Tonoflex-P (37.5/325mg) 20 Tablets

This medicine is used to treat pain and inflammation. It contains Paracetamol Tramadol, which is an opioid that works by inhibiting the neuronal reuptake of noradrenaline and boosting serotonin release, thereby relieving the pain.

Opioids

This medicine is used to treat mild to moderate pain in cases like:

• Headaches
• Menstrual periods
• Toothaches
• Backaches
• Osteoarthritis
• Cold/flu pain and aches

Follow these dosage instructions:

• Take as per doctor's Prescription.
• Take one tablet per day as your doctor suggests.
• Your doctor will determine the treatment length based on your symptom severity.

If you think you have used too much of this medicine, talk to your doctor. Seek medical emergency help immediately. Watch out for overdose symptoms like:

If you miss a dose, make sure to take it as soon as possible the same day. If you don't remember missing the dose, don't double it. Consult your doctor on how to adjust the missing doses.

Take one tablet per day, with or without food as your doctor has recommended. Take the medication regularly and at the same time each day to get the most benefit from it.

You should not use this medicine if you have:

• Severe heart impairment
• Alcohol dependency
• Weight lower than 50kgs
• Kidney or liver impairment
• Malnutrition
• Dehydration
• Anemia

Moreover, you should also avoid using Paracetamol Tramadol, if

• You are allergic to any of the components of this medicine
• If you take sleeping pills, pain relievers pr medicines that affect mood and emotions

This medication can have these side effects:

• Nausea, dizziness, drowsiness, vomiting
• Constipation, flatulence, diarrhea, stomach pain, dry mouth
• itching, sweating (hyperhidrosis)
• headache, shaking • confusion, sleep disorders, mood changes
• increase in pulse or blood pressure, heart rate

It would be best if you practiced these cautions before taking the medicine:

• Talk to your doctor if you have any allergic reaction or known hypersensitivity to any of the medicine components.
• If you are pregnant, talk to your doctor before using this medicine.
• If you are a lactating mother, talk to your doctor.
• This medicine can induce drowsiness, so don't drive while using this medication.

This medicine may interact with these drugs:

• Carbamazepine
• Buprenorphine, nalbuphine or pentazocine (opioid-type pain killers)
• Triptans
• SSRIs, Morphine, Codeine (also as cough medicine), Baclofen
• Benzodiazepines or related drugs, certain antidepressants, Warfarin, or phenprocoumon (for blood thinning)
• Metoclopramide
• Cholestyramine.

Store the medicine at room temperature and keep out of direct sunlight, excessive heat, and moisture. Keep the medicine out of the reach of children and animals. Do not use the medication past its expiration date.

Yes

Pain medications can make you dependent on these drugs which can adversely impact physical and mental health. Overreliance may result in tolerance, increased doses, and other health complications. Don’t exceed the use of opioid-based pain medications. Always adhere to your doctor’s prescription.