Tramal (100mg) Injection – 2ml × 5 Ampoules

Description

Tramal Injection contains Tramadol Hydrochloride, a centrally acting synthetic opioid analgesic used for the relief of moderate to severe pain. It is prescribed when other non-opioid painkillers are insufficient. Tramal works by binding to opioid receptors and inhibiting the reuptake of serotonin and norepinephrine, thereby altering the body’s response to pain.

Ingredients

• Active Ingredient: Tramadol Hydrochloride 100mg per 2ml ampoule

• Inactive Ingredients: Sodium acetate, water for injection (may vary by manufacturer)

Drug Class

Opioid Analgesic (Centrally Acting)

Dosage Form

Injection (2ml ampoule × 5)

Uses

• Relief of moderate to severe pain

• Post-operative pain

• Trauma or injury-related pain

• Pain associated with cancer or chronic conditions (when prescribed by a physician)

Dosage

• Adults & Adolescents (12+ years):

  • 50–100mg IV/IM every 4–6 hours as needed

  • Maximum daily dose: 400mg

• Elderly / Renal or Hepatic Impairment: Lower doses and longer intervals are required

• Children (<12 years): Not generally recommended

In Case of Overdose

Symptoms include extreme drowsiness, respiratory depression, seizures, low blood pressure, or cardiac arrest. Immediate emergency medical treatment is required.

Missed Dose

As Tramal is usually administered in a hospital or clinical setting, missed doses are rare. If used at home, take only as prescribed. Do not double the dose.

How to Use

• Administered by intravenous (IV) or intramuscular (IM) injection by a healthcare professional

• Dosage is determined by severity of pain and patient’s health condition

• Not intended for long-term use without supervision

When Not to Use

• Allergy to Tramadol or other opioids

• Severe liver or kidney impairment

• Acute intoxication with alcohol, hypnotics, or other CNS depressants

• History of epilepsy or seizures (unless controlled and physician approves)

• Children under 12 years of age

Side Effects

• Common: Nausea, vomiting, dizziness, headache, constipation, sweating, drowsiness

• Serious: Respiratory depression, seizures, hallucinations, dependence, withdrawal symptoms

Precautions & Warnings

• May cause dependence and addiction with long-term use

• Avoid alcohol and other CNS depressants

• Caution in patients with head injury, respiratory disease, or seizure disorders

• Not recommended during pregnancy unless clearly needed

• May pass into breast milk – avoid during breastfeeding

Drug Interactions

• Other opioids or CNS depressants (increased sedation, risk of respiratory depression)

• SSRIs, SNRIs, MAO inhibitors (risk of serotonin syndrome)

• Carbamazepine (reduces Tramadol effectiveness)

• Warfarin (increased bleeding risk)

Storage/Disposal

• Store at room temperature (15–30°C)

• Protect from light and moisture

• Keep out of reach of children

• Dispose of properly following medical waste regulations

Control Drug

Yes – Prescription Only Medicine (Opioid analgesic, controlled in many countries)

Quick Tips

• Use only for short-term or prescribed duration

• Do not drive or operate heavy machinery after injection

• Never mix with alcohol or sedatives

• Inform your doctor if you have history of seizures, drug abuse, or respiratory issues

• Follow the prescribed dosage strictly to avoid dependence or overdose