Cieltracem Tablets

Adult dose

For patients aged 12 years and older, the dosage is adjusted according to the severity of pain and treatment response. An initial dose of 4 tablets is administered, with a minimum dosing interval of 6 hours. Total daily dosage should not exceed 16 tablets. The lowest effective dose should be administered for the shortest duration possible. For elderly patients aged 75 and over, the dosing interval should be at least 6 hours.

Child dose

For children aged 12 years and older, the dosage is the same as for adults, adjusted according to the severity of pain and treatment response. An initial dose of 4 tablets is administered, with a minimum dosing interval of 6 hours. Total daily dosage should not exceed 16 tablets.

This medication may place a burden on the liver, so individuals who regularly consume large amounts of alcohol daily should consult a physician or pharmacist before taking it. This medication may rarely cause serious skin reactions; if a rash or other allergic reactions occur, discontinue use immediately and inform medical personnel. Tramadol, the active ingredient in this medication, can induce seizures, so patients with a history of seizures or a high risk of seizures should take it with caution, especially when combined with certain antidepressants or opioid analgesics, as this can increase the risk of seizures. Rarely, patients taking this medication may experience serious allergic reactions like anaphylaxis, and immediate emergency treatment is necessary if symptoms such as difficulty breathing or severe allergic reactions occur. Patients with acute or severe bronchial asthma may experience life-threatening respiratory depression when taking this medication, so it should be administered only in an environment where medical personnel are present. Taking this medication with alcohol or central nervous system depressants can cause severe drowsiness, respiratory depression, coma, etc., so it should be avoided or used with extreme caution. Patients with head injuries or brain diseases should be cautious, as this medication can increase intracranial pressure or worsen symptoms. This medication may cause psychological and physical dependence, so long-term use should be carefully monitored for signs of dependence. Patients with impaired liver function are at risk of liver damage when taking this medication, so consultation with medical personnel is essential before taking it. Some individuals metabolize this medication very quickly and may experience severe side effects such as respiratory depression; in such cases, dose adjustment or alternative medications may be necessary. This medication should not be used in children under 12 years of age or in pediatric patients after certain surgeries, as there is a risk of life-threatening respiratory depression. This medication can cause sleep apnea or hypoxia, so symptoms should be continuously monitored for worsening, and doses should be reduced or discontinued as necessary. Elderly patients or those at risk for hyponatremia should carefully monitor for symptoms of hyponatremia while taking this medication. This medication may interact with specific drugs; if other medications are being taken, it is crucial to inform medical personnel, especially when combined with antidepressants, antibiotics, antifungals, or central nervous system depressants. Pregnant or nursing women should determine the appropriateness of this medication in consultation with medical personnel, as it may affect the fetus or newborn. Caution is necessary when driving or operating machinery, as this medication may cause drowsiness or dizziness during these activities. In the event of overdose, severe side effects such as respiratory depression, seizures, or liver damage can occur; therefore, strict adherence to the recommended dosage is crucial, and immediate medical attention should be sought in case of an overdose. This medication should be stored in a safe place out of reach of children to prevent accidental ingestion or misuse.

Serious side effects

Hives, severe swelling, chest tightness, difficulty breathing, cold sweat, pallor, severe rash accompanied by fever, blisters, skin peeling, pain in mucous membranes of mouth/eyes, severe skin adverse reactions, difficulty breathing, asthma attacks, respiratory abnormalities accompanied by coughing and fever, yellowing of the skin or eyes (jaundice), severe lethargy, liver abnormalities (jaundice), sudden and severe headaches, thunderclap headache, seizures, confusion, visual disturbances

Mild side effects

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

This medication should be stored in a tightly sealed container to prevent air from entering and kept at room temperature, ideally between 1 to 30 degrees Celsius. Proper storage will help maintain the medication’s effectiveness for a longer period.

Appearance

Light yellow rectangular film-coated tablets

Package unit

30 tablets, 300 tablets