Trapadol 100 mg (Tablet)

Unit Price: ৳ 13.00 (3 x 10: ৳ 390.00)
Strip Price: ৳ 130.00

Medicine Details

Title

  • Trapadol

Categories

  • Pain Relief
  • Analgescis
  • Opioid Analgesics
  • Medical Supplies

Description

  • Used for the treatment of moderate to severe painful conditions
  • Centrally acting synthetic analgesic compound
  • Inhibits the re uptake of neurotransmitters- serotonin and noradrenaline
  • Dosage forms include Capsule, Tablet, Sustained Release Capsule, Injection, Suppository
  • Interaction with MAO inhibitors and carbamazepine
  • Contraindicated in hypersensitivity to the drug and acute intoxication with certain substances
  • Common side effects include dizziness, nausea, constipation, headache, somnolence, vomiting, pruritus
  • Safety in pregnancy and lactation not well established, crossing the placenta and detected in breast milk
  • Precautions for respiratory depression, opioid dependence, concomitant CNS depressants, and increased intracranial pressure
  • Dosage in children from the age of 1 year

Indications

  • Postoperative pain
  • Colic and spastic pain
  • Cancer pain
  • Joint pain
  • Neck and back pain
  • Pain associated with osteoporosis

Pharmacology

  • Inhibits the re uptake of neurotransmitters- serotonin and noradrenaline
  • Modifies the transmission of pain impulses
  • Activates descending serotonergic pathways and noradrenergic pathways

Dosage & Administration

  • Usual doses are 50 to 100 mg every four to six hours
  • Total daily dosage by mouth should not exceed 400 mg
  • First one in the morning and then at the same time in the evening for sustained release capsule
  • Initial dose of 100 mg for postoperative pain followed by 50 mg every 10 to 20 minutes if necessary to a maximum of 250 mg in the first hour
  • Subsequent doses should be 50 to 100 mg administered 4-6 hourly

Interaction

  • No drug class recommended for combination except MAO inhibitors
  • Carbamazepine causes a significant increase in metabolism

Contraindications

  • Hypersensitivity to the drug
  • Contraindicated in 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 not established
  • Crosses the placenta
  • Detected in breast milk
  • Use during pregnancy only if the potential benefit justifies the risk to the foetus

Precautions & Warnings

  • Respiratory depression with large doses
  • Opioid dependence
  • Cautious use with concomitant CNS depressants
  • Great caution in patients taking MAO inhibitors
  • Use with caution in patients with increased intracranial pressure or head injury and patients with acute abdominal conditions

Use in Special Populations

  • Dose of 1-2 mg/kg body weight in children from the age of 1 year
  • Suppository (100 mg) not administered in children and adolescents below the age of 14 years
  • Trapadol 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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