The name of your medicine is APO-Tramadol SR. It contains the active ingredient, tramadol (as tramadol hydrochloride).
It is used to relieve moderate to severe pain.
Ask your doctor if you have any questions about why this medicine has been prescribed for you. Your doctor may have prescribed this medicine for another reason.
This medicine is available only with a doctor's prescription.
It belongs to the group of medicines called analgesics (pain relievers). The tablets are designed to release the active ingredient for pain relief gradually over several hours.
There is not enough information to recommend the use of this medicine in children under 12 years of age.
Patients over 75 years may need a reduced daily dose of this medicine compared to younger adults.
Do not take this medicine if:
Symptoms of an allergic reaction may include: cough, shortness of breath, wheezing or difficulty breathing; swelling of the face, lips, tongue, throat or other parts of the body, rash, itching or hives on the skin fainting or hayfever-like symptoms.
Before you start taking this medicine, tell your doctor if:
1. You have allergies or sensitivities to:
2. You have or have had any medical conditions, especially the following:
3. You are currently pregnant or breastfeeding or you plan to become pregnant or breast feed.
This medicine is not recommended for use during pregnancy or labour or whilst breast feeding. Talk to your doctor about the risks and benefits of using this medicine during pregnancy or labour or when breast feeding.
4. You have recently been vaccinated or plan to get a vaccination.
5. You are planning to have surgery.
6. You are currently receiving or are planning to receive dental treatment.
7. You are taking or are planning to take any other medicines.
This includes vitamins and supplements that are available from your pharmacy, supermarket or health food shop.
Some medicines may interact with tramadol. These include:
If you are taking any of these you may need a different dose or you may need to take different medicines.
Other medicines not listed above may also interact with tramadol.
You must also be careful if you drink alcohol whilst taking this medicine.
Follow carefully all directions given to you by your doctor or pharmacist. Their instructions may be different to the information in this leaflet.
Your doctor or pharmacist will tell you how much of this medicine you should take. This will depend on your condition and whether you are taking any other medicines.
The recommended dosage is either:
For some people the starting dose may be lower.
If you are over 75 you may be prescribed a lower dose, with a maximum of 300 mg in total per day.
You may also be prescribed a lower dose if you have liver problems.
If you have kidney problems your doctor may recommend a bigger time interval between doses.
If your liver or kidney problems are severe you should not take Tramadol SR.
Swallow the tablets whole with water.
Do NOT chew, crush or dissolve them.
This will release all the active ingredient for pain relief quite quickly. Side effects may then occur.
Take this medicine at the same time each day. Taking it at the same time each day will have the best effect and will also help you remember when to take it.
It does not matter if you take it before, with or after food.
Continue taking your medicine for as long as your doctor tells you.
If you take this medicine for more than a few months your doctor will monitor you regularly.
Make sure you have enough to last over weekends and holidays.
If you forget to take one dose, take the dose when you remember. The following dose should be taken after twelve hours, or as prescribed by your doctor.
Do not take a double dose to make up for missed doses.
This may increase the chance of unwanted side effects.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
If you think that you or anyone else may have taken too much of this medicine, immediately telephone your doctor or the Poisons Information Centre (Tel: 13 11 26 in Australia) for advice. Alternatively go to the Accident and Emergency Department at your nearest hospital.
Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
If you take too much tramadol, you may have constricted pupils, go into shock, vomit, have problems breathing, become unconscious, and/or suffer fits (convulsions).
Tell your doctor that you are taking this medicine if:
Your doctor may occasionally do tests to make sure the medicine is working and to prevent side effects. Go to your doctor regularly for a check-up.
Tell any other doctors, dentists, and pharmacists who are treating you that you are taking tramadol.
Avoid or be especially careful driving or operating machinery or doing anything else that requires concentration and good reflexes; tramadol can cause drowsiness, dizziness or fatigue in some people. If any of these occur, do not drive, operate machinery or do anything else that could be dangerous.
Avoid drinking large quantities of alcohol, as this may make you feel even more sleepy, and may also increase the chance of liver problems.
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking tramadol or if you have any questions or concerns.
Do not be alarmed by the following lists of side effects. You may not experience any of them. All medicines can have side effects. Sometimes they are serious but most of the time they are not.
Tell your doctor or pharmacist if you notice any of the following and they worry you.
This list includes the more common side effects. Mostly, these are mild:
Tell your doctor as soon as possible if you notice any of the following.
These may be serious side effects. You may need medical attention. Most of these side effects are rare.
If you experience any of the following, stop taking your medicine and contact your doctor immediately or go to the Accident and Emergency department at your nearest hospital.
These are very serious side effects and are usually very rare. You may need urgent medical attention or hospitalisation.
Other side effects not listed above may occur in some patients.
If you think you are having an allergic reaction to tramadol, stop taking this medicine and tell your doctor immediately or go to the Accident and Emergency department at your nearest hospital.
Symptoms of an allergic reaction may include some or all of the following:
If you are taking this medicine for a long while, your body may become used to tramadol and mild withdrawal symptoms may occur if you suddenly stop taking it. For example, you may become agitated, shaky, hyperactive, anxious, or nervous, have problems sleeping, and/or suffer fever, muscle pain or chills.
Very rarely, people have had panic attacks, severe anxiety, hallucinations, tingling sensation (pins and needles), ringing in the ears, confusion, delusions, paranoia, or a feeling of being spaced out or apart from everything.
Keep your medicine in its original packaging until it is time to take it.
If you take your medicine out of its original packaging it may not keep well.
Keep your medicine in a cool dry place where the temperature will stay below 25°C.
Do not store your medicine, or any other medicine, in the bathroom or near a sink. Do not leave it on a window sill or in the car.
Heat and dampness can destroy some medicines.
Keep it where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor or pharmacist tells you to stop taking this medicine or it has passed its expiry date, your pharmacist can dispose of the remaining medicine safely.
100 mg tablets
Off-white, round, biconvex tablets
150 mg tablets
Off-white, capsule-shaped tablets
200 mg tablets
Off-white, capsule-shaped tablets
Contained in blister packs in cartons of 20 tablets.
* Not all strengths, pack types and/or pack sizes may be available.
Each tablet contains 100 mg, 150 mg or 200 mg of tramadol as the active ingredient.
It also contains the following inactive ingredients:
This medicine is gluten-free, lactose-free, sucrose-free, tartrazine-free and free of other azo dyes.
100 mg tablets
AUST R 154393.
150 mg tablets
AUST R 154394.
200 mg tablets
AUST R 154395.