Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
TRAMADOL HYDROCHLORIDE
PAHANG PHARMACY SDN. BHD.
TRAMADOL HYDROCHLORIDE
50Tablet Tablets
MODI-MUNDIPHARMA PRIVATE LIMITED
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ TRD-CONTIN TM CONTROLLED RELEASE TABLETS Tramadol hydrochloride (100 mg) _ _ 1 WHAT IS IN THIS LEAFLET 1. What TRD-Contin TM is used for 2. How TRD-Contin TM works 3. Before you use TRD-Contin TM 4. How to use TRD-Contin TM 5. While you are using it 6. Side effects 7. Storage and Disposal of TRD- Contin TM 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision WHAT TRD-CONTIN TM IS USED FOR TRD-Contin TM is used for relieving moderate to severe pain. HOW TRD-CONTIN TM WORKS TRD-Contin TM contains tramadol which is in a class of medications called opiods pain killer. It relieves pain by acting on specific nerve cells of the brain and nervous system. BEFORE YOU USE TRD-CONTIN TM - _When you must not use it _ Do not take TRD-Contin TM tablets if: you are allergic to tramadol, other opioid pain killers e.g., morphine or codeine or any other ingredients of this medicine (listed in Product Description). you have taken monoamine oxidase inhibitors (medicine to treat depression) within the last two weeks. you have epilepsy which inadequately controlled by treatment you have taken large amounts of alcohol or other substances which can affect your level of consciousness. you are less than 12 years old. adolescent between 12 and 18 years who are obese or have slow or shallow breathing, or other breathing problems. children or adolescent younger than 18 years to treat pain after surgery to remove the tonsils and/or adenoids. - _Before you start use it _ Tell your doctor if you have or ever had any: - liver, heartor kidneyproblems - lung or breathing problems - severe stomach problems - a serious head injury - fits or convulsions/epilepsy you are taking medicine to treat depression you have or have had any problem with substances or alcohol dependence. you are undergoing treatment for withdrawal from narcotics. _Pregnancy and lactation _ This medicine is not recommended for use in pregnancy. Do no Baca dokumen lengkap
For the use only of a Registered Medical Practitioner or a Hospital or a Laboratory. R x Controlled Release Tablets of Tramadol Hydrochloride TRD-CONTIN TM 100 CONTINUS TM CONTROLLED RELEASE SYSTEM DESCRIPTION Each white, biconvex, scored, film-coated caplet engraved with “MM” logo on one of the facets of TRD-CONTIN TM 100 Continus contains Tramadol Hydrochloride BP 100 mg in the Continus TM controlled release system. INDICATION Treatment of moderate to severe pain. PHARMACODYNAMICS PROPERTIES Pharmacotherapeutic group: analgesics, other opioids; ATC code: N02AX02 Mechanism of action Tramadol is a centrally acting synthetic opioid analgesic. It is a non-selective pure agonist at µ, δ and κ opioid receptors with a higher affinity to the µ receptor. Other mechanisms which contribute to its analgesic effect are inhibition of neuronal re-uptake of noradrenaline and enhancement of serotonin release. Clinical efficacy and safety Tramadol hydrochloride has an antitussive effect. In contrast to morphine, analgesic doses of tramadol hydrochloride over a wide range have no respiratory-depressant effect. Also gastrointestinal motility is less affected. Effects on the cardio-vascular system tend to be slight. The potency of tramadol hydrochloride is reported to be 1/10(one tenth) to –1/6(one sixth) that of morphine. Paediatric population The safety profile of tramadol was similar in adult and paediatric patients older than 1 year (see section Dosage & Administration). PHARMACOKINETIC PROPERTIES Absorption More than 90% of tramadol is absorbed after oral administration. The mean absolute bioavailability is approximately 70%, irrespective of concomitant intake of food. The difference between absorbed and non-metabolised available tramadol is probably due to low first-pass-effect. The first-pass-effect after oral administration is a maximum of 30%. Tramadol has a high tissue affinity (V d,β = 203 ± 40 l). Protein binding is about 20%. After administration of tramadol 100 mg prolonged release tablets the peak plasma Baca dokumen lengkap