Tramadol Semi Tablet

Adult dose

Children aged 12 years and older and adults: The dosage should be adjusted based on the patient's pain intensity and therapeutic response. It is recommended to start with a dose of 4 tablets, and the subsequent dosing interval should be at least 6 hours, not exceeding 16 tablets in one day. The effective lowest dose should be taken for the shortest duration possible. Elderly: Typically, the standard adult dosage should be given, but for those aged 75 and older, the dosing interval should be at least 6 hours.

This medication can burden the liver, so individuals who regularly consume more than three glasses of alcohol daily must consult a doctor or pharmacist before taking it. If severe rash or allergic reactions occur while taking this medication, it should be stopped immediately and healthcare professionals notified. Due to the risk of seizures, caution is advised for those with a history of seizures or those taking other medications that may induce seizures. Rarely, severe allergic reactions such as anaphylaxis may occur, so if symptoms arise, immediate medical attention is necessary. Patients with severe respiratory diseases may experience difficulty breathing while taking this medication, and should use it in a facility equipped for such situations. Taking this medication with alcohol or central nervous system depressants can lead to severe drowsiness, respiratory depression, and coma, so concurrent use should be avoided. Patients with head injuries or brain diseases should be cautious as this medication may increase intracranial pressure. This medication may cause physical and psychological dependence, so dosage and duration should be adjusted under a doctor's guidance for prolonged use. Patients with impaired liver function should consult a doctor before taking this medication as one of its components may burden the liver. Patients with certain genetic metabolism patterns may experience enhanced effects of this medication, increasing the risk of side effects like respiratory depression, so caution should be exercised. Children under 12 years or specific postoperative children should not be administered this medication, and adolescents aged 12 to 18 should avoid it if there are risk factors. This medication may cause sleep apnea and hypoxemia; dosage adjustment or discontinuation should be considered if symptoms worsen. Elderly patients or those at risk for hyponatremia should be closely monitored for signs of hyponatremia while taking this medication. During treatment, do not exceed the recommended dosage and avoid overlapping with other analgesics. Stopping this medication abruptly may lead to withdrawal symptoms, so the dosage should be gradually reduced according to a doctor’s instructions. Drowsiness or dizziness may occur while driving or operating machinery, so caution is advised. In cases of overdose, severe respiratory depression, seizures, or other serious conditions may occur, and immediate emergency treatment is required. Pregnant or breastfeeding women should consult a doctor before taking this medication, and it is safer to avoid it during breastfeeding.

Serious side effects

Hives, severe swelling (edema), difficulty breathing, anaphylactic reaction, Stevens-Johnson syndrome, toxic epidermal necrolysis, seizures, acute generalized exanthematous pustulosis, severe skin adverse reactions, asthma, severe respiratory depression, liver abnormalities (jaundice), sudden and very severe headache, thunderclap headache, seizures, altered consciousness, visual disturbances, paralysis, significantly reduced urine output, increased blood pressure, severe edema, urinary abnormalities, respiratory distress

Mild side effects

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

This medication should be stored in a sealed container to prevent air ingress, ideally at room temperature between 1 to 30 degrees Celsius. By storing it this way, the medication's efficacy can be maintained for a long time.

Appearance

Pale yellow oblong film-coated tablet

Package unit

30 tablets/bottle, 100 tablets/bottle