Utramal Retard 50 mg (Retard Tablet)

Unit Price: ৳ 11.00 (3 x 10: ৳ 330.00)
Strip Price: ৳ 110.00

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
  • Inhibition of neurotransmitter reuptake
  • Activation of serotonergic and noradrenergic pathways
  • Stimulation of mu-opioid receptors
  • Modulation of central monoaminergic inhibitory pathways

Dosage & Administration

  • Usual doses of 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
  • Maximum total daily dosage of 400 mg
  • Sustained release capsule or tablet every 12 hours
  • Injection dose of 50-100 mg every 4 to 6 hours
  • Suppository dose of 100 mg Tramadol Hydrochloride 6 hourly
  • Rectal administration for suppository

Interaction

  • Contraindicated with monoamine oxidase (MAO) inhibitors
  • Caution when co-administered with carbamazepine

Contraindications

  • Hypersensitivity to the drug
  • Acute intoxication with various substances

Side Effects

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

Pregnancy & Lactation

  • Should be used during pregnancy if benefits outweigh risks
  • Not recommended during breastfeeding

Precautions & Warnings

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

Use in Special Populations

  • Dosing in children from the age of 1 year
  • Suppository not recommended in children and adolescents below the age of 14 years
  • Not studied in children, safety and efficacy not established

Therapeutic Class

  • Opioid analgesics

Storage Conditions

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

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