Daca simtiti ca reactivitatea dumneavoastra este afectata, nu conduceti automobile sau alte vehicule, nu utilizati unelte electrice, nu folositi utilaje si nu depuneti activitati fara a avea o baza larga de sustinere! Influenta asupra capacitatii psihofizice este potentata de consumul de alcool etilic, antihistaminice si alte medicamente deprimante ale SNC.
Informatii importante privind unele componente ale Tramadol Retard Tramadol Retard contine lactoza. Daca medicul dumneavoastra v-a atentionat ca aveti intoleranta la unele categorii de glucide, va rugam sa-l intrebati inainte de a lua acest medicament 3.
Trebuie sa discutati cu medicul dumneavoastra sau cu farmacistul daca nu sunteti sigur. Comprimatele filmate cu eliberare prelungita se inghit intregi cu o cantitate suficienta de lichid, independent de orarul meselor. Doza trebuie ajustata in functie de intensitatea durerii si raspunsul clinic al fiecarui pacient.
Cu exceptia cazurilor in care medicul a prescris altfel, dozele uzuale sunt: Adulti si adolescenti cu varsta peste 12 ani Doza recomandata este de 1 comprimat Tramadol Retard mg, Tramadol Retard mg sau Tramadol Retard mg, de doua ori pe zi, in functie de severitatea bolii.
In general, trebuie aleasa cea mai mica doza eficace. Nu trebuie depasita doza zilnica de mg clorhidrat de tramadol, cu exceptia unor indicatii speciale. Pacienti varstnici La pacientii varstnici cu varsta sub 75 ani, fara manifestari clinice de insuficienta hepatica sau renala, nu este necesara ajustarea dozei. La pacientii varstnici cu varsta peste 75 ani eliminarea poate fi prelungita. De aceea, daca este necesar, trebuie marite intervalele dintre administrari. La pacientii cu varsta peste 75 ani nu se recomanda doze zilnice mai mari de mg.
In cazurile mai putin severe, se recomanda cresterea intervalului dintre doze. Nu trebuie sa utilizati Tramadol Retard mai mult timp decat este necesar.
Daca natura si severitatea bolii necesita un tratament indelungat cu Tramadol Retard, medicul dumneavoastra trebuie sa verifice periodic daca si in ce masura ste necesar tratamentul cu Tramadol Retard si, in acest caz, in ce doza. Daca observati ca efectul medicamentul este prea tare sau prea slab, spuneti-i medicului dumneavoastra sau farmacistului Daca utilizati mai mult decat trebuie din Tramadol Retard Contactati-l imediat pe medicul dumneavoastra sau pe farmacist.
In cazul supradozajului cu tramadol sunt de asteptat simptome similare celor care apar in cazul altor analgezice cu actiune centrala opioide. If you or someone else swallow several Maneo Tablets at the same time you should contact your doctor or hospital emergency department immediately. Symptoms of overdose may include very small pupils, vomiting, a fall in blood pressure, a fast heart beat, collapse, loss of consciousness up to coma deep unconsciousness , fits and breathing problems up to cessation of breathing may occur.
If you forget to take Maneo Tablets If you forget to take your tablets, pain is likely to return. Take your dose as soon as you remember unless it is almost time for your next dose. Do not take a double dose to make up for a forgotten dose. If you wish to stop treatment on account of unpleasant effects, please tell your doctor.
Generally there will be no after-effects when treatment with Maneo Tablets is stopped. However, on rare occasions, people who have been taking Maneo Tablets for some time may feel unwell if they abruptly stop taking them. They may feel agitated, anxious, nervous or shaky.
They may be confused, hyperactive, have difficulty sleeping and have stomach or bowel disorders. Very rarely, people may experience confusion, panic attacks, delusions persecution paranoia , hallucinations, change in perception of reality derealisation or feeling a loss of identity depersonalization. If you experience any of these complaints after stopping Maneo Tablets, please consult your doctor. If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them. If you get any of the following contact your doctor straight away or seek emergency help immediately: These adverse effects may particularly occur in patients in an upright position or under physical strain urge to be sick retching , stomach trouble e.
These may appear as a change in mood mostly high spirits, occasionally irritated mood , changes in activity slowing down but sometimes an increase in activity and being less aware and less able to make decisions, which may lead to errors in judgement. If the recommended doses are exceeded, or if other medicines that depress brain function are taken at the same time, breathing may slow down.
If Maneo Tablets are taken over a long period of time dependence may occur, although the risk is very low. If you get any side effects , talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet.
Hoe bewaart u dit middel? Keep this medicine out of the sight and reach of children. This medicinal product does not require any special storage conditions. If the tablets become discoloured or show any other signs of deterioration, consult your pharmacist who will tell you what to do. Do not use this medicine after the expiry date stated on the carton or bottle after EXP. The expiry date refers to the last day of that month.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment. Each prolonged- release tablet contains: The other ingredients are microcrystalline cellulose, hypromellose, colloidal anhydrous silica, magnesium stearate The tablet coating contains the following: Maneo Tablets are packed in: Datorita continutului in lactoza, pacientii cu afectiuni ereditare rare de intoleranta la galactoza, deficit de lactaza Lapp sau sindrom de malabsorbtie la glucoza-galactoza nu trebuie sa utilizeze acest medicament.
Va rugam sa spuneti medicului dumneavoastra sau farmacistului daca luati sau ati luat recent orice alte medicamente, inclusiv dintre cele eliberate fara prescriptie medicala. Administrarea concomitenta cu inhibitori de monoamioxidaza IMAO sau la mai putin de 14 de la terminarea tratmentului cu IMAO este contraindicata creste riscul sindromului serotoninergic, cu afectarea sistemului nervos central precum si a centrilor respiratori si circulatori, reactii adverse ce pot pune viata in pericol.
In aceste cazuri creste riscul de supradozaj care poate deprima respiratia pana la oprirea respiratiei. Nu exista nicio interactiune cu alimentele. Daca aveti nelamuriri despre modul de administrare al acestui medicament, adresati-va medicului sau farmacistului dumneavoastra.
Comprimatele filmate cu eliberare prelungita se inghit intregi cu o cantitate suficienta de lichid, independent de orarul meselor. Doza trebuie ajustata in functie de intensitatea durerii si raspunsul clinic al fiecarui pacient. Cu exceptia cazurilor in care medicul a prescris altfel, dozele uzuale sunt: In general, trebuie aleasa cea mai mica doza eficace. Nu trebuie depasita doza zilnica de mg clorhidrat de tramadol, cu exceptia unor indicatii speciale.
Pacienti varstnici La pacientii varstnici pana la 75 ani fara manifestari clinice de insuficienta hepatica sau renala nu este necesara ajustarea dozei. La pacientii varstnici peste 75 ani eliminarea poate fi prelungita. De aceea, daca este necesar, intervalele dintre administrari trebuie prelungite in concordanta cu necesarul pacientului. In cazurile mai putin severe, intervalul dintre administrari poate fi prelungit.
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