Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
TRAMADOL HYDROCHLORIDE
DKSH MALAYSIA SDN BHD
TRAMADOL HYDROCHLORIDE
5 Ampoules
B. BRAUN MELSUNGEN AG.
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ TRAMADOL STADA INJECTION Tramadol hydrochloride 100mg/2ml 1 WHAT IS IN THIS LEAFLET 1. What Tramadol STADA Injection is used for 2. How Tramadol STADA Injection works 3. Before you use Tramadol STADA Injection 4. How to take Tramadol STADA Injection 5. While you are using Tramadol STADA Injection 6. Side effects 7. Storage and Disposal of Tramadol STADA Injection 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision WHAT TRAMADOL STADA INJECTION IS USED FOR • Treatment of moderate to severe pain HOW TRAMADOL STADA INJECTION WORKS • Tramadol STADA Injection is a painkiller belonging to the class of the opioids that acts on the central nervous system. It relieves pain by acting on specific nerve cells of the spinal cord and brain. BEFORE YOU USE TRAMADOL STADA INJECTION _When you must not take it _ • if you are allergic to the active substance tramadol hydrochloride or to any of the other ingredients of Tramadol STADA Injection • in acute intoxication with alcohol, analgesics, sedatives or other psychotropic drugs • if you are also taking monoamine oxidase (MAO) inhibitors • if you have taken MAO inhibitors within two weeks of when you will start taking Tramadol STADA Injection _Before you start to take it _ You should tell your doctor if • The pressure inside your skull is higher than normal. • You have difficulty in breathing • You suffer from consciousness disorders • You suffer from a liver or kidney disease • You think that you are addicted to other pain relievers _Taking other medicine _ • Please tell your doctor or pharmacist if you are using or have recently used any other medicines, including medicines obtained without a prescription. • DO NOT take Tramadol STADA Injection with monoamine oxidase inhibitors (MAOI), or 2 weeks before and after taking these medicines. MAOs are medicines used for depression. • The effect of Tramadol STADA Injection may be greater if you are: - also taking other m Baca dokumen lengkap
B. Braun Melsungen AG, Mistelweg 2, 12357 Berlin, Germany ® TRAMADOL STADA ACTIVE INGREDIENT Tramadol hydrochloride COMPOSITION Each ampoule of 2 ml of injectable solution contains: Tramadol hydrochloride, 100 mg; sodium acetate, water for injection. INDICATIONS For moderate to severe pain. PHARMACOLOGIC PROPERTIES Tramadol hydrochloride is a cyclohexanol derivative with central analgesic and antitussive activities. The drug (and its active M1 metabolite) acts as an opiate agonist, apparently by selective activity at the u-receptor. In addition to opiate agonist activity, Tramadol inhibits reuptake of certain monoamine (norepinephrine, serotonin) which appears to contribute to the drug’s analgesic effect. Unlike morphine Tramadol has no respiratory effect over a wide range of analgesic doses. It also does not effect gastrointestinal motility. Its effects on the cardiovascular system are relatively slight. PHARMACOKINETICS Following oral administration (100 gm), tramadol is rapidly and almost completely absorbed. The mean absolute bioavailability of Tramadol after oral administration, irrespective of simultaneous food intake, is 68%; following rectal administration it is 79%, and following i.m. administration 100%. The maximum first-pass effect after oral administration is 30% and after rectal administration 20%. Tramadol crosses the blood-brain barrier and the placental barrier. It is found in breast milk, together with 0-desmethyl derivative, in very low concentration (0.1% and 0.02% respectively of the administered dose). The elimination half-life t1/2 irrespective of the route of administration, is 5-7 hours. This is slightly prolonged in patients over 65 years of age. Tramadol and its metabolites are almost entirely excreted by the kidney. In the presence of disorders of hepatic and renal function, the half-lives are likely to be somewhat prolonged. CONTRA-INDICATIONS Tramadol STADA ® must not be used in patients with: - known hypersensitivity to Tramadol - acute alcohol, analgesic (pain-killer), soporifi Baca dokumen lengkap