Tramadol Stada is a medicine that can be used against certain types of pain, such as nerve pain in, for example, diabetes and shingles or pain in osteoarthritis. The active substance is tramadol. Recent studies show that tramadol also reduces the incidence of fibromyalgia if taken with paracetamol.
How does the medicine work?
The active substance in medicine, tramadol, increases the levels of the substances noradrenaline and serotonin in the brain and spinal cord. This may cause the pain signals to diminish. When tramadol is broken down into the body, a so-called decomposition product is formed which also has a small morphine-like effect which can affect the experience of pain in the brain somewhat. It is often delayed before the pain relieving effect occurs, therefore tramadol works less well in case of acute pain after injury. The pain reliever effect of tramadol increases if you are taking paracetamol or so-called cox inhibitors (NSAIDs) at the same time.
How to take the medicine
Tramadol Stada is available as capsules in the strength of 50 milligrams. The medicine is prescription. The capsules should be swallowed whole, but if you have difficulty swallowing the contents of the capsule can be emptied and swallowed together with water.
When a medicine is printed on prescription, the dose is adjusted for the person to use the medicine. Therefore, it is important to follow the dosage instructions on the label on the packaging. Then you get the best results from the treatment while reducing the risk of side effects.
The effect of the medicine varies and it is important that you discuss with your doctor and together find the dosage that works best and give as few side effects as possible. A common dose for adults and children over 12 years of age is 1-2 capsules 3-4 times a day. You should usually not take more than 8 capsules per day.
Medication may impair the ability to react. This should be considered when occasional attention is required, such as driving a car or using machines that may be dangerous. Read more in 1177.se on hazardous drugs. Link can be found in the chapter Depth and links.
If you take other medicines at the same time
If you take certain medicines at the same time, there is a risk that your medicines will affect each other. For example, it may be important for what dose to take. Therefore, you should always tell your doctor what medicines, herbal remedies or health food preparations you use. Pharmacists can also afford advice.
Tramadol often has less good effect in acute pain, for example after injury. However, taking the medicine with, for example, paracetamol or cox inhibitors, such as ibuprofen, increases the analgesic effect. You should not take Tramadol Stada with:
- Medicines for depression, especially those containing moclobemide, such as Aurorix. It should be at least two weeks after you stop taking moclobemide before you start with Nobligan so that all moclobemide can disappear from your body.
- Medicines for epilepsy or convulsions, which contain, for example, phenobarbital.
- Herbal remedies containing St. John’s wort extract.
Some people who use the medicine may feel sick and vomiting, especially at the beginning of treatment. If you start with a low dose, and then slowly increase the dose, these side effects may be less extensive. Others may, for example, experience dizziness, headache, sweating, constipation or feeling drowsy.
The medicine may cause you to dry in your mouth. This increases the risk of holes in the teeth. Therefore, it is important to brush your teeth carefully and to use fluoroand cream throughout the time you use the medicine.