Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
TRAMADOL HYDROCHLORIDE; PARACETAMOL/ACETAMINOPHEN
MEDISPEC (M) SDN.BHD
TRAMADOL HYDROCHLORIDE; PARACETAMOL/ACETAMINOPHEN
10x10 Tablets
STANDARD CHEM & PHARM CO LTD
UTRAPHEN FILM COATED TABLETS 37.5MG/325MG Tramadol Hydrochloride/ Paracetamol (37.5mg/325mg) 1 _CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ WHAT IS IN THIS LEAFLET 1. What Utraphen is used for 2. How Utraphen works 3. Before you use Utraphen 4. How to use Utraphen 5. While you are using it 6. Side effects 7. Storage and Disposal of Utraphen 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision WHAT UTRAPHEN IS USED FOR Utraphen is used to treat moderate pain to severe pain. HOW UTRAPHEN WORKS Utraphen Tablets have a combination of two pain relievers – tramadol hydrochloride (an opioid analgesic) and acetaminophen (same as paracetamol). BEFORE YOU USE UTRAPHEN - _When you must not use it _ • You are less than 12 years old; • You have slow or shallow breathing, or other breathing problems; • You are pregnant; • You are breastfeeding. You must not take Utraphen if you have previously had an allergic reaction (hypersensitivity) to tramadol hydrochloride or acetaminophen, or to any other opioid pain relievers. Please tell your doctor if this applies to you. Hypersensitivity can be recognized for instance by skin rash, itching, shortness of breath or swollen face. If any of these occur, contact your doctor right away. Do not give Utraphen to a child under 18 years of age that has just an operation to remove their tonsils or adenoids. Do not take Utraphen if you are taking: • Sleeping pills e.g. hypnotics; • Medicines that affect your mood or emotions e.g. narcotics and psychotropic drugs; • Pain relievers that affect your central nervous system e.g. centrally acting analgesics and opioids; • Antidepressants such as Monoamine Oxidase Inhibitors (MAO inhibitors) currently or within the last 14 days. _Pregnancy and lactation _ _ _ If you are, or think you may be, pregnant, you should inform your doctor, who will decide if you can take Utraphen. Opioid medicines can slow the breathing of a newborn child. Prolonged use of Utraphen during pregnancy can cause withdr Baca dokumen lengkap
PRODUCT NAME Utraphen Film Coated Tablets 37.5mg/325mg DOSAGE FORMS AND STRENGTHS It occurs as a light yellow capsular shaped, biconvex film-coated tablet, branded “755” on one side and “STD” on the other side. Each film coated tablet contains 37.5 mg tramadol hydrochloride and 325 mg paracetamol. CLINICAL INFORMATION INDICATIONS Utraphen is indicated for the management of moderate to severe pain. DOSAGE AND ADMINISTRATION DOSAGE ADULTS AND CHILDREN 16 YEARS OF AGE AND OVER The maximum single dose of Utraphen is 1 to 2 tablets every 4 to 6 hours as needed for pain relief up to a maximum of 8 tablets per day. The lowest effective dose should be used for the shortest period of time. ADULTS AND ADOLESCENTS (12 YEARS AND OLDER) Utraphen is not approved for use in patients below 12 years old. PAEDIATRIC POPULATION The safety and efficacy of Utraphen has not been studied in the paediatric population. Therefore, use of Utraphen is not recommended in patients under 12 years of age. TREATMENT WITHDRAWAL Do not stop use of Utraphen abruptly. Withdrawal symptoms may be relieved by tapering the medication (see _Warnings and Precautions – Treatment Withdrawal_ ). SPECIAL POPULATIONS _CHILDREN BELOW 16 YEARS OF AGE _ The use of Utraphen is contraindicated in children below 12 years of age (see _Contraindications_ ). The safety and effectiveness of Utraphen in children aged 12 to below 16 years of age has not been established (See _Contraindications and Warnings and Precautions _ _- Other Risk Factors for Life-threatening Respiratory Depression in Children_ ). _ELDERLY (65 YEARS OF AGE AND OLDER) _ No overall differences with regard to safety or pharmacokinetics were noted between patients ≥65 years of age and younger patients. However, dose selection for an elderly patient should be cautious, reflecting the greater frequency of decreased hepatic, renal or cardiac function, of concomitant disease and multiple drug therapy. _RENAL IMPAIRMENT _ In patients with creatinine clearances of less than 30 mL/min, it is recom Baca dokumen lengkap