Directory Neurotropic funds Opioids, their analogues and antagonists Tramolin
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Tramolin

See also Tramadol

Roman name

Tramolin

The composition and the form of

1 ml solution for injection 5% of tramadol hydrochloride 0.05 g; USD in 1 or 2 ml, in a contour acheikova package 5 ampoules, in a cardboard unit 1 or 2 upakovki.1 capsule containing tramadol hydrochloride 0.05 g; in banks or plastic containers to 10 or 20 pc. , in a cardboard bundle one bank or one container respectively; or contour acheikova packing 10 pcs. , in a cardboard unit 1 or 2 packaging.

Of drugs

Analgezirutee. Analgetic central actions affect the Waismann receptors.

Indications

Syndrome pain of moderate to severe intensity in the aftercare period for injuries oncology, myocardial infarct, neuralgia. Anesthesia during painful diagnostic and therapeutic manipulation.

Contraindications

Гиперчувствительност ь (incl. other opiates), respiratory depression and / or central nervous system (poisoning of alcohol, drugs and psychotropic substances, drugs analgetikami), the simultaneous use of MAO inhibitors (and the two weeks after the sanctions have been lifted), pregnancy and breast-feeding (use only for health reasons, and should be limited to occasional wvedeniami) up to 1 year (injection), and up to 14 years (capsules), the syndrome of drugs (capsules).

Side-Effects

From the nervous system and sensory organs : dizziness, headache, drowsiness, paresthesia, hallucinations, tremor, Zrenia.so violation of the circulatory system and blood (blood, gemostaz) : arterial gipotenzia, Tahikardia.so the gastrointestinal : nausea, dry mouth, diarrhea, constipation, pain in the abdomen, reducing estate Tela.prochie : exposed skin, fatigue, the delay urination, drug dependency (with long-term use).

Patient interaction

It may exacerbate the effects of oppressive CNS (antidepressants, neiroleptiki, sedatives, anxiolitiki, sleep tools and devices used Anesthesiology), and alcohol. Carbamazepine and other induktora metabolic enzymes may reduce pain of the drug (the need for higher doses). Systematic reception barbiturates, especially phenobarbital, may lead to a weakening of the anesthetic opioid analgesics. Long-term use of opioid analgesics or barbiturates stimulate cross Tolerantnosti.ne should be used in conjunction with pesticides Mao.pri simultaneously with the application of selective inhibitors of reverse takeover serotonin, tricyclic antidepressants and neiroleptikami increases the risk of intensifying Sudorog.nalokson breath away analgesia after use of opioid analgesics.

Overdosing

Symptoms : in the application of the dose of 3 g or more are nausea, vomiting, midriaz sharp decline AD respiratory depression, Sudorogi.lechenie : maintaining adequate pulmonary ventilation, symptomatic therapy in a hospital environment. The naloxone, is not conclusive, because does not eliminate all symptoms of poisoning and can cause convulsions. Haemodialysis weak. In fits useful diazepam.

Precautions

To apply caution in patients with opioid dependence, and skull trauma, vnutricerepnom increased pressure shock, loss of consciousness ambiguous genesis. It should not be used in conjunction with the drivers of vehicles and people skills relate to the high concentration of attention.

Dosing and Administration

The mode set individually. In / in slow drip or (engage water for injection, 0.9% solution of sodium chloride or 5% glucose solution), in / m or m / GMT Adults and children over 14 years of age : 0.05-0.1 g, if necessary, re-injection of 30 to 60 minutes with a maximum dose of 0.4 g / sut. For children 1-14 years of age : in a single dose of 1-2 mg / kg with a maximum daily intake - 4-8 mg / Cg.vnutri, regardless of eating, a small amount of liquid. Adults and children older than 14 years : The initial dose-0.05 g, in the absence of effects in the 30 to 60 minutes - even 0.05g, and the strong pain : one 0.1 g, the maximum daily intake of 0.4 and

Storage conditions

caps. : List B. In dry the dark place at a temperature of no higher than 25 ° Cr-r d / in. : List B. In dry the dark place at a temperature of 10-25 ° C

Shelf life

caps. : 2 gu.r-r d / in. : 2 grams.

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