Tonoflex-P Tablets Usage And Safety
Dosage
Tramadol HCl + Paracetamol
Side Effects
Very common: may affect more than 1 in 10 people; ? Nausea ? dizziness, drowsiness Common: may affect up to 1 in 10 people; ? Vomiting (being sick), digestion problems (constipation, flatulence, diarrhoea), stomach pain, dry mouth ? itching, sweating (hyperhidrosis) ? headache, shaking ? confusion, sleep disorders, mood changes (anxiety, nervousness, feeling of high spirits). Uncommon: may affect up to 1 in 100 people; ? increase in pulse or blood pressure, heart rate or heart rhythm disorders ? tingling, numbness or feeling of pins and needles in the limbs, ringing in the ears, involuntary muscle twitching ? depression, nightmares, hallucinations (hearing, seeing or sensing things that are not really there), memory lapses ? difficulty breathing ? difficulty swallowing, blood in the stools.
Drug Interactions
Carbamazepine , Buprenorphine, nalbuphine or pentazocine (opioid-type pain killers) , triptans , SSRIs , morphine , codeine (also as cough medicine), baclofen , benzodiazepines or related drugs , certain antidepressants , warfarin or phenprocoumon (for blood thinning) , Metoclopramide, domperidone and ondansetron , Cholestyramine .
Indication
It is indicated for the treatment of moderate to severe pain.
When not to Use
Do not take this medicine: ? If you are allergic to tramadol, paracetamol or any of the other ingredients of this medicine ? In cases of acute alcohol poisoning. ? If you are taking sleeping pills, pain relievers or medicines that affect mood and emotions. ? If you are taking medicines called monoamine oxidase inhibitors (MAOIs) or if you have taken MAOIs in the last 14 days before treatment with this medicine. MAOIs are used in the treatment of depression or Parkinson?s disease.