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Tramadol

Last updated on June 27, 2019.

Overview   |   Dosage   |   Side Effects   |   Where To Buy  

GENERIC NAME: Tramadol

CHINESE NAME: 曲馬多

COMMON BRANDS IN HONG KONG: Acugesic, Koridol, Pengesic SR, Sefmal, Tramacet (Tramadol, paracetamol / acetaminophen), Ultracet (Tramadol, paracetamol / acetaminophen)

What is Tramadol for?

Tramadol is an opioid that is used for moderate to severe acute or chronic pain and postoperative pain (like Morphine). It works by modifying the processing of pain signals between the nerves and the brain. Some products contain a combination of Tramadol and a non-opioid pain reliever such as Paracetamol/ Acetaminophen or dexketoprofen (a non-steroidal anti-inflammatory drug, aka NSAID).

How to use it? 

Tramadol is available as oral immediate release tablets/capsules, long-acting modified release tablets, and as an injection. The dosages for different uses, routes, and age groups are listed below: 

For moderate to severe pain 

Intramuscular injection / intravenous injection / intravenous infusion 

Adult: 50-100 mg every 4-6 hours. For intravenous injection, it should be given over 2-3 minutes. 

Orally using modified-release 12-hourly preparations

Adult / Child 12-17 years: 50-100 mg twice daily, increase the dose if necessary to 150-200mg twice daily, up to a maximum of 400 mg daily. 

Orally using modified-release 24-hourly preparations 

Adult / Child 12-17 years: 100-150 mg once daily, increase the dose if necessary to 400mg once daily, up to a maximum of 400 mg daily. 

 

For moderate to severe acute pain 

Orally using immediate-release medicines 

Adult: Start with 100 mg, followed by 50-100 mg every 4-6 hours, up to a maximum of 400 mg daily. 

 

For moderate to severe chronic pain 

Orally using immediate-release medicines 

Adult: Start with 50 mg and the dose may be adjusted according to your response; The maximum daily dose is 400 mg. 

 

For postoperative pain 

Intravenous injection 

Adult: Start with 100 mg, followed by 50 mg every 10-20 minutes if necessary, up to a maximum of 250mg including initial dose in the first hour, then 50-100 mg every 4-6 hours. For intravenous injection, it should be given over 2-3 minutes. The maximum daily dose is 600 mg.

What are the side effects of Tramadol?

Common side effects of Tramadol include irregular constipation, dizziness and drowsiness, dry mouth, euphoric mood, flushing, hallucinations, nausea and vomiting (more common on initiation), respiration depression (with high dose). Like all opioid medications, people can become tolerant or addicted to Tramadol, which can result in withdrawal symptoms when you try to stop the medicine.

Where to buy Tramadol in Hong Kong?

In Hong Kong, Tramadol is a prescription only medicine. It requires a prescription from a doctor to be purchased in a pharmacy. It can also be obtained from doctors. To find a pharmacy near you, refer to the list of pharmacies (“Authorized Sellers of Poisons”) from the Hong Kong Department of Health.

For more information about drug names and ingredients, you can visit Hong Kong’s Drug Office at http://www.drugoffice.gov.hk

For detailed information about the use of Tramadol in children, pregnancy and breastfeeding, and for questions about drug interactions, please check with your pharmacist or doctor.

Disclaimer: our goal is to provide you with the most relevant drug information and common dosage for Hong Kong. This information does not constitute medical advice. For specific treatment recommendations and advice, always discuss with your doctor or pharmacist, and follow the instructions included with your specific medicine.

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