TRAMED® Tramadol Hydrochloride injection
1 ampoule 2ml contains
Tramadol hydrochloride BP 100mg.
Water for injection BP q.s.
Tramed is a centrally acting analgesic indicated for acute pain relief. It is also indicated for patient over 12 years in moderate to severe pain unable to take oral analgesia.
Tramed is contraindicated in
- Patients who are allergic to Tramadol.
- Children under 12 years.
- Patients presenting with a head injury.
- Patients presenting with an impaired level of consciousness.
- Patients under the influence of alcohol or drug.
- Pregnancy and breast feeding.
- Respiratory depression or distress (including acute asthma attack)
- Patients who are epileptic or have a history of seizures.
- Chronic hepatic or renal failure.
- Patients taking MAOI medication within the last 14 days.
- Patients with any contraindications to I.M injection example coagulation disorders, thrombocytopenia.
- Patients known to be on selective serotonin reuptake inhibitors (SSRIs ) or triptans - (can cause serotonin syndrome)
- Patients known to be on tricyclic antidepressants (TCAs) or SSRIs as they may increase the potential for Tramed to cause convulsions.
Caution should be exercised before giving Tramed to a patient who has already received tramadol or an opiate analgesic in the previous 4 hours as the effect will be additive.
Monitor the pain level, consciousness level, blood pressure and respiration.
These include nausea and dizziness. Less frequently patients may experience vomiting, dry mouth, sweating and headaches. Patients should be advised not to drive until the effect has worn off. (4-6 hours).
50mg – 100mg as a single dose administered intramuscularly once daily. Dose should be dependent on severity of pain.