Tramp CR 100 mg (Capsule (Controlled Release))

Unit Price: ৳ 10.11 (5 x 10: ৳ 505.50)
Strip Price: ৳ 101.10

Medicine Details

Indications

  • Rheumatoid arthritis
  • Degenerative joint diseases
  • Musculoskeletal and joint disorders
  • Symptomatic treatment of pain
  • Dental pain
  • Headache
  • Primary dysmenorrhea

Pharmacology

  • Non-steroidal anti-inflammatory drug (NSAID)
  • Analgesic actions
  • Antipyretic actions
  • Inhibition of prostaglandin synthesis
  • Stabilization of lysosomal membranes
  • Inhibition of leukotriene synthesis
  • Antibradykinin activity
  • Central Nervous System (CNS) suppression

Dosage

  • Anti-inflammatory dosage
  • Management of pain and primary dysmenorrhea
  • Recommended starting dose of 150 to 300 mg/day
  • Maintenance dosage of 100 to 200 mg/day
  • Maximum daily dose of 300 mg
  • Usual recommended dose of 25 to 50 mg every 6 to 8 hours

Administration

  • Oral administration
  • Should be taken with fluids
  • Preferably with food

Interaction

  • Not recommended drug associations
  • Increased risk of gastrointestinal ulceration and bleeding
  • Increased risk of bleeding
  • Unavoidable coadministration warrants close patient monitoring

Contraindications

  • Hypersensitivity reactions
  • Severe heart failure
  • Active peptic ulcer/hemorrhage
  • Gastrointestinal bleeding or perforation
  • Severe hepatic insufficiency
  • Severe renal insufficiency
  • Third trimester of pregnancy
  • Rectitis or history of proctorrhagia

Side Effects

  • Haemorrhagic anaemia
  • Agranulocytosis
  • Thrombocytopenia
  • Aseptic meningitis
  • Exacerbation of heart failure
  • Asthma
  • Hepatitis
  • Rash
  • Renal failure acute
  • Weight increased

Pregnancy & Lactation

  • Avoid use during the first and second trimester
  • Contraindicated during the last trimester
  • Not recommended in nursing mothers

Precautions & Warnings

  • Careful use in patients with gastrointestinal disease
  • Renal function monitoring required
  • Caution in patients with history of hypertension
  • Fluid retention and oedema reported
  • Increased risk of atrial fibrillation
  • Hyperkalemia may occur
  • Negative impact on female fertility

Use in Special Populations

  • Dosage reduction in the elderly
  • Careful monitoring in hepatic impairment
  • Dosage reduction in renal impairment

Overdose Effects

  • Reported symptoms include lethargy, drowsiness, nausea, vomiting
  • Gastric lavage may be recommended
  • Symptomatic and supportive treatment required
  • Hemodialysis may be useful in renal failure

Therapeutic Class

  • Drugs for Osteoarthritis
  • Drugs used for Rheumatoid Arthritis
  • Non-steroidal Anti-inflammatory Drugs (NSAIDs)

Storage Conditions

  • Protect from light
  • Store below 30°C
  • Do not use later than the date of expiry
  • Keep out of reach of children
  • Dispense only on prescription

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