Tramal

Tramal

tramadol

Manufacturer:

Grunenthal

Marketer:

Pharos
Concise Prescribing Info
Contents
Tramadol
Indications/Uses
Moderate to severe acute & chronic pain & in painful diagnostic or therapeutic measures. Post-op pain & labour pain. Musculoskeletal pain. Cancer pain. Neuropathic pain.
Dosage/Direction for Use
Cap Adult & childn >14 yr 1 cap, up to 8 cap daily. Supp Adult & childn >14 yr 1 supp, up to 4 supp daily. 50 mg/mL amp 1-2 amp IV, IM or SC, up to 8 amp daily. 100 mg/2 mL amp 1 amp IV, IM or SC, up to 8 amp daily.
Administration
May be taken with or without food.
Contraindications
Acute intoxication w/ alcohol, hypnotics, analgesics or psychotropics. Narcotic w/drawal treatment.
Special Precautions
Opioid dependence, reduced level of consciousness of unclear origin, resp disorders, increased intracranial pressure. Patients known to suffer from convulsions. On long-term use, possibility of tolerance, psychic & physical dependence. May impair ability to drive or operate machinery, especially if taken w/ alcohol. Pregnancy & lactation.
Adverse Reactions
Sweating, dizziness, muzziness, vomiting, dry mouth. In rare cases, influence on CVS regulation, especially after IV administration, headache, retching, vomiting, constipation, GI irritation, skin reactions. In very rare cases, motorial weakness, blurred vision, appetite changes, micturition disorders, psychic side effects eg, mood, perception & activity changes, allergic reactions & anaphylaxis. Cerebral convulsions especially on co-medication w/ neuroleptics, increase in BP, bradycardia. If recommended dosage is exceeded considerably, possibility of resp depression cannot be excluded.
Drug Interactions
Avoid concurrent administration of MAOIs. Co-medication w/ other centrally-acting depressants including alcohol may potentiate CNS effects. Carbamazepine may reduce analgesic effect & duration of action. Co-medication w/ seizure threshold-lowering drugs (eg, SSRIs, TCAs, antipsychotics) may cause convulsions.
ATC Classification
N02AX02 - tramadol ; Belongs to the class of other opioids. Used to relieve pain.
Presentation/Packing
Form
Tramal inj 50 mg/mL
Packing/Price
5 × 1's (Rp109,000/boks)
Form
Tramal inj 100 mg/2 mL
Packing/Price
5 × 1's (Rp165,900/boks)
Form
Tramal cap 50 mg
Packing/Price
50's (Rp250,000/pak)
Form
Tramal supp 100 mg
Packing/Price
10's (Rp150,000/pak)
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