TRAMED® Tramadol Hydrochloride injection

PULMOCEF®

Composition:
1 ampoule 2ml contains
Tramadol hydrochloride BP      100mg.
Water for injection BP                q.s.
Indications:

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.

  1. Contraindications:
     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.

    Precaution:
    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.
    Side Effects:
    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).
    Dosage:
    50mg – 100mg as a single dose administered intramuscularly once daily. Dose  should be dependent on severity of pain.