Contramal (Tramadol): Uses, Side Effects, Dosage

Contramal Contain Tramadol-A synthetic piankiller and it belong to a group of drugs known as Opioid Analgesics.

Like other narcotic analgesics used to treat pain, patients taking tramadol can abuse the drug and become addicted to it.

Tramadol was approved in 1995 by the Food and Drug Administration (FDA) for the pharmaceutical company Janssen Pharmaceuticals under the Ultram brand and in 2002 the FDA approved a generic version of Tramadol, which is now manufactured by many companies.

Contramal is manufactured by Abbott Health and It comes as a Tablet, Capsule and Injectable forms.

  • Contramal Capsule 50 MG Tramadol
  • Contramal Capsule 100 MG Tramadol
  • Contramal Injection 50 MG Tramadol.

How It Works? 

Contramal (Tramadol) exact mechanism is unknown, but binds to the receptors in your brain. These receptors reduce the pain messages that your body normally sends to the brain when you are suffering.

Contramal Uses

Contramal is used in the treatment of following medical conditions

  • It is used in moderate as well as severe Pain
  • It is also used in chronic pain
  • It may also be used as a part of combination therapy.
  • It may also be used for the purpose not listed here.

Side Effects:

Like Any other medicines Tramadol may also cause side effects along with it’s beneficial effects. Following are some of the very side effects associated with the use of tramadol.

  • Headache
  • Nausea
  • Vomiting
  • Constipation
  • Digestion problems
  • Euphoria
  • Spasticity
  • Serotonin syndrome.
  • Serious breathing problems.
  • Physical dependence and withdrawal when stopping the drug.
  • Adrenal insufficiency.
  • Androgen deficiency.
  • Seizures
  • Loss of appetite
  • Addiction or misuse of this drug.
  • Dry mouth,(Less Common)
  • Itching, (Less Common)
  • Sweating,(Less Common)
  • Diarrhea,(Less Common)
  • Vertigo (Less Common)
  • Rash,(Less Common)
  • Visual disturbances,(Less Common).


Avoid Contramal If

  • You Had an allergic reaction to tramadol or any other medicines in the past
  • You Have a head injury
  • An addiction to alcohol, strong painkillers or recreational drugs
  • You have breathing difficulties
  • If You have kidney or liver problems
  • An illness which causes seizures
  • you should know that this medication may decrease fertility in men and women. Talk to your doctor about the risks of taking tramadol.
  • if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking tramadol.
  • Be careful in case of driving or operating heavy machinery
  • you should know that tramadol may cause constipation. Talk to your doctor about changing your diet and using other medications to treat or prevent constipation.
  • Avoid grape fruit juice.

Contramal In Pregnancy

Contramal is not recommended for pregnant women. The potential benefit, however, would be the use of this drug. You should see a doctor before using this medicine.

While it is safe to breastfeed while taking Tramadol. Tramadol passes into breast milk, but it is unlikely to harm your baby.


Some drugs may affect the way tramadol works, and tramadol may affect other drugs you are taking.Contramal may interact with the following drugs and products. It’s better to consult your doctor before using any of the following drugs with Contramal.
  • Carbamazepine
  • Buprenorphine
  • Codeine
  • Bupropion
  • Morphine
  • Oxymorphone
  • Cimetidine
  • Mirtazapine
  • Ondansetron
  • Nalbuphine


  • It is important to take Tramadol exactly as your doctor has told you. Do not take more or less.
  • The dose of tramadol is 50 to 100 mg (immediate release tablets) every 4 to 6 hours, depending on the needs of the pain.
  • The maximum dose is 400 mg / day.
  • To improve tolerability, patients should start with 25 mg / day and doses may be increased by 25-50 mg every 3 days to reach 50-100 mg/day every 4 to 6 hours
  • The recommended dose of sustained release tablets is 100 mg daily, which can be increased to 100 mg every 5 days.
  • Sustained-release tablets should be swallowed whole and not crushed or chewed.
  • Tramadol can be taken with or without food.
  • Do not stop taking tramadol as it may cause a dangerous withdrawal reaction.
  • If you miss a dose of Tramadol Contramal) , take the missed dose as soon as you remember.
  • If your next dose is fast, skip the missed dose and continue your normal dose.
  • Do not double your dose to make up for the missed dose because you have had dangerous side effects of Tramadol during this treatment.
  • If an overdose of tramadol (Contramal) occurs, contact a doctor as soon as possible, as this can cause respiratory distress and death.

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