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Tragesic (Tramadol)

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Tragesic is a centrally-acting opioid agonist and SNRI (serotonin/norepinephrine reuptake inhibitor) used for the management of moderate to severe pain in adults. Tragesic is a centrally acting synthetic opioid analgesic and SNRI (serotonin/norepinephrine reuptake-inhibitor) that is structurally related to codeine and morphine.

Other names for this medication:
Accupain, Acema, Anazac, Bramadol, Damadol, Dolfre, Dolodol, Madol, Mydol, Neutram, Ramadol, Rimol, Servodol, Siatram, Tradol, Traiz, Tramabit, Tramadex, Tramagesic, Tramared, Tramazac, Tramol, Trapidol, Tromar, Ultracon, Victadol

Similar Products:
Aristocort, Ventolin, Paxil, Colcrys, Kemadrin, Osoran, Lupisetron, Zertalin, Meglipride, Zolcent, Myodura, Dolgesic,

Also known as: Tramadol


Tragesic (tramadol) is a pain medicine similar to an opioid. It acts in the central nervous system (CNS) to relieve pain.

Tragesic is used to treat moderate to severe pain in adults.

The extended-release form of tramadol (Tragesic ER) is for around-the-clock treatment of pain. Tragesic ER is not for use on an as-needed basis for pain.


Usual Adult Dose for Pain:

Adults (17 years or older): 50 to 100 mg orally every 4 to 6 hours as needed for pain -For patients not requiring rapid onset of analgesic effect: Initial dose: 25 mg orally once a day; titrate in 25 mg increments every 3 days to reach a dose of 25 mg four times a day; thereafter increase by 50 mg as tolerated every 3 days Maximum dose: 400 mg per day.

Usual Adult Dose for Chronic Pain:

Extended-Release (ER): 18 years or older (tramadol-naive): 100 mg orally once a day -Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions -Maximum Dose: 300 mg/day For patients CURRENTLY receiving Immediate-Release (IR) Tragesic: Initial Dose: Calculate 24-hour IR requirement and initiate with a total daily ER dose rounded down to the next lowest 100 mg increment orally once a day Conversion from OTHER Opioids: Discontinue all other around the clock opioid drugs prior to initiating therapy -Initial dose: 100 mg ER orally once a day -Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions -Maximum Dose: 300 mg/day.

Usual Geriatric Dose for Pain:

Dose selection should be cautious generally starting at the low end of the dose range Over 75 years: Maximum dose of Immediate-release: 300 mg per day.

Usual Geriatric Dose for Chronic Pain:

Dose selection should be cautious generally starting at the low end of the dose range Over 75 years: Maximum dose of Immediate-release: 300 mg per day.

Usual Pediatric Dose for Pain:

Tragesic is not recommended for use in pediatric patients 17 years or older: See Adult Dose.

Detailed Tragesic dosage information


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose can be fatal, especially in a child or other person using the medicine without a prescription. Overdose symptoms may include severe drowsiness, pinpoint pupils, slow breathing, or no breathing.

Your doctor may recommend you get naloxone (a medicine to reverse an opioid overdose) and keep it with you at all times. A person caring for you can give the naloxone if you stop breathing or don't wake up. Your caregiver must still get emergency medical help and may need to perform CPR (cardiopulmonary resuscitation) on you while waiting for help to arrive.

Anyone can buy naloxone from a pharmacy or local health department. Make sure any person caring for you knows where you keep naloxone and how to use it.


Store at room temperature between 15 and 25 degrees C (59 and 77 degrees F) away from moisture and heat. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Tragesic are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


Do not drink alcohol. Dangerous side effects or death could occur.

Avoid driving or hazardous activity until you know how this medicine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.

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Studies of pantographic tracings for mandibular movements are facilitated by this convenient and accurate method of handling data. To evaluate whether the diagnostic performance of Gd-EOB-DTPA-enhanced MRI in evaluating liver function and pathology is improved by considering liver volume (LV). Cloning acticin and characterization of the ethanol utilization regulon in Aspergillus nidulans. Diagnosis was obtained after a computed tomographic chest scan and flexible bronchoscopic biopsy. At the same time, it identifies those who will benefit from supplementation after TTX. However, childhood trauma may influence both QoL and depression in SZ patients, with consequences for the management of impaired QoL in SZ patients. Assessment of selected hormonal parameters in patients with mastopathy in postmenopausal period.

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In the last decade, mixture models under different distributions, such as exponential, Weibull, log-normal and Gompertz, have been discussed and used. However, the efficacy of the combination of trastuzumab with XELOX for patients with HER2-positive gastric cancer remains unknown. In this research, we used RNA-seq technology to identify differentially expressed genes (DEGs) in leaves of seedlings, leaves and inflorescences at heading stage of Brachypodium distachyon, one model plant of grasses. So, couples have high expectative about the advantages of delayed parenthood, but they are scarcely informed about its risks. ENDS (external nasal dilator strips) are adhesive bands containing a central elastic strip providing a spring action. We present a subwavelength grating slot (SWGS) waveguide on silicon platform. Nitrogen mineralization rates (in situ incubations) were high in both marshes studied. Telepathology is a particular form of telemedicine that fundamentally alters the way pathology services are delivered.

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Early rectal cancer associated with chronic inflammation should be considered if a nonpolypoid adenomatous lesion is detected in a patient who has received pelvic radiation. Cine delayed-enhancement MR imaging of the heart: initial experience. The protective effects of EF extracts against 4-vinylcyclohexene diepoxide (VCD)-induced ovotoxicity were investigated and the molecular mechanism responsible was sought. This article will describe the escalating use of herbal therapy and the hazards of herbal remedy use among patients. The seromuscular stripping method, a new technique to create a nipple valve, was applied to 17 patients with bladder cancer in the construction levothroid drug classification of a continent urinary reservoir by the ileocolonic pouch (Mainz pouch). A typical mass spectrometry experiment consists of multiple different phases including the sample preparation, liquid chromatography, mass spectrometry, and bioinformatics stages. Evaluation of computed tomography in patients with atypical angina or chest pain clinically referred for invasive coronary angiography: randomised controlled trial.

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