Dolatramyl
Dolatramyl is an opioid pain medication containing tramadol hydrochloride, used to treat moderate to severe pain in adults and adolescents over 12 years old.
Form
depottabletti
Strength
100 mg
Active Ingredient
Tramadol hydrochloride
Manufacturer
Mylan AB
How to Use
Dosage
Usually, take the lowest dose that relieves your pain. For adults and adolescents over 12 years, the recommended dose is one 100 mg, 150 mg, or 200 mg prolonged-release tablet twice daily, preferably in the morning and evening, unless your doctor tells you otherwise.
Method
Swallow the tablets whole with enough liquid, preferably in the morning and evening. Do not break, chew, or crush the tablets. You can take them with or without food.
Important
Do not take more than 400 mg of tramadol hydrochloride per day, unless your doctor has prescribed it.
Possible Side Effects
COMMON
- •Dizziness
- •Nausea
- •Headache
- •Drowsiness
- •Feeling unwell
- •Constipation
- •Dry mouth
- •Tiredness
- •Sweating
RARE
- •Allergic reactions, like difficulty breathing or swelling of face/tongue/throat
- •Shock or sudden collapse
- •Seizures
- •Heart and circulation problems (e.g., fast heartbeat, low blood pressure when standing up)
- •Vomiting, stomach pain, or diarrhea
- •Skin rashes or itching
- •Slow heart rate or high blood pressure
- •Slow or difficult breathing
- •Changes in appetite or unusual skin sensations (tingling, numbness)
- •Muscle twitching, weakness, or involuntary movements
- •Fainting or speech problems
- •Blurred vision or changes in pupil size
- •Difficulty or pain when urinating, less urine
- •Hallucinations, confusion, anxiety, sleep problems, or nightmares
- •Dizziness with balance problems (vertigo)
- •Redness of face or skin (flushing)
- •Increased liver enzyme levels
- •Low blood sugar (hypoglycemia)
- •Low blood sodium (hyponatremia), causing tiredness, confusion, muscle twitching, seizures, or coma
- •Worsening of asthma
- •Hiccups
- •Serotonin syndrome (mood changes, fever, fast heart rate, muscle twitching, nausea, vomiting, diarrhea)
Important Warnings
- Do not take Dolatramyl if you are allergic to tramadol or any other ingredients of the medicine; symptoms can include rash, itching, or difficulty breathing.
- Do not take Dolatramyl if you have consumed a lot of alcohol, sleeping pills, other pain medications (opioids), or medicines affecting mood.
- Do not use Dolatramyl if you have used MAO inhibitors (medicines for depression or Parkinson's disease) within the last 14 days.
- Do not use Dolatramyl if you have epilepsy that is not well controlled by medication.
- Do not use Dolatramyl to treat opioid withdrawal symptoms.
Show 11 more warnings
- Talk to your doctor if you have high pressure in your brain (e.g., after a head injury) or feel faint.
- Talk to your doctor if you have breathing difficulties, are in shock, or have sleep-related breathing problems (sleep apnea).
- Talk to your doctor if you have a risk of seizures or epilepsy, as the medicine can increase seizure risk.
- Talk to your doctor if you have liver or kidney disease.
- Talk to your doctor if you have depression and are taking antidepressants that may interact with tramadol.
- Seek immediate medical attention if you experience symptoms of serotonin syndrome (e.g., fever, fast heart rate, confusion, muscle twitching).
- Do not drink alcohol during treatment, as it may increase the effect of the medicine.
- This medicine can cause drowsiness or dizziness. Do not drive or operate machinery if you feel affected.
- Do not use during pregnancy or breastfeeding without your doctor's advice. Long-term use during pregnancy can cause withdrawal symptoms in the newborn.
- If your pain worsens after taking Dolatramyl, do not take more without talking to your doctor.
- Contact your doctor if you have symptoms like extreme tiredness, loss of appetite, severe abdominal pain, nausea, vomiting, or low blood pressure, as these can be signs of adrenal insufficiency.