Tramand Tablet

Composition of Tramand Tablet

Tramand Tablet contains Tramadol (37.5mg) + Paracetamol (325mg). It belongs to the Opioid analgesic and Para-aminophenol derivative class of medicines.

Uses of Tramand Tablet

• This medicine is used in the treatment of pain
• inflammation
• arthritis
• fever
• period pain
• headache
• body ache and mild to moderate pain.

Key benefits

• Relieves pain and the swelling that causes it
• Effective in arthritis and injury
• The first choice for fever and everyday pain
• Gentle on the stomach
• unlike anti-inflammatory painkillers

How Tramand Tablet works

This medicine combines 2 active ingredients: Tramadol and Paracetamol. Tramadol blocks the chemicals your body makes at a site of injury or inflammation, which reduces pain, swelling and fever. Paracetamol reduces fever and relieves pain by acting on the parts of the brain that regulate temperature and register pain.

How to take Tramand Tablet

Take exactly as prescribed by your doctor.

Side effects of Tramand Tablet

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

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

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 Tramand Tablet

Warnings and precautions

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. 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.

Do not take Tramand if

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.

Interactions with other medicines

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. Regular alcohol use increases the risk of liver injury. Tell your doctor if you are on warfarin — regular high-dose paracetamol can affect it.

How to store Tramand Tablet

Store at room temperature (below 25°C), protected from light and moisture. Keep out of reach of children.

Expert advice for Tramand Tablet

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. 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.

Manufacturer and class

Manufacturer:

COGNYZON PHARMACEUTICALS

Therapeutic class:

Analgesic and anti-inflammatory and Analgesic and antipyretic

Drug class:

Opioid analgesic and Para-aminophenol derivative