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Shrrishti Healthcare Products(I) Pvt Ltd - 10 S
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Tramadol (50mg) + Paracetamol (500mg)
Available at our pharmacy counter
This medicine is dispensed in person against a valid prescription and is not sold online. Ask our pharmacist about availability, or speak to a registered doctor.
In-store reference price ₹47
Trama P Tablet is used for treatment of moderate to severe acute pain such as musculoskeletal pain, back pain, dental pain, post-operative pain when prescribed by a doctor.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Trama P Tablet contains Tramadol (50mg) + Paracetamol (500mg). It belongs to the Opioid analgesic + Non-opioid analgesic (Paracetamol) class of medicines.
Tramadol is an opioid analgesic that reduces pain signaling in the brain and spinal cord and also enhances serotonin and norepinephrine pathways that modulate pain. Paracetamol reduces pain and fever by inhibiting prostaglandin synthesis in the central nervous system. The combination provides additive pain relief.
Take exactly as prescribed by your doctor.
Most side effects of Trama P are mild and settle as the body adjusts. Reported side effects include:
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.
| Pregnancy | Use with caution / Consult doctor (generally not recommended unless clearly needed) |
|---|---|
| Breastfeeding | Breast feeding SAFE IF PRESCRIBED |
| Alcohol | Avoid |
| Driving | Driving UNSAFE |
| Kidney | Kidney CAUTION |
| Liver | Liver CAUTION |
| Habit forming | Yes |
May cause drowsiness/dizziness—avoid driving or operating machinery. Risk of dependence and withdrawal with tramadol; use for shortest duration possible. Do not exceed total daily paracetamol dose due to risk of severe liver injury. Use with caution in liver or kidney disease, seizure disorders, head injury, respiratory disease, elderly, and in those with history of substance misuse. Seek urgent help for slow/shallow breathing, severe sleepiness, allergic reactions, or symptoms of serotonin syndrome (agitation, fever, tremor, diarrhea).
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. 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. Not for people with severe liver disease, except under medical supervision.
Alcohol, other CNS depressants (benzodiazepines, sedatives), other opioids, SSRIs/SNRIs/TCAs/MAOIs (serotonin syndrome risk), antipsychotics (seizure risk), carbamazepine (reduced tramadol effect), CYP2D6/CYP3A4 inhibitors (e.g., fluoxetine, paroxetine, erythromycin, ketoconazole) or inducers (e.g., rifampicin), warfarin (bleeding risk with paracetamol), other paracetamol-containing medicines
Store below 25°C in a dry place, protected from light and moisture. Keep out of reach of children.
Consider taking Trama P 50mg/500mg Tablet with milk or food to prevent stomach upset. Trama P 50mg/500mg Tablet may cause drowsiness, dizziness, or slowed reaction time, particularly when you first start taking it. It is recommended to avoid driving or operating heavy machinery until you are certain how it affects you. Drink plenty of water and eat fiber-rich foods like fruits and vegetables to help prevent constipation, a common side effect of Trama P 50mg/500mg Tablet. Do not drink alcohol while taking Trama P 50mg/500mg Tablet. Alcohol combined with this medicine can cause extreme drowsiness or dangerously slow your breathing. During long-term treatment, your doctor may conduct regular blood tests to monitor your liver function. Inform your doctor if you have a history of heart disease, high blood pressure, liver disease, kidney disease, epilepsy, or any breathing problems before taking Trama P 50mg/500mg Tablet. Do not stop taking Trama P 50mg/500mg Tablet suddenly if you have been using it for more than a few days. Stopping it abruptly may lead to withdrawal symptoms such as anxiety, restlessness, sweating, insomnia, and gastrointestinal discomfort.

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The information on Trama P Tablet is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.