Kingdol 50 mg (Capsule)

Unit Price: ৳ 8.00 (3 x 10: ৳ 240.00)
Strip Price: ৳ 80.00

Medicine Details

Category Details
Generic Tramadol hydrochloride
Company Drug international ltd

Therapeutic Class

  • Opioid analgesics

Indications

  • Treatment of 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 (serotonin and noradrenaline)
  • Modifies transmission of pain impulses
  • Activates descending serotonergic pathways
  • Mediated via stimulation of mu-opioid receptors
  • Indirect modulation of central monoaminergic inhibitory pathways

Dosage & Administration

  • Usual doses are 50 to 100 mg every 4 to 6 hours
  • Initial dose of 100 mg for acute pain
  • Initial dose of 50 mg for chronic painful conditions
  • Sustained release capsule should be taken every 12 hours
  • Injection dose of 50-100 mg every 4 to 6 hours
  • Suppository dose of 100 mg Tramadol Hydrochloride every 6 hours for adults
  • Total daily dosage should not exceed 400 mg

Interaction

  • Monoamine oxidase (MAO) inhibitors should not be combined with Kingdol
  • Concomitant administration of carbamazepine causes significant increase in Kingdol metabolism

Contraindications

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

Side Effects

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

Pregnancy & Lactation

  • Safe use in pregnancy not established
  • Tramadol crosses the placenta
  • Use during pregnancy only if potential benefit justifies risk to the fetus
  • Tramadol should not be administered during breastfeeding

Precautions & Warnings

  • Respiratory depression may result from large doses
  • Not recommended for patients dependent on opioids
  • Use with caution when administering to patients receiving CNS depressants
  • Use with great caution in patients taking MAO inhibitors
  • Use with caution in patients with increased intracranial pressure or head injury
  • Use with caution in patients with acute abdominal conditions

Use in Special Populations

  • Suitable for children from the age of 1 year at a dose of 1-2 mg/kg body weight
  • Suppository (100 mg Kingdol) should not be administered in children and adolescents below the age of 14 years
  • Kingdol 100 mg SR Capsules not studied in children; safety and efficacy not established

Storage Conditions

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

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