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Overview

Tramadol

Prescription vs.OTC: Prescription by Doctor required

An opioid agonist, Tramadol works as a pain reliever, providing relief from both moderate and severe pain. Similar to endorphins, it binds to the receptors in your body. These receptors will decrease the pain messages that your body generally sends to the brain when you are in pain. The medicine has to be taken orally and is available in three forms - an immediate-release tablet, an extended-release tablet and a capsule. The immediate-release tablet releases into the blood stream at once whereas the extended-release tablets release gradually over time. The medicine can be taken as a combination therapy, where you take it along with other medications for your treatment.

Tramadol works as a pain reliever, used in the treatment of both moderate and severe pain. Being a controlled substance, it must be taken under the close supervision of a doctor. It belongs to a drug group which is known as opioid agonists. The medicine works by bringing a change in the process of how the brain senses pain. It binds to the receptors that decrease the pain messages sent by the body to your brain, thus decreasing the amount of pain that you experience. The medicine is available in three forms, immediate-release (released immediately in blood) tablet, and extended-release (gradually released in blood) tablet and capsule.

Your doctor will decide the dosage of Tramadol and ensure that you follow the instructions. You must not take the medicine in more than the amount prescribed or longer than the prescribed period. It can be taken with food or without it, but you must take it in the same way every day. The capsule must be swallowed wholly, without trying to crush, break or mixing it in water. As it is a pain reliever, it is unlikely that you will miss a dose. In case you do, refrain from taking two doses together to make up for the missed one. Overdose of Tramadol can have severe side effects including extreme drowsiness, fainting, slow breathing or heart rate and cold/clammy skin.

You must avoid taking Tramadol if you have an allergy to it or any of the ingredients in it, stomach or intestinal blockage, consumed alcohol recently and if you are under narcotic medications. Your doctor must be informed about whether you have a history of metabolic disorders, alcohol addiction and epilepsy. You must also inform the doctor about any prescription of antibiotic and antifungal medicines. The common side effects of Tramadol are headache, nausea, vomiting, dizziness, constipation, sweating, dry mouth and feeling less energetic. However, there can be some serious side effects too that will require immediate medical attention:

You must strictly avoid alcohol when you are taking Tramadol, as there can be fatal side effects when these two things are combined, at times even resulting in death. Ensure to check all food labels and other medicines to confirm that you are not consuming alcohol in any way.

Information given here is based on the salt and content of the medicine. Effect and uses of medicine may vary from person to person. It is advicable to consult a Internal Medicine Specialist before using this medicine.

Tramadol is used in the treatment of schizophrenia. Delusions, hallucinations, reduced speaking are some of the symptoms of schizophrenia.
Tramadol is used in the treatment of bipolar disorder. Unusual shifts in the mood like hyperactivity and tiredness are some of the symptoms of bipolar disorder
Tramadol is used in the treatment of depression. Feeling sad, irritable and devoid of energy are some the symptoms of depression.
Avoid taking this medicine if you have a known allergy to Tramadol or other antipsychotics.
In addition to its intended effect, Tramadol may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Dizziness Major Common
Chills Major Common
Confusion Major Common
Blurred vision Major Less Common
Loss of balance control Major Less Common
Difficulty or painful urination Major Less Common
Dry skin Major Rare
Irregular menstrual periods Major Rare
Loss of appetite Major Rare
Weight gain Major Rare
Constipation Minor Common
Headache Minor Common
Acid or sour stomach Minor Common
Decreased appetite Minor Less Common
Sneezing Minor Less Common
How long is the duration of effect?
The effect of this medicine lasts for a duration of 18 hours for an immediate release tablet and 21 hours for an extended release tablet.
What is the onset of action?
The peak effect of this medicine is observed in 1.5 hours for an immediate release tablet and 6 hours for an extended release tablet.
Are there any pregnancy warnings?
This medicine is not recommended for pregnant women. Use only if clearly needed when no safer alternative is available.
Is it habit forming?
No habit forming tendency has been reported
Are there any breast-feeding warnings?
This medicine is known to be excreted through human breast milk. It is not recommended for breastfeeding women. Use only if clearly needed when no safer alternative is available. Monitoring of undesired effects like drowsiness and delayed developmental milestones is necessary.
Are there any missed dose instructions?
Take the missed dose as soon as you remember. If it's almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.
Are there any overdose instructions?
Seek emergency medical treatment or contact the doctor in case of an overdose.
India
United States
Japan
Below is the list of medicines, which contains Tramadol as ingredient
Abbott Healthcare Pvt. Ltd
Abbott Healthcare Pvt. Ltd
Abbott Healthcare Pvt. Ltd
Sun Pharma Laboratories Ltd
Unichem Laboratories Ltd
Euphoric Pharmaceuticals (P) Ltd
Nippon Seiyaku Pvt Ltd
Anthus Pharmaceuticals Pvt Ltd.
Zydus Cadila
Zydus Cadila
Comed Chemicals Pvt Ltd
Modi Mundi Pharma Pvt Ltd
Win-Medicare Pvt. Ltd
Tidal Laboratories Pvt Ltd
Glaxo SmithKline Pharmaceuticals Ltd
Edura Pharmaceuticals Pvt Ltd
Apex Laboratories Pvt Ltd
Pulse Pharmaceuticals
Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.
Interaction with Disease
Dementia Major
This medicine is not recommended in the patients with dementia-related psychosis as it increases the risk of heart diseases like heart failure and infectious diseases like pneumonia. An alternate medicine should be considered based on the clinical condition.
Interaction with Alcohol
Acute Alcohol Intoxication Major
Consumption of alcohol with this medicine is not recommended as it can result in dizziness and difficulty in concentration. Avoid activities that need mental alertness like driving or operating machinery.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Tramadol Major
Tramadol may increase the risk of seizures when taken with Tramadol. This interaction is more likely to happen in the elderly population, and in the patients suffering from head injury. Inform the doctor if you are on either of the medicines. An alternate medicine should be considered based on the clinical condition under the doctor's supervision.
Ketoconazole Major
Azole antifungal agents like Ketoconazole and Itraconazole should be avoided when you are Tramadol due to the risk of increased concentrations of the medicine in the body which may cause dizziness, dry mouth, and irregular heart beats. Inform the doctor if you are receiving these medicines when you are prescribed with Tramadol and dose adjustments or an alternative medicine should be considered based on the clinical condition.
Metformin Moderate
The desired effect of antidiabetic agents may not be achieved when taken with Tramadol. Regular monitoring of blood glucose levels is necessary. Inform the doctor if you develop any symptoms like excessive thirst, increased in the frequency of urination. Dose adjustments are to be made based on the clinical condition.
Moderate
You may experience hypotensive effects like dizziness, lightheadedness if these medicines are used together. Regular monitoring of blood pressure is necessary. Appropriate dose adjustments or replacement of the medicine should be made under the doctor's supervision.
Tramadol acts on certain specific pain receptors in the brain and inhibits the reuptake of norepinephrine, serotonin. It also enhances the release of serotonin thereby changing the perception and response to pain
What are you using Tramadol for?
Other
Depression
Schizophrenia
Bipolar Disorder
How much was the improvement?
Average
Excellent
Poor
How long did it take before seeing improvement?
Within 2 hours
Within 6 hours
More than 2 days
Within a day
Within 2 days
How frequently did you take this medicine?
Once a day
Twice a day
Not taking on daily level
Thrice a day
Four times A Day
How did you take this medicine?
With or without food
With Food
Empty stomach
What were the side effects of this medicine?
Dizziness
Loss of appetite
Weight gain
Difficulty or painful urination
Dry skin
Decreased appetite
Other
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

I am a tramadol addict. I need to have at least 300 mg tramadol everyday to carry my daily task efficiently. I am a Phd scholar from clinical psychology and believe me I have tried every thing to rehabilitate myself but without any success. What should I do now? Help please.

MBBS
General Physician, Mumbai
I am a tramadol addict. I need to have at least 300 mg tramadol everyday to carry my daily task efficiently. I am a P...
Decrease the dosage of tramadol and I will suggest you to take injection vitcofol 2cc intramuscularly every alternate days for five pricks over the buttocks through a health professional and also aerobic exercise will also be helpful
3 people found this helpful

I am 67 years of old. Getting some pain in my right knee and right shoulder joint Applying deep heat but not recovering. It remains same not increasing. I had a hernia surgery 5 months back by laparoscopy. Can any doctor let me know the reason and remedy if any I can pay the the fees but cannot visit as I am out of India.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
I am 67 years of old. Getting some pain in my right knee and right shoulder joint Applying deep heat but not recoveri...
Hello dear lybrate-user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly.* These are symptoms of arthritis.* Primary guidelines for better recovery - Regular exercises involving knee and shoulder either self or physiotherapist assisted.- Regular intake of analgesics as Etoricoxib or Tramadol hydrochloride - Maintain your body weight, blood sugar - Diet should rich in calcium. Vitamin D3 supplements help.- Specific molecules as chondroitin sulfate or others require in person evaluation with physical examination and x-ray, MRI according to the clinician concern. Hope this clears your query. Wishing you fine recovery. Welcome for any further assistance. Regards take care.
1 person found this helpful

For eg. Am taking tricare S.R (tramadol hydrochloride sustained released tablet) company lee ford from 3 year and taking 4 tablet in 24 hours am hardly addict by this tablet please suggest how to control this addiction.

Ph.D Psychology, M.Phil - Psychology
Psychologist, Jaipur
Dear user, due to certain reasons or situations we are addicted to some wrong habits. But if we aware about that by time or willingly want to quit them then we are able to quit with our strong will power. You have to change your routine and life style. Add some activities and, exercises,you need the help of a good counselor and therapist. You can call me ,i want to know some details so that I’ll be able to help you and guide you properly, tc.

Had piles surgery 4 days back and the pain is severe. Not being able to sit. Had headache. Had vomit 2 times in a day. Doctor said will take 10 15 days for recovery. How to control such pain for such days?

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Had piles surgery 4 days back and the pain is severe. Not being able to sit. Had headache. Had vomit 2 times in a day...
Hello dear lybrate-user, hi Warm welcome to Lybrate.com I have evaluated your query thoroughly.* Management of pain in hemorrhoidectomy patient - Round the clock, analgesic tablet (diclofenac, ibuprofen,tramadol are best molecules) if primary requirement.- Diet management with plenty of liquids, high fiber diet to get smooth, soft bowel evacuations with bulk forming laxative as ispaghula husk 3 teaspoonful at night with a glass of drinking lukewarm water.- Antibiotics as per prescription by your doctor.- Sitz bath (sitting in a tub filled with lukewarm water 5 minutes each 3 times a day and additionally after passing stools) is corner stone of the therapy.- Local application of Xylocaine (5 %)jelly gives excellent results.* Head ache and vomiting is part of spinal anesthesia later effects - Prefer lying down position with foot end elevation of the bed.- Consume plenty of liquids.- Intake of anti emetic as ondancetron with proton pump inhibitor as omeprazole are mandatory for this reason. Hope this will help you for sure. Wishing you fine recovery. Regards dear take care.
1 person found this helpful

Popular Health Tips

Premature Ejaculation in Men

MBBS, MD(Medicine), PGDS(sexology), Fellowship In Sexual Medicines, Certified Sexologist of USA
Sexologist, Jaipur
Premature Ejaculation in Men

Don't let ailments and problems affect your relationship, rather discuss about your concerns and get treated. Premature ejaculation is often defined as the ejaculation, which is uncontrolled and takes place either prior to or just after a sexual penetration. This happens much before a person desires for an ejaculation. It can also take place with minimum stimulation and is quite unsatisfactory for both the partners. This often leads to anxiety and other problems and can affect any man at any point of his life. This is known to be the most common form of male sexual dysfunction (lear more about the healthy sexual life)

Causes of premature ejaculation: The particular cause of premature ejaculation is believed to happen due to the physical factors of weakness in muscles and nerves of the penis due to past history of masturbation (learn more about masturbation), thinning and ejaculation of semen soon and some psychological factors such as depression, guilt, and anxiety. In some cases, it might be related to a medical cause such as the side effect of medications, injury and hormonal imbalance or problems.

Symptoms of premature ejaculation: One of the main and most concerned symptoms is that there is uncontrolled ejaculation prior to or shortly after the intercourse. This often takes place with a minimum sexual pleasure of both partners and before a person desires, resulting in dissatisfaction in sex.

Diagnoses of premature ejaculation: The doctor usually discusses medical history along with sexual history. A thorough physical examination might be done. Some lab tests might be ordered by the doctor to rule out the cause of premature ejaculation, as it can have any cause.

Treatment of premature ejaculation: Many times, premature ejaculation can get better over a period of time and treatment might not be needed. Often distraction methods or relaxation techniques are helpful in delaying an ejaculation. Abstinence or lowering the use of tobacco, alcohol, and illegal drugs might help in controlling ejaculation in some men.

Doctor might recommend you and your partner some techniques, which help in delaying an ejaculation. Different positions can be tried or communicate with the partner to stop or slow down the stimulation. Also, one can start identifying the sensations which build up an ejaculation. If this does not work then behavioural therapy and counselling might help.

Sometimes antidepressants like anafranil (clomipramine) and priligy (dapoxetine) might be given to treat premature ejaculation. These drugs are used because one of the side effects of these is delayed ejaculation. Tramadol a medication for pain can also be used to delay ejaculation. Also, there are gels, creams, and sprays which can be used to reduce the sensations and in turn delay the ejaculation. These are lidocaine and lidocaine-prilocaine and are often applied on the penis before a sexual act. However, the flip side of these is that it might affect the sex partner as well by reducing their sensation as well.

However, if the premature ejaculation persists and hampers sexual satisfaction of partner, it should be consulted via sexologist for proper guidance and complete treatment.

5528 people found this helpful

Avoid The Ban Medicines To Be Safe

BHMS
Homeopath, Singrauli
Avoid The Ban Medicines To Be Safe

Govt bans 344 drugs, including phensedyl, corex
Sr. No. Product name (irrational fdc) 
1 aceclofenac + paracetamol + rabeprazole
2 nimesulide + diclofenac
3 nimesulide + cetirizine + caffeine
4 nimesulide + tizanidine
5 paracetamol + cetirizine + caffeine
6 diclofenac + tramadol + chlorzoxazone
7 dicyclomine + paracetamol + domperidone
8 nimesulide + paracetamol
9 paracetamol + phenylephrine + caffeine
10 diclofenac+ tramadol + paracetamol
11 diclofenac + paracetamol + chlorzoxazone + famotidine
12 naproxen + paracetamol
13 nimesulide + serratiopeptidase
14 paracetamol + diclofenac + famotidine
15 nimesulide + pifofenone + fenpiverinium + benzyl alcohol
16 omeprazole + paracetamol + diclofenac
17 nimesulide + paracetamol injection
18 tamsulosin + diclofenac
19 paracetamol + phenylephrine + chlorpheniramine + dextromethorphan + caffeine
20 diclofenac + zinc carnosine
21 diclofenac + paracetamol + chlorpheniramine maleate + magnesium trisillicate
22 paracetamol + pseudoephedrine + cetrizine
23 phenylbutazone + sodium salicylate
24 lornoxicam + paracetamol + trypsin
25 paracetamol + mefenamic acid + ranitidine + dicylomine
26 nimesulide + dicyclomine
27 heparin + diclofenac
28 glucosamine + methyl sulfonyl methane + vitamini d3 + maganese + boron + copper + zinc
29 paracetamol + tapentadol
30 tranexamic acid + proanthocyanidin
31 benzoxonium chloride + lidocaine
32 lornoxicam + paracetamol + tramadol
33 lornoxicam + paracetamol + serratiopeptidase
34 diclofenac + paracetamol + magnesium trisilicate
35 paracetamol + domperidone + caffeine
36 ammonium chloride + sodium citrate + chlorpheniramine maleate + menthol
37 paracetamol + prochlorperazine maleate
38 serratiopeptidase (enteric coated 20000 units) + diclofenac potassium & 2 tablets of doxycycline
39 nimesulide + paracetamol suspension
40 aceclofenac + paracetamol + famotidine
41 aceclofenac + zinc carnosine
42 paracetamol + disodium hydrogen citrate + caffeine
43 paracetamol + dl methionine
44 disodium hydrogen citrate + paracetamol
45 paracetamol + caffeine + codeine
46 aceclofenac (sr) + paracetamol
47 diclofenac + paracetamol injection
48 azithromycin + cefixime
49 amoxicillin + dicloxacillin
50 amoxicillin 250 mg + potassium clavulanate diluted 62.5 mg
51 azithromycin + levofloxacin
52 cefixime + linezolid
53 amoxicillin + cefixime + potassium clavulanic acid
54 ofloxacin + nitazoxanide
55 cefpodoxime proxetil + levofloxacin
56 azithromycin, secnidazole and fluconazole kit
57 levofloxacin + ornidazole + alpha tocopherol acetate
58 nimorazole + ofloxacin
59 azithromycin + ofloxacin
60 amoxycillin + tinidazole
61 doxycycline + serratiopeptidase
62 cefixime + levofloxacin
63 ofloxacin + metronidazole + zinc acetate
64 diphenoxylate + atropine + furazolidonee
65 fluconazole tablet, azithromycin tablet and ornidazole tablets
66 ciprofloxacin + phenazopyridine
67 amoxycillin + dicloxacillin + serratiopeptidase
68 azithromycin + cefpodoxime
69 lignocaine + clotrimazole + ofloxacin + beclomethasone
70 cefuroxime + linezolid
71 ofloxacin + ornidazole + zinc bisglycinate
72 metronidazole + norfloxacin
73 amoxicillin + bromhexine
74 ciprofloxacin + fluticasone + clotrimazole + neomycin is
75 metronidazole + tetracycline
76 cephalexin + neomycin + prednisolone
77 azithromycin + ambroxol
78 cilnidipine + metoprolol succinate + metoprolol tartrate
79 l-arginine + sildenafil
80 atorvastatin + vitamin d3 + folic acid + vitamin b12 + pyridoxine
81 metformin + atorvastatin
82 clindamycin + telmisartan
83 olmesartan + hydrochlorothiazide + chlorthalidone
84 l-5-methyltetrahydrofolate calcium + escitalopram
85 pholcodine + promethazine
86 paracetamol + promethazine
87 betahistine + ginkgo biloba extract + vinpocetine + piracetam
88 cetirizine + diethyl carbamazine
89 doxylamine + pyridoxine + mefenamic acid + paracetamol
90 drotaverine + clidinium + chlordiazepoxide
91 imipramine + diazepam
92 flupentixol + escitalopram
93 paracetamol + prochloperazine
94 gabapentin + mecobalamin + pyridoxine + thiamine
95 imipramine + chlordiazepoxide + trifluoperazine + trihexyphenidyl
96 chlorpromazine + trihexyphenidyl
97 ursodeoxycholic acid + silymarin
98 metformin 1000/1000/500/500mg + pioglitazone 7.5/7.5/7.5/7.5mg + glimepiride
99 gliclazide 80 mg + metformin 325 mg
100 voglibose+ metformin + chromium picolinate
101 pioglitazone 7.5/7.5mg + metformin 500/1000mg
102 glimepiride 1mg/2mg/3mg + pioglitazone 15mg/15mg/15mg + metformin 1000mg/1000mg/1000mg
103 glimepiride 1mg/2mg+ pioglitazone 15mg/15mg + metformin 850mg/850mg
104 metformin 850mg + pioglitazone 7.5 mg + glimepiride 2mg
105 metformin 850mg + pioglitazone 7.5 mg + glimepiride 1mg
106 metformin 500mg/500mg+gliclazide sr 30mg/60mg + pioglitazone 7.5mg/7.5mg
107 voglibose + pioglitazone + metformin
108 metformin + bromocriptine
109 metformin + glimepiride + methylcobalamin
110 pioglitazone 30 mg + metformin 500 mg
111 glimepiride + pioglitazone + metformin
112 glipizide 2.5mg + metformin 400 mg
113 pioglitazone 15mg + metformin 850 mg
114 metformin er + gliclazide Mr. + voglibose
115 chromium polynicotinate + metformin
116 metformin + gliclazide + piogllitazone + chromium polynicotinate
117 metformin + gliclazide + chromium polynicotinate
118 glibenclamide + metformin (sr)+ pioglitazone
119 metformin (sustainded release) 500mg + pioglitazone 15 mg + glimepiride 3mg
120 metformin (sr) 500mg + pioglitazone 5mg
121 chloramphenicol + beclomethasone + clomitrimazole + lignocaine
122 of clotrimazole + ofloxaxin + lignocaine + glycerine and propylene glycol
123 chloramphennicol + lignocaine + betamethasone + clotrimazole + ofloxacin + antipyrine
124 ofloxacin + clotrimazole + betamethasone + lignocaine
125 gentamicin sulphate + clotrimazole + betamethasone + lignocaine
126 clotrimazole + beclomethasone + ofloxacin + lignocaine
127 becloemthasone + clotrimazole + chloramphenicol + gentamycin + lignocaine ear
128 flunarizine + paracetamole + domperidone
129 rabeprazole + zinc carnosine
130 magaldrate + famotidine + simethicone
131 cyproheptadine + thiamine
132 magaldrate + ranitidine + pancreatin + domperidone
133 ranitidine + magaldrate + simethicone
134 magaldrate + papain + fungul diastase + simethicone
135 rabeprazole + zinc + domperidone
136 famotidine + oxytacaine + magaldrate
137 ranitidine + domperidone + simethicone
138 alginic acid + sodium bicarbonate + dried aluminium hydroxide + magnesium hydroxide
139 clidinium + paracetamol + dicyclomine + activated dimethicone
140 furazolidone + metronidazole + loperamide
141 rabeprazole + diclofenac + paracetamol
142 ranitidine + magaldrate
143 norfloxacin+ metronidazole + zinc acetate
144 zinc carnosine + oxetacaine
145 oxetacaine + magaldrate + famotidine
146 pantoprazole (as enteric coated tablet) + zinc carnosine (as film coated tablets)
147 zinc carnosine + magnesium hydroxide + dried aluminium hydroxide + simethicone
148 zinc carnosine + sucralfate
149 mebeverine & inner hpmc capsule (streptococcus faecalis + clostridium butyricum + bacillus
Mesentricus + lactic acid bacillus)
150 clindamycin + clotrimazole + lactic acid bacillus

151 sildenafil + estradiol valerate
152 clomifene citrate + ubidecarenone + zinc + folic acid + methylcobalamin + pyridoxine + lycopene
+ selenium + levocarnitine tartrate + l-arginine
153 thyroxine + pyridoxine + folic acid
154 gentamycin + dexamethasone + chloramphenicol + tobramycin + ofloxacin
155 dextromethorphan + levocetirizine + phenylephrine + zinc
156 nimesulide + loratadine + phenylephrine + ambroxol
157 bromhexine + phenylephrine + chlorepheniramine maleate
158 dextromethorphan + bromhexine + guaiphenesin
159 paracetamol + loratadine + phenylephrine + dextromethorphan + caffeine
160 nimesulide + phenylephrine + caffeine + levocetirizine
161 azithromycin + acebrophylline
162 diphenhydramine + terpine + ammonium chloride + sodium chloride + menthol
163 nimesulide + paracetamol + cetirizine + phenylephrine
164 paracetamol + loratadine + dextromethophan + pseudoepheridine + caffeine
165 chlorpheniramine maleate + dextromethorphan + dextromethophan + guaiphenesin + ammonium
Chloride + menthol
166 chlorpheniramine maleate + ammonium chloride + sodium citrate
167 cetirizine + phenylephrine + paracetamol + zinc gluconate
168 ambroxol
+ guaiphenesin + ammonium chloride + phenylephrine + chlorpheniramine maleate + menthol
169 dextromethorphen + bromhexine + chlorpheniramine maleate + guaiphenesin
170 levocetirizine + ambroxol + phenylephrine + guaiphenesin
171 dextromethorphan + chlorpheniramine + chlorpheniramine maleate 
172 cetirizine + ambroxol + guaiphenesin + ammonium chloride + phenylephrine +
Menthol
173 hlorpheniramine + phenylephrine + caffeine
174 dextromethorphan + triprolidine + phenylephrine
175 dextromethorphan + phenylephrine + zinc gluconate + menthol
176 chlorpheniramine + codeine + sodium citrate + menthol syrup
177 enrofloxacin + bromhexin
178 bromhexine + dextromethorphan + phenylephrine + menthol
179 levofloxacin + bromhexine
180 levocetirizine + phenylephrine + ambroxol + guaiphenesin + paracetamol
181 cetirizine + dextromethorphan + phenylephrine + zinc gluconate + paracetamol + menthol
182 paracetamol + pseudoephedrine + dextromethorphan+cetirizine
183 diphenhydramine + guaiphenesin + ammonium chloride + bromhexine
184 chlorpheniramine + dextromethorphan + phenylephrine + paracetamol
185 dextromethorphen + promethazine
186 diethylcabamazine citrate + cetirizine + guaiphenesin
187 chlorpheniramine + phenylephrine + dextromethophan + menthol
188 ambroxol + terbutaline + dextromethorphan
189 dextromethorphan + chlorpheniramine + guaiphenesin
190 terbutaline + bromhexine + guaiphenesin + dextromethorphan
191 dextromethorphan + tripolidine + phenylephirine
192 paracetamol + dextromethorphan + chlorpheniramine
193 codeine + levocetirizine + menthol
194 dextromethorphan + ambroxol + guaifenesin + phenylephrine + chlorpheniramine
195 cetirizine + phenylephrine + dextromethorphan + menthol
196 roxithromycin + serratiopeptidase
197 paracetamol + phenylephrine + triprolidine
198 cetirizine + acetaminophen + dextromethorphan + phenyephrine + zinc gluconate 
199 diphenhydramine + guaifenesin + bromhexine + ammonium chloride + menthol
200 chlopheniramine maleate + codeine syrup
201 cetirizine + dextromethorphan + zinc gluconate + menthol
202 paracetamol + phenylephrine + desloratadine + zinc gluconate + ambroxol
203 levocetirizine + montelukast + acebrophylline
204 dextromethorphan + phenylephrine + ammonium chloride + menthol
205 acrivastine + paracetamol + caffeine + phenylephrine
206 naphazoline + carboxy methyl cellulose + menthol + camphor + phenylephrine
207 dextromethorphan + cetirizine
208 nimesulide + paracetamol + levocetirizine + phenylephrine + caffeine
209 terbutaline + ambroxol + guaiphenesin + zinc + menthol
210 dextromethorphan + phenylephrine + guaifenesin + triprolidine
211 ammomium chloride + bromhexine + dextromethorphan 
212 diethylcarbamazine + cetirizine + ambroxol
213 ethylmorphine + noscapine + chlorpheniramine
214 cetirizine + dextromethorphan + ambroxol
215 ambroxol + guaifenesin + phenylephrine + chlorpheniramine
216 paracetamol + phenylephrine + chlorpheniramine + zinc gluconate
217 dextromethorphan + phenylephrine + cetirizine + paracetamol + caffeine
218 dextromethophan + chlorpheniramine + guaifenesin + ammonium chloride
219 levocetirizine + dextromethorphan + zinc
220 paracetamol + phenylephrine + levocetirizine + caffeine
221 chlorphaniramine + ammonium chloride + sodium chloride
222 paracetamol + dextromethorphan + bromhexine + phenylephrine + diphenhydramine
223 salbutamol + bromhexine + guaiphenesin + menthol
224 cetirizine + dextromethorphan + bromhexine + guaifenesin
225 diethyl carbamazine + chlorpheniramine + guaifenesin
226 ketotifen + cetirizine
227 terbutaline + bromhexine + etofylline
228 ketotifen + theophylline
229 ambroxol + salbutamol + theophylline
230 cetririzine + nimesulide + phenylephrine
231 chlorpheniramine + phenylephrine + paracetamol + zink gluconate
232 acetaminophen + guaifenesin + dextromethorphan + chlorpheniramine
233 cetirizine + dextromethorphan + phenylephrine + tulsi
234 cetirizine + phenylephrine + paracetamol + ambroxol + caffeine
235 guaifenesin + dextromethorphan
236 levocetirizine + paracetamol + phenylephirine + caffeine
237 caffeine + paracetamol + phenylephrine + chlorpheniramine
238 levocetirizine + paracetamol + phenylephirine + caffeine
239 caffeine + paracetamol + phenylephrine + chlorpheniramine
240 ketotifen + levocetrizine
241 paracetamol + levocetirizine + phenylephirine + zink gluconate
242 paracetamol + phenylephrine + triprolidine + caffeine
243 caffeine + paracetamol + phenylephrine + cetirizine
244 caffeine + paracetamol + chlorpheniramine
245 ammonium chloride + dextromethorphan + cetirizine + menthol
246 dextromethorphan + paracetamol + cetirizine + phenylephrine
247 chlorpheniramine + terpin + antimony potassium tartrate + ammonium chloride + sodium
Citrate + menthol
248 terbutaline + etofylline + ambroxol
249 paracetamol + codeine + chlorpheniramine
250 paracetamol+pseudoephedrine+certirizine+caffeine
251 chlorpheniramine+ammonium chloride + menthol
252 n-acetyl cysteine + ambroxol + phenylephrine + levocertirizine
253 dextromethorphan + phenylephrine + tripolidine + menthol
254 salbutamol + certirizine + ambroxol
255 dextromethorphan + phenylephrine + bromhexine + guaifenesin + chlorpheniramine
256 nimesulide + certirizine + phenylephrine
257 naphazoline + chlorpheniramine + zinc sulphate + boric acid + sodium chloride + chlorobutol
258 paracetamol + bromhexine + phenylephrine + chlorpheniramine + guaifenesin
259 salbutamol + bromhexine
260 dextromethorphan + phenylephrine + guaifenesin + certirizine + acetaminophen
261 guaifenesin + bromhexine + chlorpheniramine + paracetamo
262 chlorpheniramine + ammonium chloride + chloroform + menthol
263 salbutamol + choline theophylinate + ambroxol
264 chlorpheniramine + codeine phosphate + menthol syrup
265 pseudoephedrine + bromhexine
266 certirizine + phenylephrine + paracetamol + caffeine + nimesulide
267 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
268 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
269 ambroxol + salbutamol + choline theophyllinate + menthol
270 paracetamol + chlorpheniramine + ambroxol + guaifenesin + phenylephrine
271 chlorpheniramine + vasaka + tolubalsm + ammonium chloride + sodium citrate + menthol
272 bromhexine + cetrizine + phenylephrine ip+guaifenesin + menthol
273 dextromethorphan + ambroxol + ammonium chloride + chlorpheniramine + menthol
274 dextromethorphan + phenylephrine + cetirizine + zinc + menthol
275 terbutaline + n-acetyl l-cysteine + guaifenesin
276 calcium gluconate + levocetirizine
277 paracetamol + levocetirizine + pseudoephedrine
278 salbutamol + choline theophylinate + carbocisteine
279 chlorpheniramine + vitamin c
280 calcium gluconate + chlorpheniramine + vitamin c
281 chlorpheniramine + paracetamol + pseudoephedrine + caffeine
282 guaifenesin + bromhexine + chlorpheniramine + phenylephrine + paracetamol + serratiopeptidase
(as enteric coated granules) 10000 sp units
283 paracetamol + pheniramine
284 betamethasone + fusidic acid + gentamycin + tolnaftate + lodochlorhydroxyquinoline (ichq
285 clobetasol + ofloxacin + miconazole + zinc sulphate
286 clobetasole + gentamicin + miconazole + zinc sulphate
287 levocetirizine + ambroxol + phenylephrine + paracetamol
288 permethrin + cetrimide + menthol
289 beclomethasone + clotimazole + neomycin + lodochlorohydroxyquinone
290 neomycin + doxycycline
291 ciprofloxacin + fluocinolone + clotrimazole + neomycin + chlorocresol
292 clobetasol + ofloxacin + ketoconazol + zinc sulphate
293 betamethasone + gentamicin + tolnaftate + lodochlorhydroxyquinoline
294 clobetasol + gentamicin + tolnaftate + lodochlorhydroxyquinone + ketoconazole
295 allantoin + dimethieone + urea + propylene + glycerin + liquid paraffin
296 acriflavine + thymol + cetrimide
297 betamethasone + neomycin + tolnaftate + lodochlorohydroxyquinoline + cholorocresol
298 clobetasol + neomycin + miconazole + clotrimazole
299 ketoconazole + tea tree oil + allantion + zinc oxide + aloe vera + jojoba oil +
Lavander oil + soa noodels
300 clobetasol propionate + ofloxacin + ornidazole + terbinafine
301 clobetasol + neomycin + miconazole + zinc sulphate
302 beclomethasone diproprionate + neomycin + tolnaftate + lodochlorhydroxyquinoline +
Chlorocresol
303 betamethasone + gentamycin + zinc sulphate + clotrimoazole + chlorocresol
304 borax + boric acid + naphazoline + menthol + camphor + methyl hydroxy benzoate
305 bromhexine + dextromethorphan
306 dextromethophan + chlopheniramine + bromhexine
307 menthol + anesthetic ether
308 dextrometharphan + chlopheniramine + ammonium + sodium citrate + menthol
309 ergotamine tartrate + belladona dry extarct+caffeine + paracetamol
310 phenytoin + phenobarbitone
311 gliclazide 40mg + metformin 400mg
312 paracetamol + ambroxol + phenylephrine + chlorpheniramine
313 oflaxacin + ornidazole suspension
314 albuterol + etofylline + bromhexine + menthol
315 albuterol + bromhexine + theophylline
316 salbutamol+hydroxyethyltheophylline (etofylline) + bromhexine
317 paracetamol+phenylephrine+levocetirizine+sodium citrate
318 paracetamol + propyphenazone + caffeine
319 guaifenesin + diphenhydramine + bromhexine + phenylephrine
320 dried alumnium hydroxie gel + prophantheline + diazepam
321 bromhenxine + phenylephrine + chlorpheniramine + paracetamol
322 beclomethasone + clotrimazole + gentamicin + lodochlorhydroxyquinoline
323 telmisartan + metformin
324 ammonium citrate + vitamin b 12 + folic acid + zinc sulphate
325 levothyroxine + phyridoxine + nicotinamide
326 benfotiamine + metformin
327 thyroid + thiamine + riboflavin + phyridoxine + calcium pantothenate + tocopheryl acetate +
Nicotinamide
328 ascorbic acid + manadione sodium bisulphate + rutin + dibasic calcium phosphate +
Adrenochrome mono semicarbazone
329 phenylephrine + chlorpheniramine + paracetamol + bromhexine + caffeine
330 clotrimazole + beclomethasone + lignocaine + ofloxacin + acetic aicd + sodium methyl paraben +
Propyl paraben

Avoid this combinations and be safe.

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Table of Content

About Tramadol
When is Tramadol prescribed?
What are the contraindications of Tramadol ?
What are the side effects of Tramadol ?
Key highlights of Tramadol
What are the dosage instructions?
Where is the Tramadol approved?
Medicines containing Tramadol
What are the interactions for Tramadol ?