Tramagesic

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Tramagesic uses


Pharmacological action

Tramagesic Karnataka Antibiotics & Pharmaceuticals is an opioid analgesic, a derivative of cyclohexanol. It is non-selective agonist of mu-, delta- and kappa-receptors in the CNS. Tramagesic is a racemate and (-) of isomers (50% / 50%) which in various ways are involved in analgesic effects. The isomer (+) is a pure agonist opioid receptors, it has low tropism and has a pronounced selectivity for different subtypes of receptors. The isomer (-) inhibiting neuronal capture of noradrenaline activates the descending noradrenergic influence. Thats why it is broken transmission of pain impulses in the gelatinous substance of spinal cord.

Tramagesic Karnataka Antibiotics & Pharmaceuticals causes sedation. At therapeutic doses this medication almost not get respiratory depression. Tramagesic has also an antitussive effect.

Pharmacokinetics

After oral administration Tramagesic Karnataka Antibiotics & Pharmaceuticals quickly and almost completely absorbed from the gastrointestinal tract (90%). Cmax in plasma obtained in 2 h after taking this medication. Bioavailability in single dose is 68% and increases with repeated use.

Plasma protein binding is 20%. Tramagesic is widely distributed in tissues. Vd after oral administration and intravenous injection is 306 l and 203 l respectively. This drug crosses the placental barrier in a concentration equal to the concentration of the active substance in the plasma. 0.1% is excreted in breast milk.

Tramagesic metabolised by demethylation and conjugation to 11 metabolites, of which only 1 is active.

This medicine excreted by the kidneys - 90% and through the intestines - 10%.

Why is Tramagesic Karnataka Antibiotics & Pharmaceuticals prescribed?

Moderate and severe pain of various origins. Conducting painful diagnostic or therapeutic procedures.

Dosage and administration

A single oral dose for adults and children over 14 years is 50 mg, rectally - 100 mg, IV slowly or IM - 50-100 mg. If for parenteral injection efficiency is not enough, it is possible oral taking in a dose of 50 mg after 20-30 minutes.

For children aged 1 to 14 years set the dose rate of 1-2 mg / kg.

The duration of treatment is determined individually.

The maximum dose for adults and children over 14 years regardless of method of administration is 400 mg / day.

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Tramagesic Karnataka Antibiotics & Pharmaceuticals side effects, adverse reactions

CNS: dizziness, weakness, drowsiness, confusion, and in some cases - seizures and convulsions of cerebral origin.

Cardio-vascular system: tachycardia, orthostatic hypotension, collapse.

Digestive system: dry mouth, nausea, vomiting.

Metabolism: increased sweating.

Musculoskeletal system: miosis.

Tramagesic Karnataka Antibiotics & Pharmaceuticals contraindications

  • acute intoxication with alcohol and drugs, providing a depressing effect on the CNS
  • children up to age 1 year
  • hypersensitivity to Tramagesic Karnataka Antibiotics & Pharmaceuticals

    Using during pregnancy and breastfeeding

    During pregnancy patients should avoid prolonged use of Tramagesic Karnataka Antibiotics & Pharmaceuticals because the risk of addiction in the fetus and the occurrence of withdrawal in the neonatal period.

    If necessary using in lactation should be aware that Tramagesic in small amounts excreted in breast milk. In the case of long-term treatment can not been excluded the possibility of drug dependence.

    Tramagesic Karnataka Antibiotics & Pharmaceuticals is not recommended for treatment of withdrawal syndrome drugs.

    Patients need to avoid combination with MAO inhibitors.

    During the period of treatment with Tramagesic Karnataka Antibiotics & Pharmaceuticals you should avoid to take alcohol.

    Tramagesic in the form of long-acting formulations should not be used in children under the age of 14 years.

    During the period of Tramagesic using is not recommended to engage in activities that require special attention, speed of psychomotor reactions.

    Special instructions

    With caution Tramagesic Karnataka Antibiotics & Pharmaceuticals should be used in convulsions of central genesis of drug dependence, confusion, patients with impaired renal function and liver, as well as increased sensitivity to other opioid receptor agonists.

    Tramagesic should not be used beyond the period justified from a therapeutic point of view.

    Tramagesic Karnataka Antibiotics & Pharmaceuticals drug interactions

    Simultaneous administration of Tramagesic Karnataka Antibiotics & Pharmaceuticals with:

  • drugs providing a depressing effect on the CNS or with ethanol may increase the CNS depressant effects of Tramagesic;
  • MAO inhibitors are likely development of serotonin syndrome;
  • serotonin reuptake inhibitors, tricyclic antidepressants, antipsychotics, other means of reducing the threshold of convulsive readiness, increases the risk of seizures;
  • warfarin and phenprocoumon increase anticoagulant effect;
  • carbamazepine reduced the concentration of Tramagesic in plasma and its analgesic effect;
  • paroxetine describes cases of serotonin syndrome, seizures;
  • sertraline, fluoxetine describes cases of serotonin syndrome;
  • opioid analgesics is likely to reduce the analgesic action. Prolonged use of opioid analgesics or barbiturates stimulates the development of cross-tolerance;
  • naloxone activates respiration, eliminating analgesia after opioid analgesics.

    Tramagesic Karnataka Antibiotics & Pharmaceuticals in case of emergency / overdose

    Symptoms: respiratory depression, until apnea, seizures, Pupillary, anuria, coma.

    Treatment: IV injection of naloxone (a specific antagonist), gastric lavage, maintenance of vital functions.

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    Tramagesic pharmaceutical active ingredients containing related brand and generic drugs:


    Tramagesic available forms, composition, doses:


    Tramagesic destination | category:


    Tramagesic Anatomical Therapeutic Chemical codes:


    Tramagesic pharmaceutical companies:


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    References

    1. Dailymed."TRAMADOL HYDROCHLORIDE TABLET [LAKE ERIE MEDICAL DBA QUALITY CARE PRODUCTS LLC]". https://dailymed.nlm.nih.gov/dailym... (accessed August 28, 2018).
    2. "Tramadol". https://pubchem.ncbi.nlm.nih.gov/co... (accessed August 28, 2018).
    3. "Tramadol". http://www.drugbank.ca/drugs/DB0019... (accessed August 28, 2018).

    Frequently asked Questions

    Can i drive or operate heavy machine after consuming Tramagesic?

    Depending on the reaction of the Tramagesic after taken, if you are feeling dizziness, drowsiness or any weakness as a reaction on your body, Then consider Tramagesic not safe to drive or operate heavy machine after consumption. Meaning that, do not drive or operate heavy duty machines after taking the capsule if the capsule has a strange reaction on your body like dizziness, drowsiness. As prescribed by a pharmacist, it is dangerous to take alcohol while taking medicines as it exposed patients to drowsiness and health risk. Please take note of such effect most especially when taking Primosa capsule. It's advisable to consult your doctor on time for a proper recommendation and medical consultations.

    Is Tramagesic addictive or habit forming?

    Medicines are not designed with the mind of creating an addiction or abuse on the health of the users. Addictive Medicine is categorically called Controlled substances by the government. For instance, Schedule H or X in India and schedule II-V in the US are controlled substances.

    Please consult the medicine instruction manual on how to use and ensure it is not a controlled substance.In conclusion, self medication is a killer to your health. Consult your doctor for a proper prescription, recommendation, and guidiance.

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    Review

    sdrugs.com conducted a study on Tramagesic, and the result of the survey is set out below. It is noteworthy that the product of the survey is based on the perception and impressions of the visitors of the website as well as the views of Tramagesic consumers. We, as a result of this, advice that you do not base your therapeutic or medical decisions on this result, but rather consult your certified medical experts for their recommendations.

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    The information was verified by Dr. Rachana Salvi, MD Pharmacology

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