X-Tram (37.5/325Mg) 20 Tablets

Overview

X-Tram 37.5/325mg Tablets are a combination pain-relief medicine containing tramadol 37.5mg and paracetamol 325mg per tablet. This formulation is generally used for moderate to severe pain when a single non-opioid analgesic is not sufficient. Tramadol is an opioid analgesic, while paracetamol, also known as acetaminophen, is a widely used pain reliever and fever reducer.

Because tramadol can cause dependence, drowsiness, breathing problems, withdrawal symptoms, and interactions with several medicines, X-Tram should be used only under medical supervision. It is not intended for self-medication, long-term unsupervised pain control, or use in people with contraindications to opioid medicines or paracetamol.

Benefits

• Helps relieve moderate to severe pain when prescribed
• Combines centrally acting opioid analgesia with paracetamol analgesic action
• May reduce need for two separate prescribed pain medicines
• Supports short-term pain control under professional guidance

Key Features

• Contains tramadol 37.5mg and paracetamol 325mg per tablet
• Oral tablet formulation
• Pack of 20 tablets
• Combination analgesic for clinically appropriate moderate to severe pain
• Use only under medical supervision

Dosage and How to Use

• How to use: Swallow the tablet with water. Do not crush or combine with other medicines unless advised by a healthcare professional.
• Administration: Oral administration only.
• Recommended dose: Use exactly as prescribed by the treating doctor. Do not exceed the prescribed dose or duration.
• Adult dose: Follow the dose prescribed by your doctor; do not self-adjust.
• Pediatric use: Not for use in children unless specifically prescribed by a qualified healthcare professional.
• Elderly use: Older adults may be more sensitive to dizziness, sedation, constipation, falls, and breathing-related side effects; use only under medical supervision.
• When to take: Take only at the times advised by your doctor. It may be taken with or without food.
• With food: May be taken with or without food; taking after food may help reduce nausea in some patients.
• Maximum daily dose: Do not exceed the dose prescribed by your doctor. Avoid additional paracetamol-containing products unless approved by a healthcare professional.
• Missed dose: If a dose is missed, follow your prescriber’s instructions. Do not double the next dose to make up for a missed dose.
• Overdose: Seek urgent medical help immediately. Overdose may cause severe drowsiness, breathing problems, seizures, loss of consciousness, or liver injury from paracetamol.

Specifications

Side Effects

Common side effects

• Nausea
• Vomiting
• Constipation
• Dizziness
• Drowsiness
• Dry mouth
• Headache
• Sweating

Serious side effects (seek medical help)

• Slow or difficult breathing
• Severe drowsiness or confusion
• Seizure
• Severe allergic reaction
• Signs of liver injury
• Serotonin syndrome symptoms
• Dependence or withdrawal symptoms

Allergic reaction

Stop use and seek urgent medical help if rash, swelling of the face or throat, severe itching, wheezing, or breathing difficulty occurs.

Safety and Precautions

• May cause drowsiness, dizziness, dependence, withdrawal symptoms, or breathing difficulty
• Avoid alcohol and other sedatives unless specifically approved by a doctor
• Do not combine with other paracetamol-containing medicines without professional advice
• Seek urgent help for overdose, severe allergy, seizure, breathing difficulty, or signs of liver injury
• Inform your doctor about liver, kidney, breathing, seizure, mental health, or substance-use history
• Tell your doctor about all prescription, OTC, herbal, and supplement products you use
• Avoid driving or operating machinery if sleepy, dizzy, or less alert
• Use the lowest effective dose for the shortest prescribed duration

When not to use

Do not use if allergic to tramadol, paracetamol, or any component of the product. Avoid use where a healthcare professional has advised against opioid or paracetamol therapy.

Special populations

• Pregnancy: Use during pregnancy only if specifically advised by a healthcare professional. Tramadol may affect the baby, especially with repeated use or near delivery.
• Breastfeeding: Consult a healthcare professional before use while breastfeeding. Tramadol may pass into breast milk and may not be suitable for all breastfeeding mothers.
• Fertility: Consult a healthcare professional if you have fertility concerns or require long-term pain treatment.
• Liver: Use with caution and only under medical advice in liver disease. Excess paracetamol can cause serious liver injury.
• Kidney: Use with caution and only under medical advice in kidney disease or reduced kidney function.
• Heart: Consult a doctor before use if you have significant cardiovascular disease, fainting episodes, or are taking medicines that affect heart rhythm.
• Driving: May cause drowsiness, dizziness, blurred attention, and slowed reaction time. Do not drive or operate machinery if affected.
• Alcohol: Avoid alcohol because it can increase sedation, breathing-risk, overdose-risk, and paracetamol-related liver toxicity.

Interactions

Drugs:

• Other opioids or sedatives
• Sleeping tablets and anti-anxiety medicines
• Antidepressants and serotonergic medicines
• Antipsychotics
• Seizure medicines
• Blood thinners
• Other paracetamol-containing products

Food:

• Avoid alcohol. No specific food interaction is confirmed from the provided product data, but follow your doctor’s or pharmacist’s advice.

Conditions:

• Liver disease
• Kidney disease
• Breathing disorders
• Epilepsy or seizure disorder
• Substance-use disorder
• Head injury
• Severe depression or suicidal risk

Storage and Disposal

• Store in the original packaging, away from heat, moisture, and direct sunlight.
• Store at room temperature unless the product packaging states otherwise.
• Keep out of sight and reach of children and pets.
• Do not use expired tablets. Ask a pharmacist how to safely dispose of unused or expired medicine.

Disclaimer

Information is for general product education only and is not a substitute for medical advice. Use only as directed by a qualified healthcare professional.