Tramadol

Active substance : Tramadol* Tramadol(*) Composition and form of the issue : Capsule-1 caps. tramadol hydrochloride 50 mg in blistere 10 pcs.; in a cardboard box two blisters.

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Indications :

Acute and chronic pain syndrome strong and the average intensity of different etiology (trauma, pain in cancer patients, diagnostic procedures, preoperative and postoperative periods).

Contraindications :

Hypersensitivity to the drug and other opium; acute intoxication of alcohol, drugs, oppressive central nervous system, drugs and psychotropic substances, accompanied by oppression breathing or expressed oppression of the central nervous system; severe hepatic and/or renal insufficiency (Cl creatinine less than 10 ml/min); the simultaneous use of MAO inhibitors (and for 2 weeks after the abolition); pregnancy and breast-feeding (it is possible only for health reasons, the one-time dose); children age (up to 14 years). With caution and under the supervision of a physician: a violation of the liver and kidneys, brain injury, intracranial hypertension, epilepsy, persons with drug dependence opioids, pain in the abdominal cavity ambiguous genesis ("acute abdomen").

Application of pregnancy and breastfeeding :

Is Contraindicated.

Side effects tramadol :

From the nervous system: sweating, dizziness, headache, weakness, increased fatigue, lethargy, paradoxical CNS stimulation (nervousness, agitation, anxiety, tremor, muscle cramps, euphoria, emotional lability, hallucinations), drowsiness, insomnia, sputannosti consciousness, the coordination of movements, convulsions central genesis (with the simultaneous appointment of antipsihoticeskih funds), depression, amnesia, the violation of cognitive functions, parestesia, unstable gait. On the part of the INTESTINE: dryness in the mouth, nausea, vomiting, flatulence, abdominal pain, constipation, diarrhea, difficulty in swallowing. From the cardiovascular system: tachycardia, ortostatical gipotenzia, collapse, syncope. Allergic reactions: urticaria, itching of the skin, exantema, bullous rash. From the urinary system: difficulty urinating, dysuria, urinary retention. From the senses: blurred vision, taste. From the respiratory system: despnoe. Other: a violation of the menstrual cycle; with long-term use - development of drug dependence, in an abrupt cancellation syndrome "lifting ".

Way of administration and dosage tramadol :

Inside, squeezed small amount of liquid, adults and children over 14 years of age - 1 caps. (50 mg). In case of absence of the effect for a period of 30-60 minutes is possible to repeat the 1 caps. If necessary, medication can be repeated at intervals of 4-6 hours. In severe pain single dose may be increased to 100 mg (2 caps.). Daily dose should not exceed 400 mg (8 caps.), in patients of old age is 300 mg (6 caps.), in patients with the human liver and kidneys - 200 mg (4 caps.).

Precautions :

With long-term use tramadol possible development of drug dependence. In patients with compromised function of the kidneys and liver, as well as in elderly patients allocation of the drug from the body may respond more slowly. In such cases should be reduced dose or increase the interval between the doses. Tramadol should be used cautiously in people with a propensity to cramps, especially when coadministered with neiroleptikami. In overdose possible respiratory depression. This effect is also possible with the simultaneous application of other medication or alcohol. Any further use of the drug can be used only after consultation with a doctor. With long-term use may appear side effects in connection with this, the physician should determine the duration of treatment and interruptions in its application. Do not use the drug for longer than recommended. Do not drink alcohol during treatment Tramadol. It should not be used during the drivers of vehicles and people skills relate to the high concentration of attention.