oshudhkosh

Retram50mg

Rx
Dosage form:
Capsule
Pack size:
Capsule

৳ 8/unit

Pack: ৳ 8

At a glance

Tramadol Hydrochloride — brands, prices, indication, dosage and side effects available in Bangladesh.

Description

Tramadol Hydrochloride is a pain relieving medicine. It is used to manage persistent, moderate to severe chronic pain that requires continuous, around-the-clock treatment. Tramadol Hydrochloride is generally administered by a healthcare professional. You should not self-administer this medicine at home. The dose and duration will depend on what you are taking it for and how well it helps your symptoms. The most common side effects of this medicine include injection site reactions (such as pain, redness, and swelling), headache, drowsiness, fatigue, vomiting, constipation, dry mouth, and sweating. If any of these side effects persist or get worse, you should let your doctor know. Your doctor may be able to suggest ways of preventing or reducing the symptoms. Before using it, you should let your doctor know if you have problems with your heart, liver, or kidneys. Let your doctor also know about all the other medicines you are taking because they may affect, or be affected by, this medicine. If you are pregnant or breastfeeding, it is important to ask the advice of your doctor before taking this medicine. Your doctor may also regularly monitor your kidney function, liver function, and levels of blood components if you are taking this medicine for long-term treatment. Tramadol Hydrochloride is an opioid analgesic (pain reliever) which works by blocking transmission of pain signals to the brain to lower pain perception.

Indications

• Moderate to severe pain

Mechanism of action

Tramadol inhibits reuptake of norepinephrine, serotonin and enhances serotonin release. It alters perception and response to pain by binding to mu-opiate receptors in the CNS.

Dosage

Adult Dose: Oral Moderate to severe pain Adult: Immediate release Chronic pain: 25 mg PO every morning initially; increased by 25-50 mg/day every 3 days up to 50-100 mg PO q4-6hr PRN; not to exceed 400 mg/day Acute pain: 50-100 mg PO q4-6hr PRN; not to exceed 400 mg/day Extended release 100 mg PO once daily initially; increased by 100 mg/day every 5 days; not to exceed 300 mg/day Parenteral Moderate to severe pain Adult: IM/IV: 50-100 mg 4-6 hrly over 2-3 min. Postoperative pain Adult: Initially, 100 mg followed by 50 mg every 10-20 min if necessary, to a total of 250 mg in the 1st hr including initial dose. Thereafter, 50-100 mg 4-6 hrly up to a total daily dose of 600 mg. Elderly: >75 yr Increase dosing interval. Hepatic impairment: Severe: Immediate release, 50 mg PO q12hr; extended release not recommended Child Dose: Moderate-to-Severe Pain Immediate release 17 years (acute): 50-100 mg PO q4-6hr PRN; not to exceed 400 mg/day >17 years (chronic): 25 mg PO every morning initially; increased by 25-50 mg/day every 3 days as separate doses up to 50-100 mg PO q4-6hr PRN; not to exceed 400 mg/day Extended release <18 years: Safety and efficacy not established Renal Dose: Renal impairment: CrCl (ml/min) Dosage Recommendation 10-30 Increase dosing interval to 12 hrly. <10 Contraindicated.

Administration

Your doctor or nurse will give you this medicine. Kindly do not self administer.

Missed dose

If you miss a dose of Tramadol Hydrochloride, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Side effects

Common: • Dizziness • Sleepiness • Vomiting • Nausea • Constipation

Precautions & warnings

[UNSAFE] Tramadol Hydrochloride may cause side effects which could affect your ability to drive. Tramadol Hydrochloride may cause side effects such as drowsiness and blurred vision. If this happens, do not drive. Use only for severe acute pain for not more than 5 days. Prolonged use may result in physical and psychological dependence even at recommended dosages. Avoid driving or using machinery if you feel dizzy after taking Tramadol Hydrochloride. It is better to take with food to avoid an upset stomach. Your doctor may adjust your dose if you have liver or kidney disease.

Contraindications

Suicidal patients, acute alcoholism; head injuries; raised intracranial pressure; severe renal impairment; lactation.

Drug interactions

Increased risk of convulsions or serotonin syndrome w/ SSRI, serotonin-norepinephrine reuptake inhibitors (SNRI), TCA and other seizure threshold lowering drugs (e.g. bupropion, mirtazapine, tetrahydrocannabinol). Decreased serum concentrations w/ carbamazepine. May potentiate the anti-depressant effect of norepinephrine, 5-HT agonists or lithium. Increased INR and ecchymoses w/ coumarin derivatives (e.g. warfarin). Potentially Fatal: Increased risk of seizure and serotonin syndrome w/ MAOIs.

Food interactions

[UNSAFE] It is unsafe to consume alcohol with Tramadol Hydrochloride.

Use in pregnancy

[CONSULT YOUR DOCTOR] Tramadol Hydrochloride may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Use in lactation

[SAFE IF PRESCRIBED] Tramadol Hydrochloride is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby. Consult a doctor immediately if the baby shows signs of increased sleepiness (more than usual), difficulty breastfeeding, breathing problems, or limpness.

Renal / hepatic impairment

[CAUTION] Tramadol Hydrochloride should be used with caution in patients with kidney disease. Dose adjustment of Tramadol Hydrochloride may be needed. Please consult your doctor. [CAUTION] Tramadol Hydrochloride should be used with caution in patients with liver disease. Dose adjustment of Tramadol Hydrochloride may be needed. Please consult your doctor.

Common questions

My testes of right side is painning from yestrday evng I don&#x27;t know how it started. Its paining constantly I took combiflam as per chemist said Before 30 mnt Bt i ddnt get relief Which medicine should i have to take for instant and permant relief nd cure Please reply me plzz I cnt tolerate Its painng take tramadol 100 mg sos for painimmediately refer to surgeon Taking tramadol 100 for last 15days for back pain. How long I need to take it? What is the way for its withdrawal? why u taking tramadol. who has adviced Which pain ki?ler should be taken in ear and headache suffering from nose cancer You can have tramadol for that mother suffering several musal pain might be due to old age or joint pain she is diabetic,hypertension and taking also thyroxin, mitfarmine and other Hi. Welcome to 1mg. I am Anshul Varshney for your help. Give her calcium and Vitamin D supplements. Also in case of severe pain Tramadol can be used. I have lots of pain in my ears nd throat because of cough nd i m 4 months pregnant plz suggest me any safe cure Better to consult a ENT specialist for proper clinical examination. Only paracetamol pain killer is safe in pregnancy. Can use tramadol if pain is severe. You may need antibiotics. But get your self checked by a ENT specialist i was opium addicted i was prescribed tramadol 300mg and after a year i am taking 75 mg of tramadol now how i will quit tramadol Dear 1mg user, medicines gives quick relief and has side effects too so consult your doctor and see how to reduce dose and control totally, later you can take counselling that really helps you. Pay Rs 99 and call me on my phone www.dontfeel.com for counselling Hydrochloride who work in human body Hi, Welcome To 1mg. I am Anshul Varshney. Lot of body fluids have Hydrochloride as a fluid. Taking tramadol 100 for last 15days for back pain. How long I need to take it? What is the way for its withdrawal? You will need doctors supervision to reduce tramadolPlease visit doctor who gave you medication

⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.