tramadol 100mg inj
tramadol 100mg inj
tramadol 100mg inj
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Tramadol hydrochloride 50mg/ml <strong>inj</strong><br />
Trade name<br />
Trabilin<br />
Drug class<br />
Opioid analgesics<br />
Presentation<br />
Clear colorless solution, in 2mL white glass ampoule with a blue breaking point<br />
Prescriber<br />
All clinicians<br />
Cost<br />
RM2.50 per amp. FOC for inpatient use<br />
Indication<br />
Moderate to severe acute pain<br />
Dose<br />
Adults: SC/IM/IV 30 – <strong>100mg</strong> 6 hourly.<br />
Post operative pain: <strong>100mg</strong> initial dose, then 50mg every 10-20 minutes if<br />
necessary during first hour to total max. 250mg (including initial dose) in first<br />
hour, then 50 – <strong>100mg</strong> every 4-6 hours; max: 600mg daily.<br />
Children >1 yr: 1 – 2mg/kg body weight.<br />
Renal failure: 200mg (daily dose). Liver impairment: 50mg every 12 hours<br />
Geriatric above 75 yr: Recommended daily dose should not exceed 300mg daily.<br />
Location<br />
In-patient<br />
Administration IM <strong>inj</strong>ection: Yes<br />
SC <strong>inj</strong>ection: Yes<br />
IV <strong>inj</strong>ection: Suitable over 2 to 3 minutes<br />
IV infusion: Yes after dilution<br />
Stability / expiry Reconstituted solution: NA<br />
Compatibility Compatible fluids: Glucose 5%, NS, Ringer’s solution<br />
Compatible drugs: NA<br />
Compatible via Y site: NA<br />
Compatible in syringe: NA<br />
Incompatibility Incompatible fluids: NA<br />
Incompatible drugs: Diazepam, glyceryl trinitrate, midazolam<br />
Special precautions • IV bolus administered slowly over 3–4 min to reduce incidence of<br />
nausea/vomiting, sweating and occasionally hypertension.<br />
• Convulsions reported, usually after rapid intravenous <strong>inj</strong>ection.<br />
• In case of poor analgesic effect, it is possible to administer another single<br />
dose after 30–60 minutes of the previous dose.<br />
Special notes • Ward stock in some wards. Check PIS for updated list of wards.<br />
• Controlled drug. Record of use must be maintained in the wards.<br />
• Symptoms of overdosage include miosis, vomiting, cardiovascular collapse,<br />
sedation and coma, seizures and respiratory depression. Naloxone can be used
Patient Information<br />
Prepared/checked by<br />
Date compiled/edition<br />
to reverse respiratory depression. Fits can be controlled with diazepam.<br />
Patient may experience side effects such as nausea, vomiting headache, dizziness,<br />
restlessness or drowsiness<br />
Azwa Bt Haris / PDS / HKD / PL<br />
9 June 2008, 1 st edition
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