Tonoflex (50mg) 10 Capsules

Tonoflex (50mg) 10 Capsules

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  • Manufacturer SAMI Pharmaceuticals (Pvt.) Ltd.
  • Generic Name Tramadol

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Product Information

  • Description
  • Ingredients
  • Drug Class
  • Dosage Form
  • Uses
  • Dosage
  • In case of Overdose
  • Missed Dose
  • How To Use
  • When Not to Use
  • Side Effects
  • Precautions & Warnings
  • Drug Interactions
  • Food Interactions
  • Storage/Disposal
  • Description

    Tramadol Hydrochloride 50mg is a prescription pain reliever designed to mimic the actions of endorphins, chemicals that reduce pain in the body. When taken, Tramadol binds to opioid receptors in the brain and spinal cord, which prevents pain signals from reaching the brain, thereby reducing pain. It also interacts with neurotransmitter receptors, which release serotonin and norepinephrine, helping to alleviate pain and act as an anti-depressant. Tramadol's action is not fully understood, as it has both agonistic and antagonistic properties, but its interaction with various neurotransmitter systems is thought to contribute to its overall pain-relieving effects.

  • Ingredients

    Tramadol
  • Drug Class

    Opiate (Narcotic) Analgesics

  • Dosage Form

    Capsule
  • Uses

    Unveiling its multifaceted uses and transformative applications as follows:

    • Relief from moderate to moderately severe pain
    • Relief from pain associated with rheumatoid arthritis and osteoarthritis
    • Relief from postoperative pain
    • Relief from dental pain
    • Relief from migraine headaches
    • Management of chronic pain when a continuous, around-the-clock analgesic is needed for an extended period of time
    • Relief of irritable bowel syndrome pain
  • Dosage

    Tailoring Treatment for Optimal Health, Prescribed Medication Dosage is:

    • Tramadol Hydrochloride is a prescription medication and its usage depends on individual patient factors such as age, weight, medical condition(s) and tolerance to prior usage.
    • This medication is generally used for the management of pain, and the recommended dosage is contingent on the severity of the pain and the patient's prior usage of opioid medications.
    • For Moderate to Severe Pain- Initial dose- 25 to 50mg every 4 to 6 hours as needed. Maximum dose- 400mg/day.
    • For Chronic Pain- Initial dose- 25mg every morning, with adjustments made in 25mg increments every 3-7 days to reach 50mg every morning. If well tolerated, consider increasing in 50mg increments every 2-4 days by adding an additional dose every four to six hours, up to a maximum of 300mg per day.
    • For Opioid Naive Patients- Initially, 25mg every 4 to 6 hours PRN of pain severity of <7 on a numeric rating scale (NRS). Patients should be titrated every 3 days by 25–50mg increments to a level of pain relief up to a maximum of 150mg a day.
    • It is vital to avoid self-adjusting the dosage or frequency of intake without prior consultation with your medical practitioner as it may result in severe adverse reactions.
  • In case of Overdose

    Tramadol Hydrochloride overdose can be treated by addressing its resultant symptoms and ridding the body of toxic substances. This is achieved through gastric lavage, the administration of activated charcoal, and application of general supportive care principles such as oxygenation, ventilation, and fluid therapy. Where the overdose is severe, specific antidotes such as naloxone may be used to reverse the effects of the toxin. Regardless of the severity of the case, seeking immediate medical attention is essential to ensure the best possible outcome.

  • Missed Dose

    If you happen to miss a dose of Tramadol Hydrochloride 50mg, take the missed dose as soon as you can. If it is almost time for your next scheduled dose, skip the missed dose. Doing so prevents doubling the next dose to make up for the missed one. If you consistently miss doses, consider setting an alarm as a reminder, or consult your doctor for advice on the best way forward. To get the best result from your medication and reduce the likelihood of negative side effects, it is important to follow the dosage instructions provided by your physician or pharmacist.

  • How To Use

    Before taking Tramadol Hydrochloride 50mg, it is crucial to inform your healthcare provider of any health conditions you currently have or any allergies you may have. It is equally important to disclose all medications and supplements you are currently taking, as your provider will determine whether Tramadol Hydrochloride 50mg is safe for you. When taking this medication, it is important to follow the advice of your healthcare provider. Here are some standard guidelines:

  • When Not to Use

    Discerning instances where this medication may not be appropriate:

    • You are allergic to tramadol or any of the inactive ingredients in the medication. Allergic reactions can be life-threatening.
    • You have experienced severe breathing problems, asthma, or chronic obstructive pulmonary disease (COPD).
    • You have a history of seizure disorders or risk factors for seizures.
    • You have acute or severe asthma (inability to breathe properly).
    • You have a gastrointestinal condition, such as ulcers or blockage in your stomach or intestines.
    • You have a head injury or a tumor or you have increased pressure in your skull.
    • You have a metabolic disorder that affects the way your body uses nutrients. One example is galactosemia, where the body cannot metabolize galactose sugar.
    • You have a history of mental illness or suicidal thoughts.
    • You are pregnant or planning to become pregnant. Tramadol Hydrochloride 50mg can cause life-threatening withdrawal symptoms in newborns.
    • You are breastfeeding. Tramadol Hydrochloride 50mg can pass into breastmilk and harm your baby.
    • You consume alcohol regularly. Alcohol can increase the sedative effects of tramadol and cause severe drowsiness, breathing difficulties, and impaired motor functions.
    • You are already taking an opioid medication, prescription or not. Tramadol Hydrochloride 50mg interacts with a number of other drugs and supplements.
  • Side Effects

    Unraveling the side effects lurking behind this medications are as follows:

    • Irritability
    • Dizziness
    • Fatigue
    • Weakness
    • Constipation
    • Dry mouth & eyes
    • Increased urination
    • Loss of appetite
    • Faster heart rate
  • Precautions & Warnings

    The warnings and precautions for Tramadol are:

    • Patient with history of epilepsy or those with susceptibility to seizures (e.g., alcohol or drug withdrawal, metabolic disorders, CNS infection, malignancy)
    • Head injury, intracranial lesions, increased intracranial pressure
    • Mental health conditions (e.g., anxiety disorders, depression, post-traumatic stress disorder)
    • Hypovolaemia
    • CV disease (e.g., acute MI)
    • Acute abdominal conditions
    • Adrenal insufficiency (e.g., Addison's disease)
    • Delirium tremens, toxic psychosis
    • Prostatic hyperplasia and/or urinary stricture
    • Significant COPD or cor pulmonale
    • Substantially decreased respiratory reserve
    • Hypoxia, hypercapnia, pre-existing respiratory depression
    • Thyroid dysfunction
    • Biliary tract disease (including acute pancreatitis)
    • History of drug abuse or acute alcoholism
    • Morbidly obese, cachectic, or debilitated patients
    • Avoid use in suicidal patients and in patients with circulatory shock, impaired consciousness or coma
    • Not recommended in children in whom respiratory function may be compromised (e.g., neuromuscular disorders, upper respiratory or lung infections, multiple trauma or extensive surgical procedures)
    • Not recommended in patients with severe renal impairment (CrCl <10 mL/min)
    • Avoid abrupt withdrawal following prolonged use
    • Renal and hepatic impairment
    • Children ≥12 years (particularly when used for post-operative pain relief) and elderly
    • Pregnancy and lactation
    • Concomitant use with other serotonergic agents, CNS depressant drugs
    • CYP3A4 inducers and CYP3A4 or CYP2D6 inhibitors
  • Drug Interactions

    The drug interactions with tramadol include:

    • CNS Depressants (e.g., alcohol) – Can enhance CNS depressant effects.
    • MAO Inhibitors – Can increase the risk of serotonin syndrome.
  • Food Interactions

    For Tramadol, food interactions that should be considered are:

    • Taking with food can help reduce gastrointestinal discomfort.
  • Storage/Disposal

    Tramadol Hydrochloride is a prescription drug that is used to treat moderate to severe pain. It is very important to store this medication correctly to ensure its effectiveness and safety. The medication should be stored at room temperature ranging from 20°C to 25°C (68°F to 77°F). Exposure to excessive heat or moisture can cause the tablets to degrade or become unstable. For safety purposes, Tramadol Hydrochloride must be kept in a secure location, out of the reach of children and pets. Ensure the medication is stored in its original container and is sealed tightly. It should also be kept away from direct sunlight. It is important to follow the storage instructions provided by your pharmacist or healthcare provider. It is recommended to always keep track of your medication to ensure it is not expired or unsafe for use. If you have any questions or concerns about storing Tramadol Hydrochloride 50mg, it is advised to consult your healthcare provider for further guidance.

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