Published by MIMS July 2013.
TRAMAL is a registered trademark of Grunenthal GmbH used by bioCSL Pty Limited as authorised user.
These medicines may be affected by TRAMAL, or may affect how well it works. Other interactions not listed above may also occur. You may need different amounts of your medicine, or you may need to take different medicines.
Do not use TRAMAL to treat any other complaints unless your doctor ls you to.
Date of Preparation of this Information: March 2001.
You can take TRAMAL before, with, or after food.
TRAMAL is made in Germany and supplied in Australia by: bioCSL Pty Limited ABN 26 160 735 035 63 Poplar Road Parkville 3052 Victoria AUSTRALIA.
Ask your doctor or pharmacist to answer any questions you may have.
l your doctor if your pain gets worse. Do not take extra doses without checking with your doctor.
Ask your doctor why TRAMAL has been prescribed for you. Your doctor may have prescribed TRAMAL for another reason.
l your doctor if you notice any of the following and they worry you. Common side effects:.
You must l your doctor if:
TRAMAL may make you drowsy or dizzy.
If you take too many capsules, this may result in breathing difficulty and fits or convulsions.
Less common side effects:
If you do not understand the instructions on the pack, ask your doctor or pharmacist for help.
Date of Update of this Information: April 2013.
Heat and dampness can destroy some medicines. Do not leave it in the car or on window sills.
TRAMAL is available as capsules (to swallow) and injections (to be given into a vein or muscle).
Available as HTML, PDF and large font PDF. Select from our A to Z index of CMI (Consumer Medicines Information) leaflets for both prescription and over-the-counter medicines.
If you have not told your doctor about any of the above, l them before you use TRAMAL.
Do not give TRAMAL to anyone else, even if they have the same condition as you.
If you are not sure whether you should be using TRAMAL, talk to your doctor.
l your doctor if you are taking any other medicines, including medicines that you buy without a prescription from your pharmacy, supermarket or health food shop. These include:. Some medicines may interfere with TRAMAL.
Inactive ingredients: TRAMAL capsules: TRAMAL injections:
Do not use TRAMAL if:
Do not take more than eight TRAMAL capsules per day.
It does not take the place of talking to your doctor or pharmacist. It does not contain all the available information. This leaflet answers some common questions about TRAMAL.
It is important therefore to take TRAMAL only as directed by your doctor, and do not suddenly stop taking it. Your dosage may need to be gradually reduced.
If your pain is not severe and you feel that you do not need as much TRAMAL as your doctor ordered, consult your doctor.
Do not be alarmed by this list of possible side effects. You may not experience any of them.
The Australian registration numbers are:
When used as prescribed by your doctor, addiction to TRAMAL is unlikely.
TRAMAL capsules should be swallowed whole, with water.
Patients over 75 years of age may require a lower daily dose.
If your doctor ls you to stop taking TRAMAL or it passes its expiry date, ask your pharmacist what to do with any TRAMAL that is left over.
You are over optimum weight for your height. You may be facing health problems, so losing some weight would be a good idea.
For moderate pain, one TRAMAL capsule may be enough for the first dose, followed by one or two capsules two or three times a day as required.
Do not take a double dose to make up for the dose that you missed.
Do not use TRAMAL if the packaging is torn or shows signs of tampering.
If you become pregnant while you are taking TRAMAL, l your doctor immediay.
Your doctor will decide: TRAMAL Injections.
If you take this medicine after the expiry date has passed, it may not work as well. Do not use TRAMAL after the expiry date printed on the pack.
You have a healthy weight for your height.
If you forget to take a dose, you can take it as soon as you remember. The next dose should be taken after four or six hours, or as prescribed by your doctor.
These directions may differ from the information in this leaflet.
Like other medicines, TRAMAL can cause side effects. However, some may be serious and need medical attention. If they occur, most are likely to be minor and temporary.
There is no experience with the use of TRAMAL in children. Do not give TRAMAL to children.
Your doctor has weighed the risks of you taking TRAMAL against the benefits this medicine is expected to have for you. All medicines have risks and benefits.
For moderate to severe pain, two TRAMAL capsules are usually required for the first dose, followed by one or two capsules every four to six hours as required.
Check with your doctor as soon as possible if you have any problems while taking TRAMAL, even if you do not think the problems are connected with the medicine or are not listed in this leaflet.
Serotonin Syndrome may result from interaction of tramadol with other medicines which increase serotonin effects, for example, the SSRI antidepressants. Serotonin Syndrome: signs of this vary and are not specific: they may include sweating, agitation, muscle twitching, tremor, spontaneous muscle contraction, high body temperature.
Your doctor or pharmacist has more information on medicines to be careful with or avoid while taking TRAMAL.
You are over optimum weight for your height. You may be facing health risks, so see your doctor to help you achieve a healthier weight.
l your doctor if you notice anything else that is making you feel unwell. Other side effects not listed above may also occur in some patients.
If you are taking TRAMAL for a prolonged period of time, your body may become used to the medicine and mild withdrawal symptoms may occur if you suddenly stop taking the medicine.
TRAMAL is available as capsules or injections. Active ingredient:.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep it in a cool dry place where the temperature stays below 30°C. Do not store it in the bathroom or near a sink.
If you are about to be started on any new medicine, l your doctor and pharmacist that you are taking TRAMAL.
A locked cupboard at least 1½ metres above the ground is a good place to store medicines. Keep it where children cannot reach it.
Take them with you when you visit your doctor. If you have been prescribed TRAMAL injections, your doctor or nurse will administer them for you. TRAMAL injections can be injected into a vein or a muscle.
l your doctor immediay if you experience any of the following side-effects, as urgent medical treatment may be required:
If you take TRAMAL out of the pack it may not keep well. Keep your TRAMAL in the pack until it is time to take them.
Follow carefully all directions given to you by your doctor and pharmacist.
Do this even if there are no signs of discomfort or poisoning. Immediay ephone your doctor or the Poisons Information Centre ( 131 126) or go to accident and emergency at your nearest hospital, if you think that you or anyone else may have taken too much TRAMAL.
Depending on the medical condition for which you require TRAMAL, your doctor may l you to take it for only a day or two or longer, up to a few months or more.
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You may need urgent medical attention.
If you have to have any tests l your doctor you are taking TRAMAL. TRAMAL may affect the results of some tests.
Check with your doctor or dietitian to find out if your current weight is healthy for you. Being underweight can carry health risks for both men and women. You are under optimum weight for your height.
Keep this leaflet. You may need to read it again.
TRAMAL is not normally addictive although some cases have been reported.
This medicine is available only with a doctor’s prescription.
TRAMAL capsules and injections do not contain lactose, sucrose, tartrazine or any other azo dyes.
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Be careful driving or operating machinery until you know how TRAMAL affects you.
TRAMAL is used to relieve moderate to severe pain and belongs to a group of medicines called analgesics (pain relievers).