Ramcet D

Composition of Ramcet D

Ramcet D contains Domperidone (10mg) + Paracetamol (325mg) + Tramadol (37.5mg). It belongs to the Anti-emetic / prokinetic, Para-aminophenol derivative and Opioid analgesic class of medicines.

Uses of Ramcet D

• This medicine is used in the treatment of nausea
• vomiting
• bloating
• slow stomach emptying
• fever
• headache
• body ache
• mild to moderate pain
• pain
• inflammation
• arthritis and period pain.

Key benefits

• Rapid relief of nausea and vomiting
• Helps bloating and early fullness
• The first choice for fever and everyday pain
• Gentle on the stomach
• unlike anti-inflammatory painkillers
• Relieves pain and the swelling that causes it
• Effective in arthritis and injury

How Ramcet D works

Fortipar-D Tablet is a combination of three medicines: Domperidone, Paracetamol and Tramadol. Domperidone is a prokinetic which works on the region in the brain that controls vomiting. It increases the movement of the stomach and intestines, allowing food to move more easily through the stomach. Paracetamol is an analgesic (pain reliever) and an anti-pyretic (fever reducer) which works by blocking the release of certain chemical messengers that cause fever and pain. Tramadol is an opioid analgesic (pain reliever) which works by blocking the transmission of pain signals to the brain to lower pain perception.

How to take Ramcet D

Take exactly as prescribed by your doctor.

Side effects of Ramcet D

Most side effects of Ramcet D are mild and settle as the body adjusts. Reported side effects include:

• Dry mouth
• Drowsiness
• Headache
• Loose motions
• Restlessness
• Nausea
• Rash
• Indigestion
• Stomach pain
• Heartburn
• Dizziness
• Swelling of the ankles and feet
• Constipation
• Sweating

Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.

Safety advice for Ramcet D

Warnings and precautions

Use it for the shortest period that works. These medicines are not intended for long-term daily use. Report any unusual muscle stiffness, tremor, restlessness or uncontrolled movements of the face or limbs at once — stop and contact your doctor. Tell your doctor if you have a heart rhythm problem; some of this group affect the heart's electrical timing. Persistent vomiting needs a diagnosis. Do not keep suppressing it without seeing a doctor, especially with abdominal pain, fever or blood. Never exceed the daily maximum printed on the pack. Paracetamol overdose damages the liver, and the damage can be silent for a day or two before it becomes serious. Check every other medicine you are taking. Paracetamol is in a very large number of cold, flu and pain combinations, and the doses add together. If you drink alcohol regularly, or have liver disease, ask your doctor what daily limit is safe for you. See a doctor if fever lasts more than three days, or pain more than five. Take it with or just after food, and for the shortest time that works. Stop and seek urgent care for black or tarry stools, vomiting blood, or severe stomach pain — this group can cause bleeding from the stomach. Long or high-dose use raises the risk of heart attack, stroke and kidney injury, particularly in older people and those already at risk. Avoid if you are dehydrated or have an illness with vomiting or loose motions — the kidneys are vulnerable then. Must be avoided in the last three months of pregnancy. This is an opioid painkiller. It can cause dependence, and should be taken only for the period your doctor has specified. Never combine it with alcohol, sleeping tablets or other sedatives — together they can dangerously slow your breathing. Do not stop a long course abruptly; your doctor will reduce it gradually. Tell your doctor if you have epilepsy or take an antidepressant — tramadol can lower the seizure threshold and can raise serotonin dangerously in combination.

Do not take Ramcet D if

Not for anyone with a known allergy to this medicine or to any ingredient in the pack. Not for people with bleeding, blockage or perforation of the gut, or with certain heart rhythm disorders. Not for people with severe liver disease, except under medical supervision. Not for people with an active stomach ulcer, severe kidney or heart failure, or asthma triggered by aspirin or anti-inflammatory painkillers. Not in the third trimester of pregnancy.

Interactions with other medicines

Antifungals, some antibiotics and heart-rhythm medicines increase the risk of rhythm problems when combined. Adds to the drowsiness of alcohol and sedatives. Regular alcohol use increases the risk of liver injury. Tell your doctor if you are on warfarin — regular high-dose paracetamol can affect it. Combining with a blood thinner or aspirin sharply raises the bleeding risk. Reduces the effect of blood pressure medicines and water tablets, and together with them can harm the kidneys. Never take two anti-inflammatory painkillers at the same time.

How to store Ramcet D

Store below 30°C in the original pack, away from direct sunlight and moisture. Keep out of the reach of children.

Expert advice for Ramcet D

Take it shortly before meals for bloating and early fullness. Sip fluids frequently in small amounts, and use oral rehydration salts if you have been vomiting. Take the lowest dose that works, and leave the stated gap between doses. Seek help immediately after a suspected overdose, even if you feel completely well — treatment works best when it is early. Use the lowest dose for the shortest period. If you need a painkiller regularly, see your doctor rather than continuing on your own. Paracetamol is the safer choice for simple fever and headache. Take a fibre-rich diet and plenty of fluids; constipation is expected with any opioid.

Manufacturer and class

Manufacturer:

SUNDYOTA NUMANDIS PHARMACEUTICALS PVT LTD

Therapeutic class:

Anti-emetic, Analgesic and antipyretic and Analgesic and anti-inflammatory

Drug class:

Anti-emetic / prokinetic, Para-aminophenol derivative and Opioid analgesic