Take your car out for a spin at this off-roading trail, Hidden Falls Adventure Park. This one is for all the adrenaline junkies who seek exciting experiences! If you want to make a weekend out of it, they offer camping grounds for you to lodge at, as well as shooting ranges. Bring your ride out and see where the road takes you! Balcones Canyonlands National Wildlife Refuge (Marble Falls)

In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal or cardiac function and concomitant disease or other drug therapy. In patients over 75 years of age, daily doses in excess of 300 mg are not recommended (see ACTION AND CLINICAL PHARMACOLOGY and DOSAGE AND ADMINISTRATION). Care should be taken when treating patients with respiratory depression, or if concomitant CNS depressant drugs are being administered, as the possibility of respiratory depression cannot be excluded in these situations. At therapeutic doses respiratory depression has infrequently been reported.

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ULTRAM® is not recommended for obstetrical pre-operative medication or for post-delivery analgesia in nursing mothers because its safety in infants and newborns has not been studied. Despite the severe strain which the ten days of Dunkirk placed on Ramsay – the operation stretched “everyone to the limit,” he wrote to his wife – the results of the evacuation were “beyond belief”, thanks largely to the Navy running like “a perfect machine.” Tramadol may be expected to have additive effects when used in conjunction with alcohol, other opioids, or illicit drugs that cause central nervous system depression. Drug Abuse And Addiction In all patients with creatinine clearance less than 30 mL/min, it is recommended that the dosing interval of Betram® be increased to 12 hours, with a maximum daily dose of 200 mg. Since only 7% of an administered dose is removed by hemodialysis, dialysis patients can receive their regular dose on the day of dialysis. Use in Hepatic Impairment

ULTRAM® may impair mental or physical abilities required for the performance of potentially hazardous tasks such as driving a car or operating machinery. The patient using this drug should be cautioned accordingly. Use With MAO InhibitorsRamsay was in overall command of Operation Neptune, the unimaginably complex naval and landing operations of D-Day, as more than 4,000 ships and landing craft, nearly 200,000 men and thousands of aircraft took part in the first wave of Normandy landings.