Tramadol 200mg x 60 Tabs

£89.99

Description

Classification

Tramadol is an opioid analgesic used to treat moderate to severe pain when other painkillers may not provide sufficient relief. In the UK, tramadol is a prescription-only medicine and is also subject to controlled-drug requirements because regular or prolonged use can result in dependence and addiction. 

A 200mg presentation generally refers to a high-strength prolonged-release formulation, rather than an ordinary immediate-release 200mg tablet. The exact formulation must be confirmed from the product packaging and authorised prescribing information. The number “60” refers to the quantity of tablets in the stated pack.

What is Tramadol 200mg x 60 Tabs?

Tramadol 200mg tablets contain tramadol hydrochloride, an opioid medicine that reduces the perception and emotional response to pain by acting on the central nervous system. Prolonged-release formulations are designed to release tramadol gradually and are generally intended for ongoing pain requiring continuous analgesia. 

A 200mg tablet should not be treated as equivalent to a 50mg standard-release tablet. The formulation and release characteristics can substantially affect how the medicine should be taken. Always follow the exact prescription and patient information leaflet supplied with the medicine.

Dosage

The appropriate tramadol dose depends on the patient’s pain, medical history, age, kidney and liver function, other medicines and the particular formulation prescribed. The 200mg strength should not be used to calculate an individual dose.

For prolonged-release tramadol, tablets are generally prescribed on a scheduled basis rather than taken repeatedly whenever pain occurs. Patients should:

  • Take the medicine exactly as prescribed.
  • Never take an additional tablet to compensate for inadequate pain relief.
  • Never crush, chew or split a prolonged-release tablet unless the specific product information expressly permits it.
  • Avoid sharing tramadol with another person.
  • Discuss any dose adjustment with the prescribing clinician.

Older adults and people with kidney or liver impairment may require particular consideration.

How Does Tramadol 200mg x 60 Tabs Work?

Tramadol works through two principal pharmacological actions. It binds to opioid receptors in the central nervous system, reducing the transmission and perception of pain. It also inhibits the reuptake of noradrenaline and serotonin, neurotransmitters involved in the body’s pain-control pathways.

Prolonged-release tablets are formulated to provide a more sustained release of the active ingredient. This can make them suitable for selected patients who require continuing pain relief rather than occasional immediate-release treatment.

Benefits

When appropriately prescribed, tramadol can help control moderate to severe pain and may improve daily functioning where pain is restricting normal activities.

Potential therapeutic benefits include:

  • Reduction in moderate to severe pain.
  • More sustained pain control when an appropriate prolonged-release formulation is prescribed.
  • Potential improvement in mobility and everyday activities affected by pain.
  • An alternative opioid analgesic when other suitable treatments have been inadequate.

The benefits must be weighed against the risks of opioid treatment, particularly when therapy is prolonged. 

When Should You Take Tramadol 200mg x 60 Tabs?

Take prolonged-release tramadol only according to the schedule prescribed by your doctor or pharmacist. Unlike standard-release tramadol, prolonged-release preparations are designed for controlled release and should not normally be taken as extra doses for sudden pain.

Follow the instructions supplied with the specific product. If pain remains uncontrolled, contact your prescriber rather than taking more tablets independently.

Avoid alcohol while taking tramadol because it can increase drowsiness and other central nervous system effects. 

When Should You Not Take Tramadol 200mg x 60 Tabs?

Tramadol may not be suitable for everyone. Tell your doctor before treatment if you have:

  • Breathing or respiratory problems.
  • A history of seizures or epilepsy.
  • Kidney or liver disease.
  • Previous problems with opioid dependence or addiction.
  • A head injury or condition affecting consciousness.
  • A history of significant reactions to tramadol.
  • Pregnancy or breastfeeding.
  • Other medicines that affect the central nervous system.

Certain medicines, particularly some antidepressants and monoamine oxidase inhibitors, can interact significantly with tramadol. 

What is the Mechanism of Tramadol 200mg x 60 Tabs?

Tramadol’s analgesic effect results from its activity at mu-opioid receptors together with inhibition of noradrenaline and serotonin reuptake. This combination changes the way pain signals are transmitted and processed within the central nervous system.

Because tramadol affects serotonin and noradrenaline as well as opioid pathways, combining it with particular medicines can increase the risk of adverse reactions, including serotonin syndrome. 

Uses of Tramadol 200mg x 60 Tabs

Tramadol is prescribed for the management of moderate to severe pain. A prolonged-release 200mg formulation may be considered when a patient requires continuing opioid analgesia and the prescriber considers the formulation appropriate.

Possible clinical situations may include certain:

  • Chronic musculoskeletal pain.
  • Long-lasting painful conditions.
  • Pain where other appropriate treatments have not provided sufficient relief.

The suitability of prolonged-release tramadol must be assessed individually, particularly because long-term opioid therapy carries significant risks.

Warnings and Precautions for Tramadol 200mg x 60 Tabs

Tramadol can cause drowsiness, dizziness and impaired concentration. Do not drive or operate machinery if you experience these effects.

The medicine can also cause dependence and withdrawal symptoms following regular use. Treatment should therefore be reviewed periodically. Patients should not abruptly stop prolonged treatment without medical advice.

Extra caution is required when tramadol is combined with alcohol, sedatives, sleeping tablets, benzodiazepines or other opioids because combined use can increase sedation and respiratory-depression risks.

Side Effects of Tramadol 200mg x 60 Tabs

Common side effects of tramadol can include:

  • Nausea or vomiting.
  • Constipation.
  • Dizziness.
  • Sleepiness.
  • Headache.
  • Dry mouth.
  • Sweating.
  • Fatigue.

More serious reactions can include breathing difficulties, seizures, severe allergic reactions and serotonin syndrome. Seek urgent medical attention for severe breathing problems, loss of consciousness, seizures or other potentially life-threatening symptoms.

Storage for Tramadol 200mg x 60 Tabs

Keep tramadol in its original packaging and follow the storage instructions supplied with the specific medicine. Store it securely and out of sight and reach of children.

Because tramadol is a controlled medicine, do not give unwanted tablets to another person. Speak to a pharmacist about safe disposal of unused medication.

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Frequently Asked Questions

1. What is Tramadol 200mg used for?

Tramadol is an opioid painkiller used to manage moderate to severe pain when stronger analgesia is considered clinically appropriate.

2. Is Tramadol 200mg available without a prescription in the UK?

No. Tramadol is prescription-only in the UK. A 200mg prolonged-release formulation should only be used when specifically prescribed by an appropriate healthcare professional.

3. Can Tramadol 200mg cause addiction?

Yes. Regular or prolonged opioid use can cause tolerance, dependence and addiction. The risk varies between individuals and increases with prolonged or inappropriate use. 

4. Can Tramadol 200mg be crushed or split?

Do not crush, chew or split a prolonged-release tablet unless the specific manufacturer’s instructions state that it is safe. Altering a modified-release tablet can interfere with controlled drug release and potentially increase adverse effects.

5. What should I do if I take too much Tramadol 200mg?

An overdose can cause serious and potentially life-threatening effects, including extreme drowsiness, reduced consciousness, breathing difficulties and seizures. Seek urgent medical assistance if an overdose is suspected, even if the person initially appears well.

 

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