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PARACETAMOL/TRAMADOL HYDROCHLORIDE 325MG/37.5MG FILM-COATED TABLETS

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Package leaflet: Information for the user

Paracetamol/Tramadol Hydrochloride
325 mg/37.5 mg film-coated tablets
Read all of this leaflet carefully before you start taking this
medicine because it contains important information for you.
– Keep this leaflet. You may need to read it again.
– If you have any further questions, ask your doctor or pharmacist.
– This medicine has been prescribed for you only. Do not pass it on to
others. It may harm them, even if their signs of illness are the same
as yours.
– If you get any side effects, talk to your doctor or pharmacist. This
includes any possible side effects not listed in this leaflet. See
section 4.
What is in this leaflet
1. What Paracetamol/Tramadol is and what it is used for
2. What you need to know before you take Paracetamol/Tramadol
3. How to take Paracetamol/Tramadol
4. Possible side effects
5. How to store Paracetamol/Tramadol
6. Contents of the pack and other information
1. What Paracetamol/Tramadol is and what it is used for
Paracetamol/Tramadol contains a combination of the active substances
paracetamol and tramadol hydrochloride, which belongs to a group of
medicines used to treat pain.
Paracetamol/Tramadol is used to treat moderate to severe pain when
your doctor recommends that a combination of tramadol hydrochloride
and paracetamol is needed.
2. What you need to know before you take Paracetamol/
Tramadol
Do not take Paracetamol/Tramadol
• if you are allergic or have had an allergic reaction (for instance
skin rash, swelling of the face, wheezing or difficulty breathing)
to tramadol, paracetamol or any of the other ingredients of this
medicine (listed in section 6)
• in cases of acute alcohol poisoning
• if you are taking sleeping pills, pain relievers or medicines that affect
mood and emotions
• if you are also taking medicines called monoamine oxidase inhibitors
(MAOIs) or have taken MAOIs in the last 14 days before treatment
with Paracetamol/Tramadol. MAOIs are used in the treatment of
depression or Parkinson’s disease.
• if you have a severe liver disorder
• if you have epilepsy that is not adequately controlled by your current
medicine.
Warnings and precautions
Talk to your doctor or pharmacist before taking Paracetamol/Tramadol.
Your doctor needs to know before you take Paracetamol/Tramadol if
you have or have had any of the following conditions:
• taking other medicines containing paracetamol or tramadol
• have liver problems or disease as your eyes and skin may turn
yellow, which may suggest jaundice
• have kidney problems
• have severe difficulties in breathing, for example asthma or severe
lung problems
• have epilepsy or have already experienced fits or seizures
• have recently suffered from a head injury, shock or severe
headaches associated with vomiting (being sick)
• are dependent on any medicine (for example morphine)
• take other medicines to treat pain that contain buprenorphine,
nalbuphine or pentazocine
• are going to have an anaesthetic (tell your doctor or dentist that you
are taking Paracetamol/Tramadol).
Adolescents and adults over 12 years:
The recommended dosage is to start with 2 tablets, unless otherwise
prescribed by your doctor. If required, further doses may be taken, as
instructed by your doctor.
The shortest time between doses must be at least 6 hours.
Do not take more than 8 tablets per day.
Your doctor may increase the time between doses if:
• you are older than 75 years
• you have kidney problems
• you have liver problems.

Children and adolescents
This medicine is not recommended in children and adolescents under
12 years of age.
Other medicines and Paracetamol/Tramadol
Tell your doctor or pharmacist if you are taking, have recently taken,
or might take any other medicines. Your doctor will tell you which
medicines are safe to take with Paracetamol/Tramadol.
Do not exceed the maximum daily doses of paracetamol or tramadol
from this or other medicines.
Do not take Paracetamol/Tramadol with MAOIs (see section ‘Do not
take Paracetamol/Tramadol’).
Paracetamol/Tramadol is not recommended with the following
medicines, as it may affect how well they work:
• carbamazepine (a medicine used to treat epilepsy or some types of
pain)
• buprenorphine, nalbuphine or pentazocine (opioid-type pain relievers).
Paracetamol/Tramadol may increase the risk of side effects if you also
take the following medicines:
• triptans (used for migraine) or selective serotonin re-uptake
inhibitors (SSRIs, used for depression). Check with your doctor if you
experience confusion, restlessness, fever, sweating, uncoordinated
movement of limbs or eyes, uncontrollable jerking of muscles or
diarrhoea.
• tranquilizers, sleeping pills, other pain relievers such as morphine
and codeine (also as cough medicine), baclofen (a muscle relaxant),
medicines used to lower blood pressure, antidepressants or
medicines to treat allergies. Check with your doctor if you feel
drowsy or feel faint.
• antidepressants, anaesthetics, medicines that affect the state of
mind, or bupropion (used to help stop smoking). The risk of having
a fit may increase. Your doctor will tell you whether Paracetamol/
Tramadol is suitable for you.
• warfarin or phenprocoumon (for blood thinning). The effectiveness of
such medicines may be altered and bleeding may occur (see section 4).
The effectiveness of Paracetamol/Tramadol may be altered if you also
take the following medicines:
• metoclopramide, domperidone or ondansetron (medicines used to
treat nausea and vomiting/being sick)
• cholestyramine (medicine used to reduce cholesterol in the blood)
• ketoconazole or erythromycin (medicines used against infections).
Paracetamol/Tramadol with food, drink and alcohol
Do not drink alcohol or alcoholic drinks or medicinal products containing
alcohol while you are taking Paracetamol/Tramadol, as you may feel drowsy.
Paracetamol/Tramadol can be taken with food.
Pregnancy, breast-feeding and fertility
If you are pregnant or breast-feeding, think you may be pregnant or
are planning to have a baby, ask your doctor or pharmacist for advice
before taking this medicine.
Do not take Paracetamol/Tramadol while you are pregnant. Check
with your doctor if you become pregnant during treatment with
Paracetamol/Tramadol and before taking any further tablets.
Do not take Paracetamol/Tramadol while you are breast-feeding, as
small amounts of tramadol may pass into the breast-milk.
Driving and using machines
If you feel drowsy while taking Paracetamol/Tramadol, do not drive,
use tools or use machinery.
The medicine can affect your ability to drive as it may make you sleepy
or dizzy.
• Do not drive while taking this medicine until you know how it affects
you.
• It is an offence to drive if this medicine affects your ability to drive.
• However, you would not be committing an offence if:
- The medicine has been prescribed to treat a medical or dental
problem and
- You have taken it according to the instructions given by the
prescriber or in the information provided with the medicine and
- It was not affecting your ability to drive safely
Talk to your doctor or pharmacist if you are not sure whether it is safe
for you to drive while taking this medicine.

Client:

Somex Pharma,

Leaflet:

PIL Paracetamol Tramadol Hydrochloride 325mg 37.5mg film-coated tablets 180x330 (v2).indd

Color:

Black

Dimemsions:

180 x 330 mm

Font:

Helvetica Neue LT 9 pt

Title: 22 pt

Subtitle: 9 pt

(10.8 pt)

Page: 1

Leading: 3,81 mm

3. How to take Paracetamol/Tramadol
Always take this medicine exactly as your doctor or pharmacist has
told you. Check with your doctor or pharmacist if you are not sure.
Swallow the tablets whole with sufficient liquid.
Do not break or chew the tablets.
Take Paracetamol/Tramadol for as short a time as possible and no
longer than your doctor has told you.
Use in adolescents and adults over 12 years:
The recommended dosage is to start with 2 tablets, unless otherwise
prescribed by your doctor. If required, further doses may be taken, as
instructed by your doctor.
The shortest time between doses must be at least 6 hours.
Do not take more than 8 tablets per day.
Your doctor may increase the time between doses if:
• you are older than 75 years
• you have kidney problems
• you have liver problems.
If you think that the effect of Paracetamol/Tramadol is too strong (you
feel very drowsy or have difficulty breathing) or too weak (you do not
have enough pain relief), contact your doctor.
If you take more Paracetamol/Tramadol than you should
Immediate medical advice should be sought in the event of an
overdose, even if you feel well, because of the risk of delayed, serious
liver damage.
If you forget to take Paracetamol/Tramadol
If you forget to take the tablets, pain is likely to return.
Do not take a double dose to make up for forgotten individual doses;
simply continue taking the tablets as before.
If you stop taking Paracetamol/Tramadol
Generally, there will be no after-effects when treatment with
Paracetamol/Tramadol is stopped.
Rarely, people who have been using a medicine containing tramadol
may become dependent on it, making it hard to stop taking it. If you
have been taking Paracetamol/Tramadol for some time and want to
stop, contact your doctor because your body may have become used
to Paracetamol/Tramadol.
People may:
• feel agitated, anxious, nervous or shaky
• be over active
• have difficulty sleeping
• have stomach or bowel disorders.

Uncommon (may affect up to 1 in 100 people)
• increase in pulse or blood pressure, heart rate or heart rhythm
disorders
• difficulty or pain on passing water
• skin reactions (for example rashes, hives)
• tingling, numbness or feeling of pins and needles in the limbs,
ringing in the ears, involuntary muscle twitching
• depression, nightmares, hallucinations (hearing, seeing or sensing
things that are not really there), memory lapses
• difficulty swallowing, blood in the stools
• shivering, hot flushes, pain in the chest
• difficulty breathing.
Rare (may affect up to 1 in 1,000people)
• fits, uncoordinated movements
• addiction
• blurred vision
• transient loss of consciousness (syncope).
Not known (frequency cannot be estimated from the available data)
• decrease in blood sugar level
In addition, the following side effects have been reported by people
using medicines that contain only tramadol or only paracetamol:
• feeling faint when getting up from a lying or sitting position, slow
heart rate, fainting
• changes in appetite
• muscle weakness, slower or weaker breathing
• mood changes, changes in activity, changes in perception
• worsening of existing asthma
• nose bleeds or bleeding gums, which may result from a low blood
platelet count.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist. This
includes any possible side effects not listed in this leaflet. You can also
report side effects directly via The Yellow Card Scheme. Website: www.
mhra.gov.uk/‌yellowcard. By reporting side effects you can help provide
more information on the safety of this medicine.
5. How to store Paracetamol/Tramadol
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the
carton and blister after EXP. The expiry date refers to the last day of
that month.
This medicinal product does not require any special storage conditions.
Store in the original package.

Very few people may also get:
• panic attacks
• hallucinations, unusual perceptions such as itching, tingling and
numbness
• ringing in the ears.
If you experience any of these complaints after stopping Paracetamol/
Tramadol, please contact your doctor. Other side effect information is
listed in section 4.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not
everybody gets them.
Some side effects could be serious. Contact your doctor immediately
if any of the following occur:
• rarely cases of skin rash, indicating an allergic reaction, may develop
with sudden swelling of the face and neck, difficulties breathing or
drop of blood pressure and fainting. If this happens to you, stop
treatment. Do not take the medicine again.
• prolonged or unexpected bleeding, from the use of Paracetamol/
Tramadol with medicines used to thin the blood (e.g. warfarin,
phenprocoumon).
Additionally, if any of the following side effects get serious, contact
your doctor or pharmacist:
Very common (may affect more than 1 in 10 people)
• nausea
• dizziness, drowsiness.
Common (may affect up to 1 in 10 people)
• vomiting (being sick), digestion problems (constipation, flatulence,
diarrhoea), stomach pain, dry mouth
• itching, sweating
• headache, shaking
• confusion, sleep disorders, mood changes (anxiety, nervousness,
feeling of high spirits).

Do not throw away any medicines via wastewater or household waste.
Ask your pharmacist how to throw away medicines you no longer use.
These measures will help protect the environment.
6. Contents of the pack and other information
What Paracetamol/Tramadol contains
The active substances are paracetamol and tramadol hydrochloride.
Each film-coated tablet contains 325mg paracetamol and 37.5mg
tramadol hydrochloride.
The other ingredients are: Tablet core: microcrystalline cellulose,
pregelatinised starch maize starch, sodium starch glycolate,
magnesium stearate. Film-coating: hypromellose, titanium dioxide
(E171), macrogol, yellow iron oxide (E172), polysorbate 80.
What Paracetamol/Tramadol looks like and contents of the
pack
Pale yellow colour capsule shaped biconvex film-coated tablets with
engraved “SP” on one side and plain on other side.
They come in PVC/PVDC blister packs with Glassine paper (35 GSM)
soft/ temper printed aluminium foil of 10 tablets.
Marketing Authorisation Holder
Somex Pharma
Ilford, Essex
IG3 8BS.UK
Manufacturer
Somex Pharma
Ilford, Essex
IG3 8RA.UK
This leaflet was last revised in
09/2016

Client:

Somex Pharma,

Leaflet:

PIL Paracetamol Tramadol Hydrochloride 325mg 37.5mg film-coated tablets 180x330 (v2).indd

Color:

Black

Dimemsions:

180 x 330 mm

Font:

Helvetica Neue LT 9 pt

Title: 22 pt

Subtitle: 9 pt

(10.8 pt)

Page: 2

Leading: 3,81 mm

+ Expand Transcript

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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