currently writes blogs about drug addiction treatment and recovery to help save lives at treatment provider Landmark Recovery. Before that, he cut his teeth as a sports writer at the Manchester Times, where his coverage and stories won Tennessee Press Association awards in 2016 and 2017.

tramadol

What is the most important information I should know about tramadol?

MISUSE OF THIS MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep this medicine where others cannot get to it.

Tramadol should not be given to a child younger than 12 years old, or anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids. Ultram ER should not be given to anyone younger than 18 years old.

Taking tramadol during pregnancy may cause life-threatening withdrawal symptoms in the newborn.

Fatal side effects may occur if you use also use alcohol or other drugs that cause drowsiness or slow breathing.

What is tramadol?

What is tramadol?

Tramadol is an pain medicine similar to an opioid. Tramadol is used to treat moderate to severe pain.

The extended-release form of tramadol is for around-the-clock treatment of pain. This form of tramadol is not for use on an as-needed basis for pain.

Tramadol may also be used for purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking tramadol?

What should I discuss with my healthcare provider before taking tramadol?

You should not take tramadol if you are allergic to it, or if you have:

• severe asthma or breathing problems;
• a stomach or bowel obstruction (including paralytic ileus);
• if you have recently used alcohol, sedatives, tranquilizers, or narcotic medications; or
• if you have used an MAO inhibitor in the past 14 days (such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine).

Tramadol should not be given to a child younger than 12 years old. Ultram ER should not be given to anyone younger than 18 years old.

Do not give tramadol to anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids.

Seizures have occurred in some people taking tramadol. Your seizure risk may be higher if you have ever had:

• a head injury, epilepsy or other seizure disorder;
• drug or alcohol addiction; or
• a metabolic disorder.

Tell your doctor if you have ever had:

• breathing problems, sleep apnea;
• liver or kidney disease;
• urination problems;
• problems with your gallbladder, pancreas, or thyroid;
• a stomach disorder; or
• mental illness, or suicide attempt.

If you use tramadol during pregnancy, your baby could be born with life-threatening withdrawal symptoms, and may need medical treatment for several weeks.

Ask a doctor before using tramadol if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.

How should I take tramadol?

How should I take tramadol?

Follow the directions on your prescription label and read all medication guides. Never use tramadol in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to take more of this medicine.

Never share tramadol with another person, especially someone with a history of drug addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medicine where others cannot get to it. Selling or giving away this medicine is against the law.

Stop taking all other opioid medications when you start taking tramadol.

Tramadol can be taken with or without food, but take it the same way each time.

Swallow the capsule or tablet whole to avoid exposure to a potentially fatal overdose. Do not crush, chew, break, open, or dissolve.

Measure liquid medicine with the supplied syringe or a dose-measuring device (not a kitchen spoon).

Never crush or break a tramadol pill to inhale the powder or mix it into a liquid to inject the drug into your vein. This practice has resulted in death.

You may have withdrawal symptoms if you stop using tramadol suddenly. Ask your doctor before stopping the medicine.

Store at room temperature away from moisture and heat. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.

Do not keep leftover tramadol. Just one dose can cause death in someone using it accidentally or improperly. Ask your pharmacist where to locate a drug take-back disposal program. If there is no take-back program, mix the leftover medicine with cat litter or coffee grounds in a sealed plastic bag throw the bag in the trash.

What happens if I miss a dose?

What happens if I miss a dose?

Since tramadol is used for pain, you are not likely to miss a dose. Skip any missed dose if it is almost time for your next dose. Do not use two doses at one time.

What happens if I overdose?

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose can be fatal, especially in a child or other person using the medicine without a prescription. Overdose symptoms may include severe drowsiness, pinpoint pupils, slow breathing, or no breathing.

Your doctor may recommend you get naloxone (a medicine to reverse an opioid overdose) and keep it with you at all times. A person caring for you can give the naloxone if you stop breathing or don’t wake up. Your caregiver must still get emergency medical help and may need to perform CPR (cardiopulmonary resuscitation) on you while waiting for help to arrive.

Anyone can buy naloxone from a pharmacy or local health department. Make sure any person caring for you knows where you keep naloxone and how to use it.

What should I avoid while taking tramadol?

What should I avoid while taking tramadol?

Do not drink alcohol. Dangerous side effects or death could occur.

Avoid driving or hazardous activity until you know how this medicine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.

What are the possible side effects of tramadol?

What are the possible side effects of tramadol?

Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling).

Tramadol can slow or stop your breathing, and death may occur. A person caring for you should give naloxone and/or seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up.

Call your doctor at once if you have:

• noisy breathing, sighing, shallow breathing, breathing that stops during sleep;
• a slow heart rate or weak pulse;
• a light-headed feeling, like you might pass out;
• seizure (convulsions); or
• low cortisol levels –nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness.

Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.

Serious breathing problems may be more likely in older adults and people who are debilitated or have wasting syndrome or chronic breathing disorders.

Common side effects may include:

• constipation, nausea, vomiting, stomach pain;
• dizziness, drowsiness, tiredness;
• headache; or
• itching.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect tramadol?

What other drugs will affect tramadol?

You may have breathing problems or withdrawal symptoms if you start or stop taking certain other medicines. Tell your doctor if you also use an antibiotic, antifungal medication, heart or blood pressure medication, seizure medication, or medicine to treat HIV or hepatitis C.

Many other drugs can be dangerous when used with tramadol. Tell your doctor if you also use:

• medicine for allergies, asthma, blood pressure, motion sickness, irritable bowel, or overactive bladder;
• other opioid medicines;
• a benzodiazepine sedative like Valium, Klonopin, or Xanax;
• sleep medicine, muscle relaxers, or other drugs that make you drowsy; or
• drugs that affect serotonin, such as antidepressants, stimulants, or medicine for migraines or Parkinson’s disease.

This list is not complete. Other drugs may affect tramadol, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here.

Many other drugs can be dangerous when used with tramadol. Tell your doctor if you also use:

• medicine for allergies, asthma, blood pressure, motion sickness, irritable bowel, or overactive bladder;
• other opioid medicines;
• a benzodiazepine sedative like Valium, Klonopin, or Xanax;
• sleep medicine, muscle relaxers, or other drugs that make you drowsy;
• drugs that affect serotonin, such as antidepressants, stimulants, or medicine for migraines or Parkinson’s disease.
• drugs that affect serotonin levels in your body –a stimulant, or medicine for depression, Parkinson’s disease, migraine headaches, serious infections, or nausea and vomiting.

This list is not complete. Many other drugs may affect tramadol. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

Where can I get more information?

Where can I get more information?

Your doctor or pharmacist can provide more information about tramadol.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. (‘Multum’) is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum’s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum’s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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What is AN 627?

Have you ever found a pill labeled “AN 627” or “AN627” and wondered what it was? Understanding what’s inside our medication is crucial, whether it’s a loved one’s pills or something prescribed to you.

AN 627 is more than just a number—it’s a code for a prescription painkiller that might be in your home right now. This article dives into everything needed to understand AN 627, including its medical uses, side effects, and the risks associated with counterfeit versions.

What is AN 627?

AN 627, scientifically known as “Tramadol Hydrochloride 50 mg,” is a medicine for managing back and chronic pain. Tramadol is an opioid best known for its narcotic, pain-relieving effects.

How It’s Made and Where It’s Found

Amneal Pharmaceuticals makes AN 627 pills, which you can only get with a doctor’s prescription. AN 627 contains tramadol hydrochloride, a strong medicine for severe pain. Unlike strong pain pills derived from poppy plants, like heroin and morphine, tramadol is synthetically made in a lab using an established pharmacological process.

How Tramadol Works in the Body

AN 627 contains one active ingredient: tramadol hydrochloride 50 mg. Here’s how it works to ease moderate to severe pain:

• Tramadol : Once you take this pill, it affects your brain and central nervous system. It latches onto pain receptors and makes your body think you’re not in as much pain, blocking those signals from reaching your brain.

Always consult your healthcare provider for proper use and to discuss any concerns.

Connection to Other Medications or Substances

AN 627 shares similarities with other opioid-containing medications, like:

It has the same addictive potential and should be used under medical supervision. Like many opioids, AN 627 can be habit-forming. Therefore, it’s important to follow your doctor’s instructions. Mixing tramadol with alcohol or other opioids can also be life-threatening.

Nicknames and Brand Names

AN 627 has different names that might sound familiar. Recognizing these names can help you or a loved one identify the drug and be aware of its use.

Brand Names

• Ultram
• Zytram
• Ralivia
• Ultracet

Nicknames

• “Ultras”
• “Chill pills”
• “Tramal”
• “Trammies”
• “Trams”
• “Tramodol”

Stay aware of these terms to avoid misuse, counterfeit versions, or potential risks. If you hear any of these nicknames or brand names, it’s the same medication with the same risks and should be taken carefully.

Tramadol hydrochloride tablets, opioid pain relievers, have “AN 627” or “AN627” printed on one side.

Short- and Long-Term Side Effects of AN 627

Common Side Effects

Whether you’re taking generic AN 627 or brand-name versions like Ultram and Ralivia, you might experience the following:

• Nausea
• Anxiety
• Insomnia
• Dry mouth
• Constipation
• Nervousness
• Vomiting
• Sleep disorder
• Abdominal pain
• Depression
• Sore throat
• Agitation
• Diarrhea
• Euphoria
• Apathy

These are common side effects. However, if these symptoms linger or worsen, consult a healthcare provider.

Severe and Rare Side Effects

Serious AN627 side effects can occur and require immediate attention.

These may include:

• Allergic reactions: Signs include wheezing and swollen skin, for example.
• Anaphylaxis : A severe allergic reaction that needs urgent care
• Emotional ups and downs : AKA “emotional lability”
• Withdrawal symptoms: Can occur if you quit tramadol suddenly or “cold turkey“
• Breathing issues: Like bronchospasm and dyspnea
• Toothache : It might seem unrelated, but can be a side effect
• Appendicitis and pancreatitis : Serious issues affecting the gut

These symptoms may be more common in older adults or people with chronic breathing issues. If you or a loved one experiences these, seek immediate medical help .

What to Do If Side Effects Occur

This is not a complete side effects list, and you should consult your doctor for more information. If you experience any of these serious or rare side effects:

• Seek emergency medical help for severe side effects
• Contact your doctor immediately
• Report side effects to the FDA at 1-800-FDA-1088
• Follow professional medical advice

Abuse and Addiction Risk Factors

AN 627 pills contain tramadol, an opioid (narcotic). This makes them highly risky for abuse and addiction. Factors that can lead to abuse include:

• Personal or Family History : Previous addiction to drugs or alcohol or a family history of addiction.
• Mental Health Issues : Anxiety, depression, or other mental health disorders can make a person vulnerable to abuse and addiction.
• Chronic Pain : Prolonged use for pain management may lead to dependence.
• Accessibility : Easy access to the medication increases the chances of abuse.

Signs of Addiction and Dependence

If you or a loved one is taking AN 627 pills, be aware of signs of addiction or dependence:

• Increased Usage : Taking more than prescribed or for extended periods.
• Withdrawal Symptoms : Experiencing physical or emotional withdrawal when not using the medication.
• Neglected Responsibilities : Focusing more on obtaining the drug and neglecting work, school, or family obligations.
• Failed Attempts to Quit : Multiple unsuccessful attempts to reduce or stop using.

Legal Status

AN 627 pills, because they contain tramadol, fall under Schedule IV of the Controlled Substances Act . This means they have some abuse potential but less than drugs in Schedule III. To get AN 627 pills, you need a prescription from a licensed healthcare provider like a doctor or pharmacist.

If you or someone you know needs this pill for pain relief, always get it through a proper medical channel. This helps you avoid health risks and legal troubles.

Counterfeit AN 627 Risks

Counterfeit AN 627 pills exist due to the pill’s demand for pain relief and its opioid content. These fake pills are dangerous because they might contain harmful or inconsistent ingredients like fentanyl to make a quick buck.

• Increased Overdose Risks : Fentanyl can be deadly in small amounts . It’s up to 100 times stronger than morphine , raising the risk of accidental overdose .
• Health Consequences : Fake pills can lead to unknown and severe health issues, sometimes even death.

While the World Health Organization says over 10% of medicines in some countries are fake , it’s also a problem in the United States. The DEA has seized many counterfeit pills with fentanyl, proving it’s a growing issue in America.

What AN 627 Pills Look and Feel Like

AN 627 pills are usually white and shaped like an oblong tablet. They have “AN 627” printed on one side. Knowing how real pills look can help you spot a fake.

Identifying Counterfeit Versions

Fake AN 627 pills might look off in color, size, shape, or how they feel. Keep an eye out for:

• Smudged imprints
• Weird taste
• Side effects that don’t feel right

What to Do if You Suspect a Counterfeit Product

If you think you’ve got a fake AN 627 pill, don’t take it . Call your doctor or pharmacist immediately. You should also report it to local authorities so nobody else risks taking a counterfeit pill.

Treatment and Recovery Options

Misusing prescription drugs is a national problem. In 2021, nearly 9 million Americans misused prescription pain relievers like AN 627. This shows why treatment options like those at Landmark Recovery are vital if you struggle with tramadol addiction.

When and Why to Seek Professional Help

If AN 627 negatively affects your health, relationships, or daily life, it’s time to get help. Treatment isn’t just about quitting drugs. It helps you understand why you started in the first place and gives you recovery tools for a fresh start.

Available Treatments

With medical care, therapy, and recovery support, addiction to [Pill code] is treatable. Medical detox helps manage withdrawal symptoms , followed by custom drug rehab .

You can beat tramadol addiction with the right help. Medical detox eases opioid withdrawal pains, and personalized rehab guides your recovery.

What’s Next?

AN 627 pills might be in your medicine cabinet or nearby, but are you aware of the risks? The dangers are real, from addiction and uncomfortable side effects to fake pills. You’re not alone if you or a loved one struggles with drug abuse. Help and hope are just a phone call away.

Call Landmark Recovery at 888-448-0302 and begin your recovery journey today.

Choose Recovery Over Addiction

We’re here 24/7 to help you get the care you need to live life on your terms, without drugs or alcohol. Talk to our recovery specialists today and learn about our integrated treatment programs.

About the Author

A graduate of Middle Tennessee State University, Demarco Moore currently writes blogs about drug addiction treatment and recovery to help save lives at treatment provider Landmark Recovery. Before that, he cut his teeth as a sports writer at the Manchester Times, where his coverage and stories won Tennessee Press Association awards in 2016 and 2017.

He’s always had a knack for storytelling. Moore’s written content for junior golf tournaments and helped to amplify the “People Not Profits” message of credit unions. When he’s not writing, Moore loves to travel, laugh and put his mental health into the hands of the Tennessee Titans during football season.