What is Tramadol?

Tramadol is a synthetic analgesic which has a similar mechanism of working as morphine.
Other variants and compositions

Tramadol Hydrochloride 50 Mg InjectionTramadol (50mg)
Tramazac CapsuleTramadol (50mg)
Contramal 100 Mg InjectionTramadol (100mg)
Tramazac 100 Mg InjectionTramadol (100mg)
Contramal Dt 50 Mg TabletTramadol (50mg)
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Uses of Tramadol

Tramadol is a painkiller which is used to relieve moderate to moderately severe pain.

How does Tramadol work?

  • Tramadol is a pain killer and the mechanism of action is similar to morphine.
  • Tramadol binds to receptors in the brain that transmits pain sensations to brain from every part of the body.

Tramadol Price in India

SpecificsTramadol Price
100 mg Strip of 10 TabletsRs 144.16
Also Read: Sucrafil Price | Suhagra 100 Price

How to take Tramadol?

  • Tramadol is available in 2 forms – tablets and suspensions.
  • Tramadol suspensions – Shake the bottle well before use. Measure the required dose using a measuring cup.
  • Tramadol tablets should be swallowed as a whole and not broken, crushed or chewed.
  • They should be taken after food and with plenty of fluids.

Common dosage of Tramadol

  • The drug dosage is decided by the physician based upon:
    • Health status/medical condition of the patient
    • Severity of symptoms
    • Reaction to the first dose
    • History of allergy/drug reactions
  • The usual adult dose is 50-100 mg orally every 4 to 6 hours as needed for pain.
  • The maximum dose is 400 mg/day.
  • Consult your doctor before administering in children below 12 years of age.
  • Never use more than the recommended dose or for longer periods of time without doctor’s consent.
Also Read: Loperamide Dosage

When to avoid Tramadol?

  • Allergy – Tramadol is not recommended if you have a known allergy to Tramadol.
  • Tramadol should not be used in patients who are suicidal or addiction-prone.
  • Tramadol should be cautiously used in patients at risk for respiratory depression or suffering from asthma, sleep apnea.
  • Patients suffering from increased intracranial pressure or head injury.
  • Patients suffering from mental/mood disorders such as confusion, depression.
  • Patients with a habit or a history of substance abuse.
  • Patients with difficulty in urination or enlarged prostate.
  • Obese patients.
  • Patients suffering from diseases of pancreas and gallbladder disease.
  • Patients suffering from severe liver and kidney disease.
  • Tramadol may complicate the clinical assessment of patients with acute abdominal conditions.

Side effects of Tramadol

All medicines have some side effects. Side effects are possible but do not always occur. Consult your doctor if you feel that you have any of them-

  • Nausea
  • Vomiting
  • Loss of appetite, tiredness
  • Weight loss
  • Abdominal pain
  • Flatulence
  • Constipation
  • Heartburn
  • Diarrhoea
  • Dry mouth
  • Skin rash
  • Dry skin
  • Headache
  • Light-headedness
  • Dizziness, fainting
  • Seizures
  • Mood changes such as agitation
  • Difficulty in urination
  • Rarely, serotonin syndrome can also occur especially if you are also taking other drugs that increase serotonin.
Also Read: Methotrexate Side Effect

Effect on organs

Dose adjustment is needed in patients suffering from pre-existing liver or kidney disease.

Drug interactions to be careful about

Drug interaction refers to the effect of drugs on each other and on the human body after ingestion. Large numbers of medicines have shown to interact with each other. It is always advised that the patient must inform the physician about all the drugs/over the counter products/vitamin supplements used. You must also inform about the herbal products that you are consuming. Do not modify the drug regimen without your doctor’s approval.

All the possible drug interactions might not be listed here. Few common drugs which interact with Tramadol include-

  • Certain painkillers such as pentazocine, naltrexone
  • Other opioid painkillers or cough medicines
  • MAO inhibitors such as isocarboxazid, linezolid
  • Street drugs that increase serotonin such as “ecstasy”, St John’s Wart, marijuana
  • Antidepressants such as fluoxetine
  • Quinidine
  • Azole antifungal drugs
  • HIV drugs
  • Macrolide antibiotics such as erythromycin
  • Anti-seizure drugs such as Carbamazepine
  • Drugs for sleep
  • Anti-anxiety drugs
  • Muscle relaxants
  • Anti-allergy drugs such as Cetirizine


Is Tramadol addictive?

Yes. Always consult your physician before using Tramadol.

Can I have Tramadol with alcohol?

Daily use of alcohol while using Tramadol may increase your risk for side effects.

Any particular food item to be avoided?

No interaction with any food product observed.

Can I have Tramadol when pregnant?

  • Tell your doctor if you are pregnant or if you plan to become pregnant.
  • Tramadol should not be used in pregnant women unless the potential benefits outweigh the risks. Safe use in pregnancy has not been established.

Can I have Tramadol when feeding a baby?

Tramadol should not be used in nursing mothers.

Can I drive after taking Tramadol?

  • Tramadol can causes side effects like dizziness, headache, drowsiness, and light-headedness in few patients.
  • In such patients, driving should be avoided.

What happens if I overdose on Tramadol?

Taking more than prescribed dosage can be harmful and can increase the incidence of side effects. Symptoms of overdosage include:

  • Nausea
  • Vomiting
  • Stomach discomfort
  • Drowsiness
  • Lethargy

In the case of over-dosage, consult your doctor immediately.

What happens if I eat expired Tramadol?

  • Avoid taking expired medicine. If you have taken accidentally and you are feeling any discomfort rush to the doctor immediately for medical assistance.
  • An expired drug might not be as potent in treating your condition. It is advisable to refrain from using an expired drug.

Storage Requirements for Tramadol

  • Store at room temperature away from light and moisture.
  • Do not freeze.

Pro Tips When Taking Tramadol

To prevent constipation, eat a diet adequate in fiber, drink plenty of water, and exercise.

Also read about other medicine's:  Melphalan | Misoprostol

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