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Ketotram Tablet
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Ketotram Tablet

Manufactured byMedley Pharmaceuticals
ContainsTramadol (25 mg) + Ketorolac (10 mg)
Description
Ketotram Tablet is a combination medicine used to relieve moderate to severe pain conditions. This medicine is not recommended for use in patients below 17 years of age.
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Side effectsConcernsUsage

Side effects

Major & minor side effects for Ketotram Tablet

  • Constipation
  • Nausea or vomiting
  • Dizziness
  • Headache
  • Sleepiness
  • Itching or rash
  • Mouth ulcers
  • Stomach pain
  • Drowsiness
  • Unexpected weight gain
  • Decreased urine output
  • Yellow colored eyes or skin
  • Indigestion
  • Agitation and anxiety
  • Irregular heartbeat
  • Swelling of face, lips, eyelids, tongue, hands and feet

Uses of Ketotram Tablet

What is it prescribed for?

  • Moderate to severe pain
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Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The effect of this medicine can be observed within 30 to 60 minutes of administration of the dose.
  • How long do the effects of this medicine last?
    The effect of this medicine lasts for about 9 hours of duration.
  • Is it safe to consume alcohol while taking this medicine?
    Consumption of alcohol during treatment with this medicine may increase the risk of severe side effects. These side effects may include confusion, dizziness, nausea, vomiting, weakness, and fainting. It is advised that you should avoid alcohol and not to perform activities which require high mental alertness like driving a vehicle and operating machinery when taking these medicines together.
  • Is this a habit forming medicine?
    Mild to moderate habit forming tendencies have been reported and hence requires careful administration and withdrawal.
  • Can this medicine be taken during pregnancy?
    This medicine is not recommended for use in pregnant women unless necessary. The risks and benefits should be discussed with the doctor before taking this medicine.
  • Can this medicine be taken while breast-feeding?
    This medicine is not recommended for use in breastfeeding women unless necessary. The risks and benefits should be discussed with the doctor before taking this medicine.

Allergy

This medicine is not recommended for use in patients if you have known allergy to tramadol, ketorolac or any other inactive ingredients present in the formulation.

Coronary Artery Bypass Surgery (CABG)

This medicine is not recommended for use before or after a coronary artery bypass graft surgery due to the increased risk of severe adverse reactions.

Gastrointestinal bleeding

This medicine is not recommended for use in patients with a known history of gastrointestinal bleeding due to the increased risk of worsening of the patient's condition.

Asthma and breathing problems

This medicine is not recommended for use in patients suffering from breathing difficulties which may be caused due to various conditions such as asthma, hypercapnia, etc. since it may worsen the patient's condition.

Peptic Ulcer

This medicine is not recommended for use in patients with peptic ulcer disease due to the increased risk of worsening of the patient's condition.
Warnings for special population

Pregnancy

This medicine is not recommended for use in pregnant women unless necessary. The risks and benefits should be discussed with the doctor before taking this medicine.

Breast-feeding

This medicine is not recommended for use in breastfeeding women unless necessary. The risks and benefits should be discussed with the doctor before taking this medicine.
General warnings

Seizures

This medicine should be used with caution in patients with Seizures due to the increased risk of adverse effects. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Elderly patients

This medicine should be administered with caution in elderly patients since the risk of severe adverse effects is significantly high. Suitable adjustments in dose quantity and safety monitoring may be required in such cases.

Other medicines

This medicine has a potential of interacting with a large number of medications. Report the use of all medications including supplements and herbs so that the side effects can be minimized.

Reduced fertility

Prolonged use of this medicine can reduce fertility in males and females in the reproductive age group. Patients should be informed about the potential effect on reproductive capabilities.

Gastro-intestinal bleeding

This medicine may cause severe gastrointestinal bleeding and perforation after prolonged usage. These adverse events may occur with or without warning symptoms. This risk is especially higher in the elderly population and in patients with a history of gastrointestinal diseases. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Use in children

This medicine is not recommended for use in patients less than 17 years of age since the safety and effectiveness of use are not clinically established.

Heart diseases

This medicine should be used with caution in patients with heart diseases due to the increased risk of adverse effects on the heart, especially after prolonged use. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Liver disease

This medicine should be used with extreme caution in patients with liver function impairment or active liver diseases due to the increased risk of severe adverse effects. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Kidney Disease

This medicine should be used with extreme caution in patients with kidney function impairment or active kidney diseases due to the increased risk of severe adverse effects. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Withdrawal symptoms

Abrupt withdrawal of this medicine may cause withdrawal symptoms. Withdrawal of this medicine should be undertaken gradually using a dosage-tapering schedule. Symptoms of withdrawal may include tremors, nausea and vomiting, chills and fever, diarrhea, and even hallucinations in some cases.

Driving or Operating machinery

This medicine may cause dizziness, fainting, and drowsiness in some patients. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating machinery if you experience any of these symptoms during treatment with this medicine.

Fall in blood pressure

This medicine may cause a sudden drop in blood pressure, especially while getting up from a sitting or a lying position. Patients are advised to get up slowly from a sitting or a lying position to avoid fainting, dizziness, and falling. Report any unusual symptoms to the doctor on priority. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Missed Dose

Take the missed dose as soon as you remember. If it is almost the time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.

Overdose

Seek emergency medical treatment or contact the doctor in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

N/A

Instructions

Consumption of alcohol during treatment with this medicine may increase the risk of severe side effects. These side effects may include confusion, dizziness, nausea, vomiting, weakness, and fainting. It is advised that you should avoid alcohol and not to perform activities which require high mental alertness like driving a vehicle and operating machinery when taking these medicines together.
Interaction with Medicine

Corticosteroids

Antihypertensives

Ofloxacin

Codeine

Fluoxetine

Warfarin

Ketoconazole

Disease interactions

Liver Disease

This medicine should be used with extreme caution in patients with liver function impairment or active liver diseases due to the increased risk of severe adverse effects. Close monitoring of liver function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Kidney Disease

This medicine should be used with extreme caution in patients with kidney function impairment or active kidney diseases due to the increased risk of severe adverse effects. Close monitoring of kidney function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Asthma

This medicine is not recommended for use in patients with a known history of NSAID-sensitive asthma. Replacement with a suitable alternative should be done under your doctor's supervision.
Food interactions
Information not available.
Lab interactions
Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.
Take this medicine exactly advised by your doctor. Do not eat or drink for at least ten minutes after taking this medicine. Do not take in larger or smaller amounts than advised/prescribed. Consult the doctor if you experience any undesirable effects. Do not stop taking this medicine before completion of the course/without consulting your doctor.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

May cause sleepiness

How it works
Tramadol acts on the brain and nervous system by changing the perception and response to pain. Ketorolac works by reducing the formation of chemical substances in the body that cause pain and swelling. The combination is thus effective in relieving moderate to severe pain in several conditions.
Legal Status

Unknown

Unknown

Unknown

Unknown

Classification

Category

Narcotic analgesics, Nonsteroidal anti-inflammatory agents

Schedule

Schedule H

Tramadol | C16H25NO2 - PubChem [Internet]. Pubchem.ncbi.nlm.nih.gov. 2017 [cited 7 March 2017]. Available from:

https://pubchem.ncbi.nlm.nih.gov/compound/33741

Tramadol: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2017 [cited 7 March 2017]. Available from:

https://medlineplus.gov/druginfo/meds/a695011.html

DailyMed - TRAMADOL HCL- tramadol hydrochloride tablet [Internet]. Dailymed.nlm.nih.gov. 2017 [cited 7 March 2017]. Available from:

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ae7c54b1-b440-4cca-97e8-e5b825413d32
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Information on this page was last updated on 18 Nov 2019

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