Tracom Tablet (Tramadol Hydrochloride, Acetaminophen)

Adult dose

Children aged 12 years and older and adults: It is recommended to take 2 tablets as a starting dose, with subsequent dosing intervals of at least 6 hours, not to exceed 8 tablets in a day. Use the lowest effective dose for as short a duration as possible. Do not use this medication for longer than necessary; if long-term use is required, regular monitoring should be conducted. Elderly: Administer the usual adult dosage; however, for those over 75 years, the half-life of tramadol may increase by 17%, requiring at least 6 hours between doses.

Child dose

Children aged 12 years and older and adults: It is recommended to take 2 tablets as a starting dose, with subsequent dosing intervals of at least 6 hours, not to exceed 8 tablets in a day. Use the lowest effective dose possible for the shortest duration.

This medication can put strain on the liver; therefore, individuals who regularly consume more than three alcoholic drinks a day should consult with a doctor or pharmacist before taking it. Due to the acetaminophen component, serious skin rashes or allergic reactions may rarely occur. If a rash or hypersensitivity symptoms appear, discontinue use immediately and seek medical attention. The main ingredient, tramadol, can increase the risk of seizures if the recommended dosage is exceeded, and taking it with certain antidepressants or narcotics can further increase this risk. For patients with severe respiratory conditions, there is a risk of respiratory depression, so such patients should be monitored carefully when this medication is administered in a facility equipped for this purpose. Taking this medication with alcohol or central nervous system depressants can cause severe drowsiness, respiratory depression, or coma, so co-administration should be avoided or should only be done at the minimal dose for a short period when necessary. Patients with increased intracranial pressure or head injuries may experience worsened symptoms while taking this medication, which requires caution. This medication can cause dependence, so if it is used for a long time, the duration and dosage should be adjusted to consider the risk of dependence and abuse. Patients with impaired liver function should consult a doctor before taking this medication, and caution should be taken to avoid concurrent use with other acetaminophen products. For patients with specific genotypes, metabolism of this medication may be accelerated, increasing the risk of respiratory depression, necessitating the use of alternative medications or dose adjustments. This medication should not be administered to children under 12 years old or adolescents under 18 years old who have undergone tonsillectomy and adenoidectomy. Patients with sleep apnea or at risk of hypoxia should be continuously monitored for symptom exacerbation during treatment with this medication. Dose adjustments or discontinuation should be considered as needed. This medication can rarely cause hyponatremia, so patients, especially elderly or at-risk individuals, should periodically check their serum sodium levels. This medication should not be administered to individuals with certain allergies, central nervous system drug intoxication, severe respiratory depression, head trauma, or those taking MAO inhibitors. Drowsiness, dizziness, nausea, constipation, and other side effects may occur during use, so caution is needed when driving or operating machinery. In case of overdose, serious respiratory depression, seizures, liver damage, etc., may occur, so do not exceed the prescribed dose, and if overdose is suspected, seek medical attention immediately. This medication should be kept out of reach of children in a safe place, and precautions should be taken to prevent misuse or abuse by blocking access to others.

Serious side effects

Hives, severe swelling (edema), tightness in the chest, difficulty breathing, cold sweat, pallor, severe rash with fever, blistering, skin peeling, pain in the oral/ocular mucosa, shortness of breath or difficulty breathing, asthma attacks, respiratory issues accompanied by cough and fever, yellowing of the skin or eyes (jaundice), extreme lethargy, sudden and severe headache, thunderclap headache, seizures, confusion, visual disturbances, paralysis, urination

Mild side effects

• Decreased appetite
• insomnia
• depression
• dizziness
• headache
• drowsiness
• nausea
• vomiting
• constipation
• dry mouth

This medication should be stored in a tightly closed container to prevent air or moisture from penetrating. Additionally, avoid storing it in excessively hot or cold places; it is best to store it at room temperature between 1°C and 30°C.

Appearance

Pale yellow rectangular film-coated tablets

Package unit

30 tablets/bottle, 300 tablets/bottle