Tramal capsule 50 mg 10?s acts on the brain and nervous system by changing the perception and response to pain.
Side effects
Major & minor side effects for Tramal capsule 50 mg 10?s

Constipation

Nausea or vomiting severe

Dizziness severe

Sense of imbalance

Headache

Sleepiness

Agitation

Indigestion

Convulsions severe

Irregular heartbeat

Shortness of breath severe

Itching or rash

Nervousness

Uses of Tramal capsule 50 mg 10?s
What is it prescribed for?

Moderate to severe pain
Tramal capsule 50 mg 10?s is used to relieve moderate to moderately severe pain.

Chronic pain
Tramal capsule 50 mg 10?s is used to relieve long term pain. The extended release form is used in cases where round the clock relief is desired.

Concerns

Frequently asked questions

Onset of action
The effect of this medicine can be observed within an hour of administration.

Duration of Effect
The effect of this medicine lasts for about 9 hours of duration.

Safe with Alchohol?
Avoid or limit the use of alcohol while you are taking this medicine. Any activity requiring a high level of mental alertness like operating heavy machinery or driving should be avoided.

Is it habit forming?
Mild to moderate habit forming tendencies have been reported and hence requires careful administration and withdrawal.

Usage in pregnancy?
Use of this medicine is not recommended for use in pregnant women as there is a lack of conclusive evidence from clinical studies. However, the potential benefits might warrant the use of this medication inspite of the risks involved. You should consult a doctor before using this medicine.

Usage while breast-feeding?
This medicine is not likely to be present in the breastmilk in alarming quantities. However, the risk of adverse effects on the nursing infant can not be ruled out and hence it is not recommended for use. You should consult your doctor and discuss the potential benefits and risks before deciding to take this medicine.

When not to use?

Allergy
Tramal capsule 50 mg 10?s is not recommended for use if you have a known history of allergy to Tramal capsule 50 mg 10?s or other medications belonging to the class Opiate Analgesics.

Severe asthma and breathing problems
Tramal capsule 50 mg 10?s is not recommended if you have breathing difficulties which may be caused due to various conditions like Asthma, Hypercapnia etc.

Warnings

Warnings for special population

Pregnancy
Use of this medicine is not recommended for use in pregnant women as there is a lack of conclusive evidence from clinical studies. However, the potential benefits might warrant the use of this medication inspite of the risks involved. You should consult a doctor before using this medicine.

Breast-feeding
This medicine is not likely to be present in the breastmilk in alarming quantities. However, the risk of adverse effects on the nursing infant can not be ruled out and hence it is not recommended for use. You should consult your doctor and discuss the potential benefits and risks before deciding to take this medicine.

General Warnings

Addiction
Tramal capsule 50 mg 10?s has a high potential for addiction and abuse even at recommended dosages especially with the extended release form. You should be properly counselled about the abuse potential of this medicine. Proper safety monitoring and management of dose quantity is necessary in these cases.

Bronchial Asthma
Tramal capsule 50 mg 10?s should be used with caution if you are suffering from an acute or chronic form of Bronchial asthma. Other diseases that might show asthma-like symptoms like Chronic Obstructive Pulmonary disease, Hypercapnia, Hypoxia should also be considered while prescribing this medication. Proper safety monitoring and dose adjustments should be done in such cases. It is advised to administer this medication in a monitored environment with equipments to handle any possible emergency.

Fall in blood pressure
Tramal capsule 50 mg 10?s can cause a temporary fall in blood pressure which can worsen based on posture (Orthostatic Hypotension). This can happen due to a pre-existing disease or other medications being administered at the same time. Proper clinical monitoring and dose adjustments are recommended in such cases. It should not be administered if you are suffering from severe heart ailments.

Impaired brain function
Tramal capsule 50 mg 10?s can increase the risk of side effects in patients suffering from a brain tumor or head injury. The dose should be adjusted based on the severity of impairment and the patient should be monitored in the initial stages of administration. It is not recommended for use in patients who are in a coma.

Gastrointestinal disease
Tramal capsule 50 mg 10?s should not be given to patients having an obstructive disease of the Gastrointestinal Tract. The side effects may become more severe and sometimes the symptoms or the disease itself might worsen.

Other medicines
Tramal capsule 50 mg 10?s has a potential of interacting with a large number of medications. Report the use of all medications including supplements and herbs so that the side effects can be minimized.

Reduced fertility
Tramal capsule 50 mg 10?s use of Tramal capsule 50 mg 10?scan reduce fertility in males and females in the reproductive age group. Patients should be informed about the potential effect on reproductive capabilities.

Seizures
Tramal capsule 50 mg 10?s can cause seizures even at recommended doses especially in patients suffering from epilepsy and other conditions of the brain. Suitable dose adjustment and clinical monitoring are advised in such cases.

Suicidal Tendencies
Tramal capsule 50 mg 10?s should be administered with caution in patients who have shown suicidal tendencies in the past or present. This can be attributed to certain conditions or use of other medication that are known to cause suicidal tendencies upon administration.

Elderly
Tramal capsule 50 mg 10?s should be admistered with caution in the elderly as the risk of severe adverse effects are very high. Suitable adjustment in dose quantity and safety monitoring may be required in such cases.

Use in children
Tramal capsule 50 mg 10?s is not recommended for use in children below 17 years of age as safety parameters are not set for this age group.

Withdrawal symptoms
Withdrawal of Tramal capsule 50 mg 10?s should be slow and steady especially with the extended release form of the medicine. Symptoms of withdrawal include tremors, nausea and vomiting, chills and fever, diarrhea and even hallucinations in some cases. The dose reduction should be based on the symptoms and should be properly tapered.

Method of intake
Tramal capsule 50 mg 10?s should be taken as prescribed by the doctor. Use of this medicine without prescription should be avoided. Never adopt other means like crushing the tablet and inhaling or injecting in veins. These methods of intake can be fatal.

Dosage

Missed Dose
Take the missed dose as soon as you remember. The missed dose can be skipped if it is almost time for the next scheduled dose. Try not to miss any dose as the quantity and timings are very specific and non-adherence could cause some side effects.

Overdose
Report any incidence of overdose to the doctor immediately as the symptoms can be fatal especially if it is consumed by a child or a person using it without prescription. Symptoms of overdose may include slow rate of breathing, decreased heartbeat rate, severe drowsiness, and fainting. Immediate medical attention may be required if the symptoms are severe.

Interactions
Interaction with Medicines

Amitriptyline severe

Fluoxetine moderate

Ketoconazole severe

Ofloxacin moderate

Warfarin severe

Codeine severe

Selegiline severe

Theophylline severe

Disease interactions

severe
Tramal capsule 50 mg 10?s should be given with caution if you are suffering from impaired liver function especially where the disease is in advanced stages. Suitable dose adjustment should be done based on the extent of impairment.

severe
Tramal capsule 50 mg 10?s should be given with caution if you are suffering from kidney impairment. Suitable adjustments in dose and time duration between two doses might be required based on the extent of impairment.

General Instructions

Take Tramal capsule 50 mg 10?s as instructed by the doctor. Your dose is likely to be changed by the doctor during the course of treatment and hence all changes should be properly followed. Do not consume this medicine in larger or smaller quantities than prescribed. You are likely to experience some side effects whenever there is a change in dose quantity or timings. The usage should be stopped gradually over time as instructed.

Other details

Food timings: Information not available

Food timings: Information not available

Food timings: Information not available

References

practo.com –
Tramadol [Internet].
Available from: https://www.practo.com/medicine-info/tramadol-277-api
[cited 19 september 2019].
13 Mar 2017

dailymed.nlm.nih.gov –
Tramadol [Internet].
Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ae7c54b1-b440-4cca-97e8-e5b825413d32
[cited 19 september 2019].
March 30, 2007

medlineplus.gov –
Tramadol [Internet].
Available from: https://medlineplus.gov/druginfo/meds/a695011.html
[cited 19 september 2019].
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