Tramadol+Dicycloverine / Dicyclomine+Paracetamol / Acetaminophen

• As per CDSCO, Tramadol+Dicycloverine / Dicyclomine+Paracetamol / Acetaminophen can be used to manage:
• Acute pain in adults for the short term (five days)
• Moderate to severe pain

When should one not use Tramadol+Dicycloverine / Dicyclomine+Paracetamol / Acetaminophen

• If you're allergic to any component of this medicine
• If you have been diagnosed with liver failure; Tramadol+Dicycloverine / Dicyclomine+Paracetamol / Acetaminophen increases the risk of adverse reactions
• If you have severe kidney-related disorders
• If you have severe asthma or other severe breathing problems
• If you have stomach bleeding or perforation; this medicine can increase bleeding
• If you have paralytic ileus (no intestinal movements)
• If your body has been in shock with inadequate blood to pump to all body parts
• If you are a child under 17 years; this medicine contains tramadol, an opioid pain reliever that is contraindicated in children

Common side effects of this drug are:

• Nausea
• Vomiting
• Dizziness
• Abdominal pain
• Depression
• Drowsiness
• Headache
• Stomach pain
• Constipation
• Shortness of breath

Other General Warnings

• You have a seizure disorder.
• You are diagnosed with active liver inflammation like Hepatitis C infection. Consult with your doctor before taking this medicine.
• You have been diagnosed with malnutrition. Consult with your doctor before taking this medicine.
• You are vomiting for any reason. Take this medication with caution.
• You are an older adult over 65. The dose of Tramadol+Dicycloverine / Dicyclomine+Paracetamol / Acetaminophen needs careful monitoring to prevent serious side effects.
• You have a heart condition.
• You have a dental or surgical procedure planned.
• You take Ayurvedic or herbal medicines or supplements. To avoid any interactions, inform your doctor, as some of them can cause serious side effects.

How Does It Work?

Interactions with other medicines

• Do not take Tramadol+Dicycloverine / Dicyclomine+Paracetamol / Acetaminophen with other pain medications, as they can cause serious adverse effects. Combining these medicines can also damage the liver.
• Do not take Tramadol+Dicycloverine / Dicyclomine+Paracetamol / Acetaminophen with certain medicines like linezolid, naltrexone, methylene blue, etc. They can cause exaggerated side effects like drowsiness, dizziness, tremors, lethargy, vomiting, etc.
• Try not to take Tramadol+Dicycloverine / Dicyclomine+Paracetamol / Acetaminophen with sleeping pills, muscle relaxants, cold medicine, antihistamines (anti-allergy medicine like cetirizine and diphenhydramine), etc. These medicines can increase drowsiness.

Overdose

Missed a Dose