Content
25 December 2006, 16:48
What is Ultram? What Doctors Are Not Telling Patients.
 From Wikipedia, the free encyclopediaTramadol is an atypical opioid which is a centrally acting analgesic, used for treating moderate to severe pain. It is a synthetic agent, unrelated to other opioids, and appears to have actions on the GABAergic, noradrenergic and serotonergic systems. Tramadol was developed by the German pharmaceutical company Grünenthal GmbH and marketed under the trade name Tramal. Grünenthal has also cross licensed the drug to many other pharmaceutical companies that market it under various names, some of which are listed below. Ultram, also called Tramadol, is a good analgesic designed to treat moderate to severe pain. While it's not in the NSAID family (nonsteroidal anti-inflammatory drug) it is also not a member of the narcotic pain reliever family. It's unique in that it offers the benefits of both drug types, without subjecting users to the negative aspects of either of them.
Tramadol is usually marketed as the hydrochloride salt (tramadol hydrochloride) and is available in both injectable (intravenous and/or intramuscular) and oral preparations (e.g. Zydol® in UK and Ultram® in US). It is also available in conjunction with paracetamol (acetaminophen) as Ultracet® or Tramacet®. People who are weary of the volatile effects of narcotic pain medications, like those associated with strong opiates (Vicodin, Oxycontin, Morphine, Demerol, etc) can enjoy the benefit of good pain relief without them.
On the other hand, Ultram also acts as a good anti-inflammatory without the risk of stomach damage or irritation associated with many of the NSAIDs. So it's no wonder that many physicians find it an ideal and appropriate treatment for a variety of pain issues with their patients.
Dosages vary depending on the degree of pain experienced by the patient. Tramadol is approximately 10% as potent as morphine, when given by the IV/IM route. Oral doses range from 50–400 mg daily, with up to 600 mg daily when given IV/IM. The 'combination' pills each contain 37.5 mg of tramadol and 325 mg of paracetamol, with the recommended dose being one or two pills every four to six hours. Now the fact that Ultram is classified as non-narcotic can mislead both doctors and patients into thinking there's not a risk for addiction or dependency. Though, in the last few years, doctors have realized that many of their patients have become dependent on this medication. Many doctor's offices are now handling Ultram the same way they do narcotic prescriptions.
Note that unlike virtually all other opioids/opiates, Tramadol is not considered a controlled substance in many countries (US and Canada, among others), available only with a normal prescription. According to Erowid, there have also been reports that, in a few countries, Tramadol is available over-the-counter without a prescription at all. Yet there are still a number of physicians and patients who are unaware of its habit-forming potential. There have even been cases where patients attempted to inform their doctors that they were experiencing severe withdrawal symptoms from discontinued use, and were dismissed, doctors having cited that it was not possible to experience these types of symptoms with a non-narcotic drug.
We have learned in recent years that withdrawal can occur as a result of discontinuing any number of medications, namely anti-depressants like Paxil, Zoloft and Lexapro. The fact is that once the body is used to processing a substance for a period of time, it reacts strongly to its no longer being in the bloodstream. This reaction is almost always very unpleasant and uncomfortable for the one experiencing it.
 Mechanism of action The mode of action of tramadol has yet to be fully understood, but it is believed to work through modulation of the GABAergic, noradrenergic and serotonergic systems. The contribution of non-opioid activity is demonstrated by the analgesic effects of tramadol not being fully antagonised by the μ-opioid receptor antagonist naloxone.What adds to the habit-forming nature of Ultram is that in addition to its effectiveness at relieving pain, it also acts as a great anti-depressant, as well as a healer of several other ailments. For many of those who have taken Ultram, it could be described as a wonder drug-as in one wonders why they can't just take this medication indefinitely. The reason of course, is that it's not been approved for such use.
Tramadol is marketed as a racemic mixture with a weak affinity for the μ-opioid receptor (approximately 1/6000th that of morphine). The (+)-enantiomer is approximately four times more potent than the (-)-enantiomer in terms of μ-opioid receptor affinity and 5-HT reuptake, whereas the (-)-enantiomer is responsible for noradrenaline reuptake effects (Shipton, 2000). These actions appear to produce a synergistic analgesic effect, with (+)-tramadol exhibiting 10-fold higher analgesic activity than (-)-tramadol (Goeringer et al., 1997). Many patients wondered whether or not Ultram could follow the example of Wellbutrin. This drug was created to treat depression, but after it was widely reported by users to be helpful in quitting smoking, it became approved for this purpose as well, then marketed as Zyban to consumers seeking this type of product.
This will likely never happen with Ultram, much to the disappointment of the thousands of people who have been using it as an anti-depressant. This is partly thanks to the many who have not just used Ultram, but abused it.
The serotonergic modulating properties of tramadol mean that it has the potential to interact with other serotonergic agents. There is an increased risk of serotonin syndrome when tramadol is taken in combination with serotonin reuptake inhibitors (e.g. SSRIs), since these agents not only potentiate the effect of 5-HT but also inhibit tramadol's metabolism. There are many reports of people taking up to twenty 50 milligram tablets per day, while the maximum daily dosage allowed is eight of those tablets. People have also attempted forgery to gain access to it, and exhibited other drug seeking behaviors as part of the abuse of the drug.
Since Ultram is not a narcotic, it has never been necessary to misuse it in such a way. But people who are addicts by nature will misuse any medication or substance they come in contact with.
It is suggested that tramadol could be effective for alleviating symptoms of depression and anxiety because of its action on GABAergic, noradrenergic and serotonergic systems. However, health professionals generally do not suggest use of the drug for treatment of such disorders. It is important to note that while Ultram does not produce a lot of heavy side effects, it is extremely habit forming just in the sense that it easily creates one of the harshest and most extreme withdrawal experiences of anything out there. Doctors need to be aware of this so they can advise their patients accordingly and the dosage tapered before it's stopped.
Tramadol may also be used to treat hypertension when other treatments have failed. If you have been taking this medication for any length of time, do not stop suddenly. The symptoms you can experience as a result are: shaking, trouble breathing, extreme allergies and sneezing, restless limbs, diarrhea, severe agitation, lethargy, and rapid heart rate. Obviously the longer period of use, the more severe the symptoms will be, but it doesn't take long for it to become a habit for your body to process this medicine.
While Ultram is a great medication and works well for its intended purpose, use it carefully, even if your doctor sees no reason to proceed with caution.
Source Content
24 December 2006, 15:41
Poker Saves A Marriage
Roulette Strategies Gambling
Poker becomes the passionate pastime of a couple in distress through an online casino portal.
Debora and Mike from La California found the gaming world as a mutual passion after 17 years of marriage. The couple claimed they had no joint interest and were drifting apart. The game has become more then a hobby for them as they are on their way of becoming professional poker players due to all the time and efforts they invests in it. The couple has two sons at the ages of twelve and seven.
Roulette Glossary
« Drop - The casino term for the total amount of money and markers wagered at the tables.
« Drop Box - A box where money is dropped after the player cashes into a game and receives his chips. The box is usually located under the table.
« Dumping - A casino table that is losing money to the players.
« Edge - Having the advantage in a game.
« En Plein - French term for the Straight-up Bet.
« En Prison - French term for the favorable option offered at some single-zero roulette tables. The player doesn't lose his even-money bets if the zero shows. Instead the bet is locked up (imprisoned) for another spin. If the bet wins, it is returned fully. If the bet loses, the house collects it. It all started when one night Debra entered Gambling Portal, where she found "the path to the gambling world". "I was not looking for it" Debora says "but I sure did find it". She claims she did not notice she has been playing for hours, when her husband Mike came to see what she is up to. Since that night, their interest in card games grew and especially in poker. Their interest became greater until a few weeks later; they decided to take professional lessons.
Mike and Debora studied the different strategies of the poker game, and they had played, in the last few months at several poker tournaments online. Their mutual dream is to play on the World Series of Poker in Las Vegas.
"We know we have a long way a head of us" says Mike "but we take this very seriously, both of us, but first we plan on going to Atlantic City for our next vacation in order to feel the atmosphere of a casino".
According to Debora and Mike they have tried, during the last 5 years of their marriage, to find a mutual interest, but they could not find anything they both liked, let alone loved. The lack of this mutual interest has made the distance between them greater. They say this new passion has helped their marriage where many other things have failed.
"We feel very fortunate to find something we both love to do alone as well as together" Debora says.
Roulette Glossary
« European Wheel - Roulette wheel that has only a single zero (0) and a number sequence of (clockwise starting with 0): 0, 32, 15, 19, 4, 21, 2, 25, 17, 34, 6, 27, 13, 36, 11, 30, 8, 23, 10, 5, 24, 16, 33, 1, 20, 14, 31, 9, 22, 18, 29, 7, 28, 12, 35, 3, 26. Originally, the single-zero wheel started in America and the double-zero wheel started in Europe. But, Europeans liked the single-zero wheel better, and Americans liked the double-zero wheel better so they switched. Today, the European wheel and single-zero wheel are synonymous. It is also known as the French Wheel.
« Even Bet - A wager that one of the even numbers will win the next spin.
« Even Money - A bet that pays off at one to one. In roulette Red, Black, Odd, Even, Low, and High bets all pay even money.
« Even Up - A bet that has no mathematical edge for either side. In roulette, this can only come from wheel biases and croupier biases, as all layout bets have an unyielding house advantage.
« Eye in the Sky - The cameras, usually in bubbles, located throughout the casino that videotape the action.
« Fair Game - A game where neither the house nor the player has the edge. Roulette is not a Fair Game.
« Fibonacci Betting System - A progressive betting system where each bet is a combination of the two previous numbers. (i.e., 1, 2, 3, 5, 8, 13, etc.).
« Five-Number Bet - Can only be made on the American Wheel and is a single wager that 0, 00, 1, 2, or 3 will hit next. The single worst bet in roulette, and is thus synonymous with Sucker Bet.
« Flat Bettor - A player who never varies the size of his bets, and bets the same amount each time.
« Floorman - Individual responsible for supervising serveral tables in the pit.
« Fluctuation in Probability - Numbers randomly appearing out of all proportion to their probability, usually only in the short-term. A short sequence of repeating decisions. A mathematical term that means good or bad luck depending on whether the fluctuation is in your favor or not. When asked how their sons react to their new hobby, they say they started a new family tradition where they play with their kids at least one day a week. Debora says "I know some may find it odd, but beside the fact that it brings us together as a family, it really develops strategy thinking for kids, just like other card games".
Why We Play Roulette
Betting, waiting, watching… as the ball makes its passes in the outer rim, gradually slowing down and breaking from upper track. Spiraling down to the rotor, the ball crosses over, strikes a numbered pocket, then a few short hops later, hopefully comes to rest in one of our favorite numbers.
It's easy to get caught up in the excitement as the event unfolds right before your eyes. I can't imagine feeling more excited than seeing the ball enter the rotor right before my targeted sector of pockets and watching as it dribbles right into one of my heavily favored numbers!! What an adrenaline rush! Or the ball descends half a wheel away, but through the benefit of a strange bounce, it is suspended on the rotor's edge… waiting for my area to come into play! Then, bam, it takes a turn right into one of my pockets. Of course, the reverse happens as well. Either way, it is a roller coaster ride of emotions. It is the "highs" and the "lows" that make it addicting. Will I experience the depression of a near miss? Or will I enjoy the nirvana of a straight up win?!? …hold on to your hernia belts!
Tradition
What's a casino without a roulette wheel? Imagine Rick's Café in Casablanca or James Bond's savvy wagering without a roulette wheel around. In fact, countless movies with scenes situated in a casino will frequently show a roulette wheel to help the viewer realize, "Yeah, we're in a casino now." It has been the dominant symbol of casino gambling. From movies to television shows to photographs - a roulette wheel is usually visible… and why not? Roulette is the oldest of all the modern casino games, dating back almost 300 years.Roulette Glossary
« French Wheel - Same as European Wheel.
« Front Money - Money previously deposited in the cage and used by the player to draw markers against.
« Gaffed Wheel - A wheel that has been rigged (by either player or the casino).
« Gambling Stake - Amount of money reserved for gambling. Same thing as Bankroll.
« George - A good tipper.
« Gland Martingale - Tongue in cheek name for a limited Martingale System of two steps after a predetermined number of even-money decisions has occurred. Not to be confused with Grand Martingale.
« Golden Numbers - Numbers that have hit out of all proportion to their probability. Might be an indication that a wheel is biased. With additional wheel and number analysis, Golden Numbers can be relabeled as Biased-Numbers.
« Grand Martingale - A varient of the Martingale System where you double your bets and add one extra unit after a loss.
« Greens - Chips valued at $25. Couple this long history with romantic notions of breaking the bank, and you have an irresistible lure. There are plenty of stories to go around of big wins and near misses. Ask anyone of the patrons playing roulette. They'll usually have some personal stories to share. Perhaps they even know some of the romantic tales of past heroes who tempted fate and were victorious. My favorite roulette story starts off… "One of the most spectacular and popular gamblers at Monte Carlo was a handsome young American named William Nelson Darnborough from Bloomington, Illinois. How he beat roulette at Monte Carlo from 1904 to 1911 has been a well-kept secret." Darnborough, in fact, beat the casino to the extent of $415,000. A sum, no doubt, equal to 10 or 15 times that amount in today's dollars. If you would like to hear the rest of the story, you'll have to buy Russell Barnhart's book, Beating the Wheel. With painstaking attention to details, Barnhart has included many more interesting stories.
Diversification
There's something for everyone… from the more conservative "even-money" bettor to the more aggressive long-shot artist, and everything in between. There's a bet to go with every temperament. Unlike the game of craps, for example, the house's edge is consistent for conservative betting all the way up to the 35-to-1 straight up wagers. The French 2.70% edge or even the American 5.26% edge kills the double-digit edge found on the center of a craps table. Because of the variety of wagers, many systems have been developed over the past couple of hundred years with roulette in mind. Whether it's the Martingale, the Labouchere, the d'Alembert or a half-dozen others that come to mind, there are numerous betting systems available to employ. And now, with the popularity of the electronic tote board, systems players can easily canvas the pit for various combinations of results. Of course there is no way to beat the game with a purely mathematical approach, but when applied in moderation, it will help enhance your enjoyment of the game as well as your accounting skills.
Roulette Glossary
« Grifter - A scam artist.
« Grind - A small money player.
« Grind Down - The casino gradually winning all of a player's money due to the advantage it has on bets.
« Grind Joint - A casino that caters to Low Rollers or small-money players.
« Grind System - Increasing one's bet a unit after each win. Any system that attempts to win small amounts frequently against the casinos.
« Guerrilla Gambling - The combination of smart play and hit-and-run tactics to beat the casinos at their own games.
« Heat - Intensive scrutiny of a player's action to determine if he has an edge either due to cheating or expertise. Casinos turn up the heat if you seem to be winning too frequently or in big amounts. As one thing is certain, they can't stand giving back money.
« High Bet - A wager that one of the high numbers (19-36) will win the next spin.
« High Roller - A person who plays for big money (with big money).
« Hoca - Early version of roulette. Appreciation
Some folks just develop an appreciation for the finer things in life. Adding a touch of sophistication makes life interesting. Things like art, music, fashion or just fine dining help us to develop a more civil side to our personality. As an engineer, I appreciate the precision crafted mechanism of a casino roulette wheel on one hand, along with the richly appointed hardwoods and chrome trim on the other. Like a fine Swiss watch or an expensive German auto, there is a beautiful mixture of old-world craftsmanship and state-of-the-art manufacturing technology. Just like the automobile or the watch, a finely tuned roulette wheel is a joy to observe!
Recreation
The game can be an elegant, leisurely break from the rest of the casino. With a sense of civility and decorum, where else can the common folk and the aristocracy both share the plush surroundings of a relaxed and quiet atmosphere? Roulette is often characterized as a serious, but unhurried game, graced by Kings and Queens. With plenty of time between spins, you'll have ample opportunity to play your systems. You can calculate your next series of wagers or socialize with neighbors. Relax and enjoy the company of that attractive blond on your right or that shapely brunette on your left who needs assistance reaching the layout.Roulette Glossary
« Hot and Cold System - Classification of systems that wager on the side that won previously. Another name for a streak method of betting.
« Hot Table - A table where the players have been winning.
« House Edge - The mathematical edge that the casino has on a given bet.
« House Person - A dealer who is unusually concerned with the casino's profits. A dealer who identifies with the casinos or enjoys watching players lose.
« Hustler - A gambling cheat.
« Inside Bet - A bet made on the central, numbered portion of the roulette layout.
« Impair - French term for the Odd Bet.
« LaBouchere Betting System - A type of Cancellation Betting System where numbers are cancelled out from a user-defined string of numbers after a win and added to the string after a loss. The string of numbers determines the next amount to bet. Of course, not wanting to appear sexist in any way, how about rubbing elbows with that dashing young Duke, or some friendly conversation with that handsome, witty Texan? You can make an event out of playing the game. Because of its slower, more relaxed pace, you can stop and enjoy the company at hand. Indeed, the game is faster here in the States, but you can still stop to chat with your neighbors if you're feeling social. In North America, only a small percentage of gamblers consider roulette to be their favorite game. It can provide a welcome diversion or change of pace for the many other patrons.
Remuneration
The biggest reason, I believe, that many play roulette is to make money! Whether playing systems or hunches, everyone seems to have an opinion on the proper method of play. If we thought that we had no chance of winning, we simply would not play. Most patrons will play if they feel they have some chance to beat the game, even if it's a "lucky" win. But is it possible to beat this game over the long term? I believe it is… if (and that's a big "if") you have the proper strategy and dedication to know how to employ it. While mathematical systems alone will fail in the long run, the right predictive methods can, and have beaten the game. In future articles we'll discuss such topics as "dealer's signature," "biased wheel play" and "visual tracking," to name a few. So stay tuned…
Source Content
23 December 2006, 15:28
15,000 Real, Live Roulette Decisions Recorded at the Las Vegas Casino.
Roulette system 6 numbers...
This system was designed for the American roulette wheel, which contains 0 and 00 (note: can?t be used on European wheels).
The numbers around a roulette wheel are arranged so that high and low, red/ black, and odd/even numbers appear alternately.
ROULETTE SYSTEMS. The ROULETTE SYSTEM TESTER
FOR DOUBLE ZEROAMERICAN WHEEL Roulette Systems
15,000 Real, Live Roulette Decisions Recorded at the Las Vegas Casino. Roulette Strategy Testing by Eric St. Germain
This Roulette System Tester book is long awaited by roulettegame players.15,000 Actual Casino Roulette Spins of the roulette wheel.The Roulette System Tester is formatted for all the possible roulette bets: straight-up roulette numbers, red roulette numbers, black roulette numbers, odd roulette numbers, even roulette numbers, top roulette numbers, bottom roulette numbers,roulette dozens and roulette columns. Roulette System Tester summary charts for every thousand roulette spins and for the entire roulette run are provided.The Roulette System Tester format facilitates speedy roulette gambling system testing whether you play casino roulette or online roulette game .This Roulette System Tester book can save the roulette player enormous time and money. Win you tackle the roulette game this roulette strategy testing book can make you money and more importantly it can save you tons of loses.Erick St. Germain says.."Take care of your loses and your wins will take care of themselves".If you look at the wheel closely, you?ll see that 0 and 00 are opposite each other. The first five numbers to the right of 0 are 2, 14, 35, 23 and 4. Diagonally across and to the left of 00 are the numbers 1, 13, 36, 24 and 3. This 12/6 System involves betting on those 12 numbers. In numerical order, the numbers we use are 0, 00, 1, 2, 3, 4, 13, 14, 23, 24, 35 and 36. Those specific numbers form two six-number sections on opposite sides of the wheel and all 12 numbers can be covered with six split bets, i.e. the 12?6 System. Simply cover the twelve numbers by placing your chips on the line between each of these adjacent pairs on the table layout: 0-00, 1-4, 2-3, 13-14, 23-24, and 35-36. You are betting on two separate slices of the wheel, hoping the ball will come to rest in one of those two sections. Also, by betting a total of 12 numbers you cover almost one-third of the entire wheel. You have nearly a one-in-three chance of winning on every spin. To make money with the 12/6 System the same number does not have to hit more than once. As long as, in three consecutive spins, any one of the 12 numbers comes up you?ll pocket a nice profit. Unless you can afford to splurge, I suggest you find a table with $1 chips and a $5 minimum on inside bets.Roulette Glossary « Column Bet - A bet on one of the columns of 12 numbers on the layout.
« Combination Bet - A bet with one chip or more chips on two or more numbers.
« Comp - Casino "freebies" that are given out for certain levels of betting. Basically, the more money you give them, the more "free things" they'll give you.
« Corner Bet - A bet that four numbers in a given segment of the layout will win. Also known as a Square Bet or a Quarter Bet.
« Credit Line - The amount of credit a player is allowed by a given casino.
« Credit Manager - The person in charge of determining casino credit for the player.
« Crew - Personnel who man a game.
« Crossroader - A casino cheat. Buy no more than 60 $1 chips. Start by placing one chip between each of these six pairs of numbers: 0-00, 1-4, 2-3, 13-14, 23-24 and 35-36. Repeat this same wager until you win. When one of your numbers comes up you will be paid 17 to 1 for a total of 18 chips. Now you bet back your win by placing three chips between each of your six sets of numbers. If you win again, the payoff will be 3 x 17 = 51 chips, plus you get back your 3-chip wager for a total of 54 chips. No betting system is infallible, however starting with 60 chips at a low limit table reduces the dent on your bankroll and with 12/6 System it gives you 10 chances to hopefully win some money.
This system is solely designed for American Roulette
Erick St. Germain's Roulette Tip #1
The roulette game offers roulette strategy exploitation intwo areas.Playing roulette wheel sector patterns and following trends.Wheel sectors patterns in the roulette game are recognized by recording the result of each spin on a roulette wheel chart (wheel numbers laid out in order around wheel). One should record 18 roulettenumbers on the roulette wheel chart.Now, look for a six to seven number sector of the wheel thathas a larger number of hits than the other sectors.We playthese sectors for the next few spins.Roulette Glossary
« Croupier - French term for roulette wheel operator or "dealer".
« d'Alembert Betting System - A system of betting where you increase your bet by one unit after a loss and decrease your bet by one unit after a win.
« Dead Table - A table that is manned and ready for action but has no players.
« Dealer - The casino employee who staffs the games offered.
« Derniere - A French term for last and refers to the last group of 12 numbers in the Dozen Bet.
« Double-Up System of Betting - A betting system whereby bets are doubled after a loss in hopes of recouping the previous loss. One specific type of Double-Up System is known as the Martingale System.
« Double-Zero Wheel - See American Wheel.
« Douzaine - French term for the Dozen Bet.
« Dozen Bet - A bet on one of the sequences of 12 numbers on the layout.
« Double Dynamite Roulette System - A combination of Big Number play and sector slicing for short-range play. You can figure out the exactbest parameters in your Roulette System Tester or your single zero tester, the Roulette Eurotester.
Roulette Tip # 2
In the roulette game we can play the inside numbers or the "binary numbers".. for example: red/black, odd/even, or top/bottom. For Trend play we focus on the roulette game binary options. For example, if the last 6 out of 8 spins have resulted in the ball landing on a black roulette number... you bet black. Always go with the trend with your roulette strategy or get the heck out of the way.The old axiom is true... the TREND is your FRIEND.Don't ever start doubling up betting against the trend.Thousands and thousands of novice roulette casino gamblers and online roulette players have said something like.. "it's gone red seven times in a row; It can't go much more. YES IT CAN!If you want to win, listen to Erick...figure out what is happening on the wheel and bet that it will continue to happen until it stops. PERIOD... really guys and gals, trust me. [11] [12] [13] [14] [15] [16] [17] [18] [19] [20] |