País: Estados Unidos
Idioma: inglés
Fuente: NLM (National Library of Medicine)
TRAMADOL HYDROCHLORIDE (UNII: 9N7R477WCK) (TRAMADOL - UNII:39J1LGJ30J)
RedPharm Drug, Inc.
TRAMADOL HYDROCHLORIDE
TRAMADOL HYDROCHLORIDE 50 mg
ORAL
PRESCRIPTION DRUG
Tramadol hydrochloride tablets are indicated for the management of moderate to moderately severe pain in adults. Tramadol should not be administered to patients who have previously demonstrated hypersensitivity to tramadol, any other component of this product or opioids. Tramadol is contraindicated in any situation where opioids are contraindicated, including acute intoxication with any of the following: alcohol, hypnotics, narcotics, centrally acting analgesics, opioids or psychotropic drugs. Tramadol may worsen central nervous system and respiratory depression in these patients. ABUSE Tramadol has mu-opioid agonist activity. Tramadol can be abused and may be subject to criminal diversion. Addiction is a primary, chronic, neurobiologic disease, with genetic, psychosocial, and environmental factors influencing its development and manifestations. Drug addiction is characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, use for non-medical purpo
Tramadol Hydrochloride Tablets USP, 50 mg are white to off-white, capsule shaped, biconvex, film coated tablets debossed with "ML 4" on one side and plain on other side. Bottles of 100 tablets: NDC 33342-201-11 Bottles of 500 tablets: NDC 33342-201-15 Bottles of 1000 tablets: NDC 33342-201-44 Dispense in a tight container. Store at 20° to 25°C (68° to 77°F); excursions permitted to 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature]. TYLENOL with Codeine #3 is a registered trademark of Ortho-McNeil Pharmaceuticals. TYLOX is a registered trademark of Ortho-McNeil Pharmaceuticals. Manufactured for: Macleods Pharma USA, INC. Plainsboro, NJ 08536 Manufactured by: Macleods Pharmaceutical Ltd. Baddi, Himachal Pradesh, India. Issue: 3/2015
Abbreviated New Drug Application
TRAMADOL HYDROCHLORIDE- TRAMADOL HYDROCHLORIDE TABLET, FILM COATED REDPHARM DRUG, INC. ---------- DESCRIPTION Tramadol hydrochloride tablets, USP are a centrally acting analgesic. The chemical name for tramadol hydrochloride is (±)cis-2-[(dimethylamino)methyl]-1-(3-methoxyphenyl) cyclohexanol hydrochloride. Its structural formula is: [structure] C16 H25 NO2 HCl The molecular weight of tramadol hydrochloride is 299.8. Tramadol hydrochloride is a white, bitter, crystalline and odorless powder. It is readily soluble in water and ethanol and has a pKa of 9.41. The n- octanol/water log partition coefficient (logP) is 1.35 at pH 7. Tramadol hydrochloride tablets contain 50 mg of tramadol hydrochloride, USP and are white to off-white in color. Inactive ingredients in the tablet are lactose monohydrate, microcrystalline cellulose, sodium starch glycolate, hypromellose, colloidal silicon dioxide, magnesium stearate, polyethylene glycol, polysorbate 80 and titanium dioxide CLINICAL PHARMACOLOGY Pharmacodynamics Tramadol is a centrally acting synthetic opioid analgesic. Although its mode of action is not completely understood, from animal tests, at least two complementary mechanisms appear applicable: binding of parent and M1 metabolite to μ-opioid receptors and weak inhibition of re-uptake of norepinephrine and serotonin. Opioid activity is due to both low affinity binding of the parent compound and higher affinity binding of the O-demethylated metabolite M1 to μ-opioid receptors. In animal models, M1 is up to 6 times more potent than tramadol in producing analgesia and 200 times more potent in μ-opioid binding. Tramadol- induced analgesia is only partially antagonized by the opiate antagonist naloxone in several animal tests. The relative contribution of both tramadol and M1 to human analgesia is dependent upon the plasma concentrations of each compound (see CLINICAL PHARMACOLOGY, PHARMACOKINETICS). Tramadol has been shown to inhibit reuptake of norepinephrine and serotonin in vitro, as have some other opioid analgesi Leer el documento completo