Paracetamol and Tramadol are combined together in this medicine.
Paracetamol+Tramadol is used to relieve moderate to severe pain.
Take Paracetamol+Tramadol exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
You may take this medicine with or without food.
This medicine is available as a film-coated or as an effervescent tablet.
If you are taking the film-coated tablet, swallow it whole with a glass of water. Do not divide, chew or crush the tablet.
If you are taking the effervescent tablet, dissolve the tablet in a glass of water before taking it.
Paracetamol+Tramadol is indicated only for short term (5 days or less) management of pain. You may stop taking this medicine when you have no more pain.
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal dosing schedule.
DO NOT double a dose under any circumstances.
Do not take this medicine if you ever had an allergic reaction (rashes, breathlessness, swollen eyes) to Paracetamol or Tramadol.
Alert your doctor if you have the following conditions:
- severe liver disease
- uncontrolled epilepsy (fits or seizures)
- consumed a lot of alcohol
- have taken more than the recommended amount of painkillers or sleeping pills
as Paracetamol+Traamadol may not be suitable for you.
Do not take this medicine if you are currently taking or have taken a medicine to treat depression known as a monoamine oxidase inhibitor (MAOI) such as isocarboxacid, phenelzine and tranylcypromine in the last 14 days.
Inform your doctor if you have the following conditions:
- stomach problems
- kidney disease
- liver, gall bladder or bile disorder
- difficulties in breathing e.g. asthma, lung problems
- head injury, shock or severe headache associated with vomiting
- delirium tremens (tremors, hallucination and disorientation caused by withdrawal from alcohol)
- thyroid disease
- disorder of the adrenal glands
- enlarged prostate
- depression, having thoughts of self-harm or any other mental illness
Let your doctor know if you are pregnant or breastfeeding.
For as long as you are taking Paracetamol+Tramadol, you may need to regularly monitor your pain relief response, blood pressure and pulse.
Paracetamol+Tramadol may cause drowsiness or dizziness. If affected, do not drive or take part in any activity in which you need to be alert.
Other side effects include any of the following: headache, nausea, vomiting, diarrhoea, constipation, dry mouth, stomach pain, indigestion, stomach wind, tiredness and sweating.
Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:
- difficulty breathing
- swelling of the face, lips, tongue or throat
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Do not take Paracetamol+Tramadol if you are currently taking or have taken medicines used to treat depression known as monoamine oxidase inhibitors (MAOIs) such as isocarboxacid, phenelzine and tranylcypromine in the last 14 days.
Inform your doctor and pharmacist if you are taking any of these medicines:
- medicines for epilepsy (fits or seizures) e.g. carbamazepine
- medicines for migraine e.g. sumatriptan
- other medicines for moderate to severe pain e.g. buprenorphine, nalbuphine, pentazocine
- medicines for depression e.g. paroxetine, fluoxetine, amitriptyline, mirtazapine
- blood-thinning medicines e.g. warfarin
- medicines for nausea or vomiting e.g. ondansetron
This list does not include all medicines that may interact with Paracetamol+Tramadol.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements and medicines that you buy without a prescription.
Store in a cool, dry place away from the reach of children.
Medicines must not be used past the expiry date.