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Tramal Injection (100mg/2ml) is a prescription medication used for the relief of moderate to severe pain. It contains Tramadol Hydrochloride, an opioid analgesic that acts on the central nervous system to alter the perception of pain. Tramal is commonly prescribed for post-surgical pain, injury-related pain, and chronic pain conditions when other painkillers are not effective.
Active Ingredient: Tramadol Hydrochloride 100mg/2ml
Inactive Ingredients: Sterile water for injection, stabilizers
Opioid Analgesic (Pain Reliever)
Injectable solution
5 ampoules of 2ml each (100mg Tramadol per ampoule)
Relief of moderate to severe acute pain
Postoperative pain management
Pain due to trauma or injury
Chronic pain conditions (under strict medical supervision)
Adults & adolescents over 12 years:
50–100 mg (1–2 ml) injected slowly IV, IM, or SC every 4–6 hours as needed.
Maximum daily dose: 400mg (as per doctor’s prescription).
Elderly & patients with kidney/liver impairment: Dose adjustments may be required.
⚠️ Always follow your physician’s instructions. Do not self-medicate.
Symptoms: Drowsiness, shallow breathing, unconsciousness, seizures, low blood pressure, coma.
Immediate emergency medical attention is required.
If a dose is missed, take it as soon as remembered if still needed.
Do not double dose.
Administered via intravenous (IV), intramuscular (IM), or subcutaneous (SC) injection.
Must be given by a healthcare professional.
Dose frequency depends on pain severity and medical advice.
Allergy to Tramadol or other opioids.
Severe respiratory depression.
Acute alcohol intoxication.
Patients taking MAO inhibitors (or within 14 days of discontinuation).
Epileptic patients not controlled with treatment.
Common: Nausea, dizziness, headache, constipation, sweating, dry mouth.
Serious: Seizures, difficulty breathing, hallucinations, dependence, withdrawal symptoms if stopped abruptly.
Use with caution in:
Patients with a history of seizures, substance abuse, or respiratory disorders.
Elderly patients.
May cause dependence with prolonged use.
Avoid alcohol and other sedatives while using Tramal.
Not recommended during pregnancy or breastfeeding unless advised by doctor.
Increased risk of side effects with:
Other opioids or sedatives
Alcohol
Antidepressants (SSRIs, MAOIs, SNRIs, TCAs)
Antipsychotics
Carbamazepine (reduces effectiveness of Tramal)
Store below 25°C, protected from light.
Keep out of reach of children.
Dispose of ampoules safely according to medical waste guidelines.
Prescription-only medicine
Not an over-the-counter drug (regulated due to risk of dependence)
Tramal provides strong pain relief but should only be used under medical supervision.
Do not drive or operate machinery after injection (may cause drowsiness).
Do not combine with alcohol or sedative medicines.
Long-term use may cause dependence—use only as prescribed.
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