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ConZip

ConZip (tramadol hydrochloride) is an extended-release opioid analgesic used to treat moderate to moderately severe pain in adults. It works by affecting the brain's perception of pain through both opioid receptor activity and inhibition of serotonin and norepinephrine reuptake.



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Frequently Asked Questions

How long does it take for ConZip to start working?
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ConZip typically starts working within 1 hour, with the extended-release formulation providing continuous pain relief for up to 24 hours.

Can ConZip cause dependence?
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Yes, ConZip has the potential for dependence and addiction, especially with long-term use. Follow your healthcare provider’s instructions carefully to minimize this risk.

What should I do if I miss a dose of ConZip?
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If you miss a dose, take it as soon as you remember. If it’s close to your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not double up doses.

Can ConZip be stopped abruptly?
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No, stopping ConZip suddenly can lead to withdrawal symptoms such as anxiety, sweating, and restlessness. Your healthcare provider may recommend tapering the dose gradually to avoid withdrawal.

Is ConZip safe to take with antidepressants?
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ConZip can interact with some antidepressants, increasing the risk of serotonin syndrome. Always inform your healthcare provider if you are taking any medications for depression or anxiety.

Comprehensive Drug Guide

How Does ConZip Work?

ConZip works by binding to mu-opioid receptors in the brain, altering the perception of pain. Additionally, it inhibits the reuptake of serotonin and norepinephrine, two neurotransmitters involved in mood regulation and pain modulation, providing an analgesic effect.



Common Dosages

  • Extended-release capsules: 100 mg, 150 mg, 200 mg, 300 mg

Typical Dosing

  • For pain management: The starting dose is 100 mg once daily, which may be increased based on response. The maximum daily dose is 300 mg.


Typical Dosing

FDA Approved Indications

  • Moderate to moderately severe pain in adults requiring around-the-clock pain management for an extended period.


Who Shouldn't Take ConZip?

  • Known hypersensitivity to tramadol or any component of the formulation.
  • Severe respiratory depression or acute asthma.
  • Concurrent use of monoamine oxidase inhibitors (MAOIs).
  • Severe liver or kidney impairment.


Advice From The Pharmacist

  • Take ConZip exactly as prescribed. Do not crush, chew, or break the extended-release capsules, as this can release the drug all at once, increasing the risk of side effects.
  • Avoid consuming alcohol while taking ConZip, as it increases the risk of dangerous side effects like respiratory depression.
  • If you experience symptoms of serotonin syndrome (e.g., agitation, hallucinations, rapid heart rate), seek medical attention immediately, as this is a rare but serious side effect of tramadol.


Side Effects of ConZip

Common Side Effects

  • Dizziness
  • Constipation
  • Nausea
  • Drowsiness
  • Headache


Uncommon/Severe Side Effects

  • Respiratory depression
  • Seizures
  • Serotonin syndrome
  • Dependence and withdrawal symptoms


Risks and Warnings of ConZip

  • Respiratory Depression: ConZip can cause severe respiratory depression, especially when taken in higher doses or with other central nervous system depressants like alcohol or benzodiazepines.
  • Abuse Potential: ConZip has a potential for abuse, addiction, and misuse. It should be used with caution in individuals with a history of substance use disorder.
  • Serotonin Syndrome: The risk of serotonin syndrome is increased when ConZip is taken with other serotonergic medications, such as SSRIs, SNRIs, or MAOIs.


Interactions with ConZip

Common Drug Interactions

  • Monoamine Oxidase Inhibitors (MAOIs): ConZip should not be used with MAOIs, as this increases the risk of serotonin syndrome and hypertensive crisis.
  • CNS depressants: Combining ConZip with other CNS depressants, such as alcohol, benzodiazepines, or sedatives, can increase the risk of respiratory depression and sedation.
  • SSRIs and SNRIs: The risk of serotonin syndrome increases when ConZip is taken with other serotonergic agents.


Alternatives to ConZip

  • Oxycodone ER (OxyContin): Another extended-release opioid analgesic used for chronic pain management.
  • Hydrocodone ER (Hysingla ER): An extended-release opioid analgesic for moderate to severe pain.
  • Tapentadol (Nucynta ER): An opioid analgesic with additional norepinephrine reuptake inhibition, similar to tramadol, used for chronic pain.