Prescription requiredAnalgesic

Trama P Tab — Side Effects & Warnings

Known side effects of Trama P Tab include Nausea, vomiting, dizziness, drowsiness, constipation, dry mouth, headache, sweating. Not everyone experiences these side effects.

Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated August 2026

Common Side Effects

Nausea
vomiting
dizziness
drowsiness
constipation
dry mouth
headache
sweating

This is not an exhaustive list. Consult your doctor if you notice any unusual symptoms.

Important Warnings

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).

Drug Interactions

Trama P Tab may interact with the following:

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

Always tell your doctor about all medicines you are taking, including over-the-counter drugs and supplements.

Pregnancy Safety

Use with caution / Consult doctor (generally not recommended unless clearly needed)

Alcohol Interaction

Avoid

Habit Forming

Yes

Storage

Store below 25°C in a dry place, protected from light and moisture. Keep out of reach of children.

Trama P Tab — Safety Summary

Composition: Tramadol (50mg) + Paracetamol (500mg)
Prescription: Required (Rx)
Pregnancy: Use with caution / Consult doctor (generally not recommended unless clearly needed)
Alcohol: Avoid
Habit forming: Yes

Trama P Tab — Safety FAQs

What should I do if I experience side effects?

Mild side effects often resolve on their own. If side effects are severe or persistent, stop the medicine and consult your doctor immediately.

Are all listed side effects common?

No. Some side effects are common while others are rare. Not everyone experiences side effects. Consult your doctor if you are concerned.

Can I take this medicine with other drugs?

Some medicines interact with each other. Always inform your doctor about all medicines you are currently taking.

When should I seek emergency help?

Seek immediate medical attention if you experience severe allergic reactions (difficulty breathing, swelling of face/throat), chest pain, or any life-threatening symptoms.

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Safety disclaimer

This information is for educational purposes only and is not a substitute for professional medical advice. If you experience severe side effects, seek medical attention immediately.