Ország: Egyesült Államok
Nyelv: angol
Forrás: NLM (National Library of Medicine)
Tramadol Hydrochloride (UNII: 9N7R477WCK) (Tramadol - UNII:39J1LGJ30J)
Precision Dose, Inc.
ORAL
PRESCRIPTION DRUG
Tramadol HCl tablets are indicated for the management of pain in adults that is severe enough to require an opioid analgesic and for which alternative treatments are inadequate. Because of the risks of addiction, abuse, and misuse with opioids, even at recommended doses (see WARNINGS ), reserve tramadol HCl tablets for use in patients for whom alternative treatment options [e.g., non-opioid analgesics]: - Have not been tolerated, or are not expected to be tolerated. - Have not provided adequate analgesia, or are not expected to provide adequate analgesia. Tramadol HCl tablets contraindicated in patients with: - Significant respiratory depression (see WARNINGS ). - Acute or severe bronchial asthma in an unmonitored setting or in the absence of resuscitative equipment (see WARNINGS ). - Known or suspected gastrointestinal obstruction, including paralytic ileus (see WARNINGS ). - Hypersensitivity to tramadol, any other component of this product or opioids (see WARNINGS ). - Concurrent use of monoamine oxidase in
Tramadol HCl tablets, USP, 50 mg , are supplied as unscored, white, round film-coated tablets debossed "AN" over "627". They are supplied as follows: NDC 68094-017-61 Unit Dose Packages of 100 Tablets (10 × 10) per carton Store at 20° to 25°C (68° to 77°F); excursions permitted between 15° to 30°C (59° to 86°F) [see USP Controlled Room Temperature]. Dispense in a tight container as defined in the USP.
Abbreviated New Drug Application
Precision Dose, Inc. ---------- MEDICATION GUIDE TRAMADOL (TRAM-A-DOL) HYDROCHLORIDE TABLETS, USP, CIV This Medication Guide has been approved by the U.S. Food and Drug Administration. Tramadol HCl tablets are: • A strong prescription pain medicine that contains an opioid (narcotic) that is used for the management pain in adults, when other pain treatments such as non-opioid pain medicines do not treat your pain well enough or you cannot tolerate them. • An opioid pain medicine that can put you at risk for overdose and death. Even if you take your dose correctly as prescribed you are at risk for opioid addiction, abuse, and misuse that can lead to death. Important information about tramadol HCl tablets: • Get emergency help right away if you take too much tramadol HCl tablets (overdose). When you first start taking tramadol HCl tablets, when your dose is changed, or if you take too much (overdose), serious or life-threatening breathing problems that can lead to death may occur. • Taking tramadol HCl tablets with other opioid medicines, benzodiazepines, alcohol, or other central nervous system depressants (including street drugs) can cause severe drowsiness, decreased awareness, breathing problems, coma, and death. • Never give anyone else your tramadol HCl tablets. They could die from taking it. Store tramadol HCl tablets away from children and in a safe place to prevent stealing or abuse. Selling or giving away tramadol HCl tablets is against the law. Do not take tramadol HCl tablets if you have: • Severe asthma, trouble breathing, or other lung problems. • A bowel blockage or have narrowing of the stomach or intestines. • An allergy to tramadol. • Taken a Monoamine Oxidase Inhibitor, MAOI, (medicine used for depression) within the last 14 days. Before taking tramadol HCl tablets, tell your healthcare provider if you have a history of: • head injury, seizures • problems urinating • abuse of street or prescription drugs, alcohol addiction, or mental health problems. • liver, kidney, thyr Olvassa el a teljes dokumentumot
TRAMADOL HYDROCHLORIDE- TRAMADOL HYDROCHLORIDE TABLET, COATED PRECISION DOSE, INC. ---------- TRAMADOL HYDROCHLORIDE TABLETS, USP CIV RX ONLY WARNING: ADDICTION, ABUSE, AND MISUSE; LIFE-THREATENING RESPIRATORY DEPRESSION; ACCIDENTAL INGESTION; NEONATAL OPIOID WITHDRAWAL SYNDROME; INTERACTIONS WITH DRUGS AFFECTING CYTOCHROME P450 ISOENZYMES; AND RISKS FROM CONCOMITANT USE WITH BENZODIAZEPINES OR OTHER CNS DEPRESSANTS ADDICTION, ABUSE AND MISUSE TRAMADOL HCL EXPOSES PATIENTS AND OTHER USERS TO THE RISKS OF OPIOID ADDICTION, ABUSE AND MISUSE, WHICH CAN LEAD TO OVERDOSE AND DEATH. ASSESS EACH PATIENT'S RISK PRIOR TO PRESCRIBING TRAMADOL HCL, AND MONITOR ALL PATIENTS REGULARLY FOR THE DEVELOPMENT OF THESE BEHAVIORS AND CONDITIONS (SEE WARNINGS). LIFE-THREATENING RESPIRATORY DEPRESSION SERIOUS, LIFE-THREATENING, OR FATAL RESPIRATORY DEPRESSION MAY OCCUR WITH USE OF TRAMADOL HCL. MONITOR FOR RESPIRATORY DEPRESSION, ESPECIALLY DURING INITIATION OF TRAMADOL HCL OR FOLLOWING A DOSE INCREASE (SEE WARNINGS). ACCIDENTAL INGESTION ACCIDENTAL INGESTION OF TRAMADOL HCL, ESPECIALLY BY CHILDREN, CAN BE FATAL (SEE WARNINGS). NEONATAL OPIOID WITHDRAWAL SYNDROME PROLONGED USE OF TRAMADOL HCL DURING PREGNANCY CAN RESULT IN NEONATAL OPIOID WITHDRAWAL SYNDROME, WHICH MAY BE LIFE-THREATENING IF NOT RECOGNIZED AND TREATED, AND REQUIRES MANAGEMENT ACCORDING TO PROTOCOLS DEVELOPED BY NEONATOLOGY EXPERTS. IF OPIOID USE IS REQUIRED FOR A PROLONGED PERIOD IN A PREGNANT WOMAN, ADVISE THE PATIENT OF THE RISK OF NEONATAL OPIOID WITHDRAWAL SYNDROME AND ENSURE THAT APPROPRIATE TREATMENT WILL BE AVAILABLE (SEE WARNINGS). INTERACTIONS WITH DRUGS AFFECTING CYTOCHROME P450 ISOENZYMES THE EFFECTS OF CONCOMITANT USE OR DISCONTINUATION OF CYTOCHROME P450 3A4 INDUCERS, 3A4 INHIBITORS, OR 2D6 INHIBITORS WITH TRAMADOL ARE COMPLEX. USE OF CYTOCHROME P450 3A4 INDUCERS, 3A4 INHIBITORS, OR 2D6 INHIBITORS WITH TRAMADOL HCL REQUIRES CAREFUL CONSIDERATION OF THE EFFECTS ON THE PARENT DRUG, TRAMADOL, AND THE ACTIVE METABOLITE, M1 (SEE WARNINGS, PRECAUTIONS; DRUG INT Olvassa el a teljes dokumentumot