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Tonoflex 50mg Capsules contain Tramadol Hydrochloride, a centrally acting opioid analgesic and serotonin-norepinephrine reuptake inhibitor (SNRI). It is indicated for the management of moderate to severe pain, including pain associated with osteoarthritis, rheumatoid arthritis, postoperative recovery, dental procedures, and chronic conditions requiring continuous analgesia.
Tramadol works by binding to opioid receptors and inhibiting the reuptake of serotonin and norepinephrine, thereby altering the way the brain and nervous system respond to pain.
Active Ingredient: Tramadol Hydrochloride 50mg per capsule
Inactive Ingredients: Standard excipients (fillers, binders, capsule shell—specifics available on packaging)
Opioid Analgesic
Serotonin-Norepinephrine Reuptake Inhibitor (SNRI)
Oral capsule
Strength: 50mg
Pack Size: 10 capsules
Tonoflex 50mg Capsules are indicated for:
Relief of moderate to severe pain
Pain associated with rheumatoid arthritis and osteoarthritis
Postoperative pain
Dental pain
Migraine headaches
Management of chronic pain requiring continuous analgesia
Relief of irritable bowel syndrome pain
Initial Dose: 25 to 50mg every 4 to 6 hours as needed
Maximum Dose: 400mg per day
Chronic Pain Management: Start with 25mg every morning, increasing by 25mg every 3–7 days to reach 50mg every morning. If well tolerated, consider increasing in 50mg increments every 2–4 days, up to a maximum of 300mg per day
Opioid-Naive Patients: Initially, 25mg every 4 to 6 hours as needed for pain severity of <7 on a numeric rating scale (NRS). Titrate every 3 days by 25–50mg increments to a level of pain relief up to a maximum of 150mg a day
Symptoms: Extreme drowsiness, slow heart rate, low blood pressure, respiratory depression
Action: Seek immediate medical attention; bring the medication pack to the hospital
Take the missed dose as soon as you remember, unless it's almost time for your next dose
Do not take two doses at once to make up for a missed dose
Take Tonoflex 50mg Capsules exactly as prescribed by your healthcare provider
Swallow the capsule whole with a glass of water
Can be taken with or without food; maintain consistency in timing
Do not stop suddenly; gradual dose reduction may be necessary
Known allergy to Tramadol or any component of the capsule
Severe liver or kidney impairment
Concurrent use with alcohol or other CNS depressants
Use in children under 12 years old or after tonsil/adenoid surgery in children under 18 years
Common:
Drowsiness, dizziness
Nausea, vomiting
Constipation
Dry mouth
Sweating
Itching
Serious:
Seizures
Serotonin syndrome (agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea)
Slow or difficult breathing
Light-headed feeling, like you might pass out
Low cortisol levels (nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness)
Avoid alcohol; may increase drowsiness and risk of serious side effects
Caution when driving or operating machinery
Monitor for signs of serotonin syndrome
Use with caution in patients with a history of seizures or substance abuse
Gradual tapering may be necessary when discontinuing
CNS depressants (sedatives, alcohol) may enhance drowsiness
Antidepressants (SSRIs, SNRIs, tricyclics, MAOIs) may increase the risk of serotonin syndrome
Antipsychotics, analgesics, and tamoxifen may interact via CYP2D6 metabolism
Store at room temperature, away from moisture and heat
Keep out of reach of children
Dispose of unused capsules safely; do not flush down the toilet
Prescription-only medication
Use only under the supervision of a qualified healthcare provider
Take at the same time each day for best results
Monitor for side effects, especially drowsiness and low blood pressure
Inform all healthcare providers of your use of Tonoflex, especially before surgeries or dental procedures
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