I have need of to know what is the side effects on tramacet?

i take tramacet i entail to know what is the side effects on it

Read all of this notes carefully in the past you start taking this medicine.
Keep this brochure. It contains important information in connection with your medicine. You may inevitability to read it again. If you have any further question, please ask your doctor or pharmacist. This medicine have been prescribed for you one-sidedly and you should not pass it on to others.

Do not exceed the stated dose.
Use as directed by your doctor.
If symptoms keep trying, consult your doctor.
Keep out of the reach of children.
Do not pilfer more than 8 tablets of Tramacet in any soon.

Immediate medical advice should be sought surrounded by the event of an overdose, even if you feel ably, because of the risk of delayed, serious liver damage.

In this notes:

1. Some information about Tramacet
2. Before you bring Tramacet
3. How to use Tramacet
4. Possible side effects
5. Storing Tramacet

1. Some information about Tramacet
The entitle of your medicine is Tramacet. Each tablet contains a combination of two medicine:

* tramadol hydrochloride (37.5 milligrams)
* paracetamol (325 milligrams).

Each tablet also contains: powdered cellulose, pregelatinised and maize starch, sodium starch glycolate (Type A) and magnesium stearate. The tablets are coated with hypromellose, titanium dioxide (E171), macrogol 400, wan iron oxide (E172), polysorbate 80 and carnauba wax.

What does Tramacet look like?
Tramacet are waxen yellow coloured tablets and are packed like sardines in blister strips contained by cartons containing 10 or 60 tablets.

Who supplies Tramacet?
Tramacet is supplied by the Product Licence holder:
Janssen-Cilag Ltd
High Wycombe
HP14 4HJ

Tramacet is manufactured by:
Janssen Pharmaceutica NV
Turnhoutseweg 30
Grunenthal GmbH
Zieglerstrasse 6
Federal Republic of Germany
Janssen- Cilag S.p.A.
Via Janssen
Borgo S. Michele
04010 Latina

What is Tramacet?
Tramacet is a combination of two analgesics. Analgesics are normally called 'torment killers' or 'pain relievers'.

What does Tramacet do?
Tramacet is intended for use within the treatment of moderate to severe pain when your doctor recommend that a combination of tramadol and paracetamol is needed.

Who should take Tramacet?
Tramacet should simply be used by adults and children over 12 years.

2. Before you take Tramacet

Do not bring Tramacet if you:

* have have an allergic reaction, skin imprudent, swelling of the face, wheezing or difficulty breathing, after taking tramadol or paracetamol or any of the other ingredients surrounded by Tramacet
* have drunk satisfactory alcohol to make you grain 'woozy' or drunk
* have taken any pills that can make you sleepy or smaller amount alert; these include certain medicine for psychiatric disorders including tranquillisers and anti-depressants; sleeping pills; opioid containing pain relievers such as morphine and codeine. It is substantial that your doctor knows if you are taking any of these medicine.
* are currently taking monoamine oxidase inhibitors (MAOIs) for e.g. depression or have taken any MAOIs inwardly the last two weeks. You should know if you are taking an MAOI because your doctor or pharmacist will own told you and you may also have a treatment card
* suffer from severe liver problems
* enjoy epilepsy that is not amply controlled on your current medicine
* are pregnant or are planning to become pregnant, or if you are breast feed.

Take special care next to Tramacet
Tramacet should only be used by adults and children over 12 years.

Do not embezzle with any other paracetamol or tramadol hydrochloride-containing products (including medicine you have bought yourself) lacking discussing this with your doctor.

If the answer to any of the following question is 'Yes', make sure your doctor know before you start taking Tramacet. He/she will consider your medical history and settle on if Tramacet is suitable for you to take.

* Do you enjoy kidney problems?
* Do you have liver problems or alcoholic liver disease; hold you noticed your eyes and skin turning ashen, which may suggest jaundice or problems with bile ducts?
* Do you enjoy difficulty breathing, for example, asthma or lung problems?
* Are you dependent on any other medicines used to relieve moderate to severe distress, for example, morphine?
* Are you epileptic or have you experienced fits or seizure?
* Are you taking medicines agreed as opioids, used to treat moderate to severe pain, eg buprenorphine, nalbuphine and pentazocine?
* Have you suffered from a chief injury, shock or severe headaches which may or may not be associated next to vomiting?

If you develop any of these while you are taking Tramacet, please tell your doctor. He/she can after decide whether you should verbs to use this medicine.

If you are not sure almost anything, or any of the above, you should discuss it with your doctor who will consider your medical history and prefer whether Tramacet is suitable for you to take.

If you lug more Tramacet than is recommended, this may result in severe liver sabotage and you should seek direct medical advice.

Tell your doctor or dentist that you are taking Tramadol past you have a nonspecific anaesthetic.

Taking other medicines near Tramacet
It is important that you relate your doctor or dentist about any other medicine you are taking, including any that you have bought yourself. Some medicine, when taken with Tramacet, can affect the opening Tramacet works.

Tramacet should not be taken together with the following:

* monoamine oxidase inhibitors (MAOIs).

Tramacet is foolish to be taken with the following:

* a tablets called carbamazepine, commonly used to treat epilepsy or facial neuralgia (severe cramp attacks in the face)
* medicine known as opioids, used to treat moderate to severe torment, eg buprenorphine, nalbuphine and pentazocine.

In certain circumstances, Tramacet may be taken near the following:

* medicines specified as serotonin reuptake inhibitors (SSRIs), used to treat depression
* certain morphine-like medicine used, for example, to prevent or relieve coughing
* sedatives, for example, benzodiazepines
* sleeping pills, for example, barbiturates
* consistent medicines used to lower blood pressure
* a pills called thalidomide
* a drug called baclofen, used as a muscle relaxant
* a prescription called warfarin, used to restricted the blood
* medicines set as CYP3A4 inhibitors, for example, ketoconazole (an antifungal) or erythromycin (an antibacterial)
* a medicine call bupropion, used to help culture to stop smoking
* tricyclic antidepressants
* tranquillisers.

Taking the following medicines together next to Tramacet may affect how Tramacet works in your body:

* metoclopramide and domperidone, used within nausea and vomiting
* cholestyramine, used to treat diarrhoea and itchy skin.

Your doctor will know which medicines are secure to take near Tramacet.

Alcohol and Tramacet
Tramacet may make you get the impression drowsy. Alcohol may make you surface more drowsy. It is best not to drink alcohol while you are taking Tramacet.

Driving or using machines
Tramacet may make you have a feeling drowsy. Do not drive, operate machinery or perform other accomplishments for which you need to be alert until you know how Tramacet affects you.

3. How to use Tramacet
Tramacet should solitary be used by adults and children over 12 years.

Always take Tramacet exactly as your doctor have instructed you. You should check with your doctor or pharmacist if you are unsure.

The tablets must be swallowed near some liquid. They should not be broken or chewed.

Adults and children over 12 years: The usual starting dose is two tablets. If required, further doses can be taken after every six hours, as recommended by your doctor.

Do not cart more than 8 tablets per day (equivalent to 300 mg tramadol and 2600 mg paracetamol).

The tablets should be taken for as short a time as possible.

If you own a history of kidney or liver problems, your doctor may increase the time between doses.

Do not take Tramacet more normally than your doctor has told you to. The shortest time between doses must be at most minuscule 6 hours.

If you think that the effect of Tramacet is too strong (ie you consistency very drowsy or hold difficulty with breathing) or too insipid (ie you have lacking pain relief), contact your doctor or pharmacist. If your symptoms do not obtain any better, see your doctor.

If you forget to take Tramacet
If you miss a dose of Tramacet, cart your next tablet as usual; do not double the dose to net up for forgotten individual doses.

Effects that may appear when the treatment with Tramacet is stopped
If you hold been using Tramacet for some time, you should have a word to your doctor if you want to stop because your body may have get used to it. If you do suddenly stop using Tramacet you may feel unwell. You may experience anxiety, agitation, tentativeness, sleeplessness, hyperactivity, tremors and/or an upset stomach.

If you take too frequent tablets
Immediate medical advice should be sought surrounded by the event of an overdose, even if you feel economically, because of the risk of delayed, serious liver damage. If requisite, go to the nearest hospital Accident and Emergency Department and update them what you have taken.

4. Possible side effects
As next to any medicine, Tramacet may effect some unwanted effects, but this is not common. If you are worried in the order of side effects, talk to your doctor.

Side effects may include: nausea, dizziness, drowsiness. These are usually mild and not troublesome.

Some family experience: vomiting, constipation, flatulence, diarrhoea, stomach pain, digestion problems, a dry mouth, headache, shaking, confusion, sleep disorders, mood change (anxiety, nervousness, euphoria (a sense of sentiment 'high' all the time)), increased sweating, itching.

A few general public may develop: high blood pressure. heart rhythm and heart rate disorders, difficulty or spasm on passing urine/protein contained by the urine, skin reactions/hives, ringing in the ear, depression, nightmares, hallucination (hearing, seeing or sensing things that are not really there), loss of memory, difficulty swallowing, blood in the stools, shivers, hot flushes, pains surrounded by the chest, uncoordinated movement, muscle cramps, unusual tingling feeling ('pins and needles'), convulsions, drug dependence, blurred hallucination, shortness of breath, raised liver enzymes.

In occasional cases, using a medicine of this type may create you become dependent on it, making it hard to stop taking it. You may experience renunciation symptoms such as agitation, anxiety, nervousness, sleeplessness, hyperactivity, tremors and/or an upset stomach.

Do not be alarmed by the above list - you may not experience any of these effects. However, if you do notice any of these effects, or any other unusual symptoms, please speak about your doctor or pharmacist as soon as possible.

The following are recognised side effects which have be reported by people using medicine that contain only tramadol or individual paracetamol. However, if you experience any of these while taking Tramacet, you should tell your doctor:

Feeling giddy when getting up from a lying or sitting position, slow heart rate, fainting, allergic reaction, such as itching, swollen face or orifice, or shortness of breath, changes surrounded by appetite, muscle weakness, slower or weaker breathing, mood change, changes surrounded by activity, change in perception, worsening of existing asthma, symptoms of subtraction, such as agitation, anxiety, nervousness, sleeplessness, hyperactivity, tremors and/or an upset stomach.

There enjoy also been reports of an alteration contained by the way a prescription called warfarin (used to slender the blood) affects the body when it is used together with tramadol. Any prolonged or spontaneous bleeding should be reported to your doctor immediately.

Allergic reaction, such as itching, swollen face or mouth, or shortness of breath, hypoprothrombinaemia (a blood clotting deficiency), when paracetamol is given with warfarin (a prescription used to thin the blood).

Other blood disorders enjoy been reported, including thrombocytopenia (where the number of platelets within the blood is reduced) and agranulocytosis (where the number of white blood cells is severely reduced), although these be not necessarily as a result of taking paracetamol.

5. Storing Tramacet
There are no particular storage conditions. Keep out of conquer and sight of children.

Do not use these tablets:

* After the expiry date shown on the sign
* If the pack is damaged
* If the tablets are discoloured.
Reported side effects include headache, dry mouth, change in mood, confusion, sweating, diarrhea, constipation, nausea, vomiting, abdominal spasm, abnormal heartbeat, hallucination, palpitations, dizziness, difficulty breathing, sleepiness, difficulty or pain on urination, skin reaction, anxiety, trembling, and difficulty or pain when swallowing. If you are experiencing any of these or any other side effects, you should mention this to your doctor.
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