Tridol 100 mg/2 ml (IM/IV Injection)

2 ml ampoule: ৳ 20.00 (5's pack: ৳ 100.00)

Medicine Details

Indications

  • Moderate to severe painful conditions
  • Postoperative pain
  • Colic and spastic pain
  • Cancer pain
  • Joint pain
  • Neck and back pain
  • Pain associated with osteoporosis

Pharmacology

  • Centrally acting synthetic analgesic compound
  • Inhibits reuptake of neurotransmitters
  • Activates serotonergic pathways
  • Activates noradrenergic pathways
  • Stimulation of mu-opioid receptors
  • Modulation of central monoaminergic pathways

Dosage & Administration

  • Capsule or Tablet
  • Sustained Release Capsule or Tablet
  • Injection
  • Suppository
  • Usual doses of 50-100 mg every 4-6 hours
  • Initial doses of 100 mg for acute pain
  • Maximum daily dosage of 400 mg
  • Injection dose of 50-100 mg every 4-6 hours
  • Suppository dose of 100 mg Tramadol Hydrochloride every 6 hours

Interaction

  • Monoamine oxidase (MAO) inhibitors not recommended for combination
  • Concomitant administration of carbamazepine increases Tramadol metabolism

Contraindications

  • Hypersensitivity to Tramadol
  • Acute intoxication with alcohol, hypnotics, opioids, or psychotropic drugs

Side Effects

  • Dizziness/vertigo
  • Nausea
  • Constipation
  • Headache
  • Somnolence
  • Vomiting
  • Pruritus
  • CNS stimulation
  • Asthenia
  • Sweating
  • Dyspepsia
  • Dry mouth
  • Diarrhea
  • Malaise
  • Allergic reaction
  • Weight loss
  • Vasodilatation
  • Palpitations
  • Abdominal pain
  • Anorexia
  • Flatulence
  • GI bleeding
  • Hepatitis
  • Stomatitis

Pregnancy & Lactation

  • Tramadol crosses placenta
  • Use during pregnancy justified if potential benefit outweighs risk
  • Not recommended during breastfeeding

Precautions & Warnings

  • Respiratory depression risk
  • Not recommended for opioid-dependent patients
  • Use with caution with CNS depressants
  • Use with great caution with MAO inhibitors
  • Caution in patients with increased intracranial pressure or head injury
  • Caution in patients with acute abdominal conditions

Use in Special Populations

  • Children from the age of 1 year can be given 1-2 mg/kg body weight
  • Suppository (100 mg Tramadol) not for children below 14 years
  • Tramadol 100 mg SR Capsules not studied in children

Therapeutic Class

  • Opioid analgesics

Storage Conditions

  • Keep below 30°C temperature
  • Away from light & moisture
  • Keep out of the reach of children

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