Tramamax 50 mg (Tablet)

Unit Price: ৳ 10.00

Medicine Details

Indications

  • Used for the 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
  • Stimulation of mu-opioid receptors

Dosage & Administration

  • Usual doses are 50 to 100 mg every four to six hours
  • Initial dose of 100 mg for acute pain
  • Initial dose of 50 mg for chronic painful conditions
  • Sustained release capsule or tablet dosage
  • Injection dosage
  • Suppository dosage
  • Total daily dosage by mouth should not exceed 400 mg

Interaction

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

Contraindications

  • Contraindicated in persons with hypersensitivity to this drug
  • Contraindicated in acute intoxication with certain substances

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 of Tramadol in pregnancy has not been established
  • Crosses the placenta
  • No adequate and well-controlled studies in pregnant women
  • Tramadol should be used during pregnancy only if the potential benefit justifies the risk to the foetus
  • Tramadol Hydrochloride should not be administered during breastfeeding

Precautions & Warnings

  • Respiratory depression
  • Opioid dependence
  • Concomitant CNS depressants
  • Concomitant MAO inhibitors
  • Use with caution in patients with increased intracranial pressure or head injury and acute abdominal conditions

Use in Special Populations

  • In children from the age of 1 year, can be given in a dose of 1-2 mg/kg body weight
  • Suppository (100 mg Tramamax) should not be administered in children and adolescents below the age of 14 years
  • Tramamax 100 mg SR Capsules have not been 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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