Diclofenac + Tramadol
Uses of Diclofenac + Tramadol
Diclofenac + Tramadol is a combination medicine used to relieve moderate to severe pain in adults. It combines an NSAID with an opioid analgesic.
This combination is commonly used for:
• Acute musculoskeletal pain: Relieves pain from muscle, joint, or bone injuries.
• Postoperative pain: Manages moderate to severe pain following surgical procedures.
• Dental pain: Eases pain following dental procedures or dental conditions.
• Osteoarthritis and rheumatoid arthritis flare-ups: Relieves pain and discomfort during disease flare-ups.
Side effects of Diclofenac + Tramadol
Nausea
Vomiting
Dizziness
Drowsiness
Fatigue
How Diclofenac + Tramadol works
Diclofenac + Tramadol works through two separate actions that provide effective relief from moderate to severe pain.
Diclofenac is an NSAID. It blocks the cyclooxygenase (COX) enzyme, reducing the production of prostaglandins, the chemicals responsible for pain, inflammation, and fever.
Tramadol is an opioid pain reliever. It attaches to mu-opioid receptors in the brain and spinal cord, which dulls the sensation of pain. It also inhibits the reuptake of serotonin and noradrenaline, further contributing to pain relief.
Together, the two medicines act on different pain pathways in the body, providing more effective relief than either used alone.
Certified content
Written By
Doctor of Medicine
Reviewed By
BAMS, FMC, MD Resident
Expert Advice
Dosage Forms Available
Diclofenac + Tramadol is available in tablet form for oral administration.
Age and Dose Restrictions
Diclofenac + Tramadol is intended for use by adults.
Contraindications
Diclofenac + Tramadol is contraindicated in individuals with known hypersensitivity to either diclofenac or tramadol.
It is also contraindicated in patients with active gastrointestinal bleeding or peptic ulcer disease.
Other Medications to Avoid
Diclofenac + Tramadol may interact with other NSAIDs (eg., ibuprofen, naproxen), anticoagulants (eg., warfarin, heparin) and antidepressants (eg., fluoxetine, escitalopram).
Overdose and Missed Dose
- Taking more than the prescribed dose may cause serious effects such as severe breathing difficulty or seizures. If you suspect an overdose, contact your doctor immediately.
If you miss a dose of Diclofenac + Tramadol, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for the missed one.
Management of Side Effects
Most side effects are temporary and generally harmless and resolve after discontinuing this medicine. However, if you experience any severe side effects or worsening symptoms, please consult your doctor.
Drinking plenty of water can help minimise gastrointestinal side effects such as nausea and constipation.
Resting in a quiet, dark room can help manage headaches.
Use in Driving and Operating Machinery
Diclofenac + Tramadol may impair your ability to drive or operate heavy machinery. Avoid these activities if you experience drowsiness and dizziness after taking this medicine.
Use in Pregnancy and Lactation
Diclofenac + Tramadol is not recommended for use during pregnancy or while breastfeeding. Consult your doctor before taking this medication if you are pregnant or breastfeeding.
Caution in Other Conditions
Individuals with a history of gastrointestinal disorders, cardiovascular disease, or seizure disorders should exercise caution when taking Diclofenac + Tramadol.
People with impaired kidney or liver function should also consult their doctor before taking this medication.
Special Dietary and Lifestyle Recommendations
Adopting a balanced diet can help maintain overall health and wellness. Include a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats in your meals.
Maintain a regular sleep schedule to ensure adequate rest and recovery. Avoid consuming stimulants such as caffeine and alcohol close to bedtime.
Frequently asked questions
Can Diclofenac + Tramadol cause dependency or addiction?
Yes, Tramadol, an active ingredient in Diclofenac + Tramadol, is an opioid and can lead to dependence or addiction if not used appropriately. Always use under a doctor's supervision and follow the prescribed dosage.
Does Diclofenac + Tramadol interfere with hormonal balance?
Diclofenac + Tramadol is not typically associated with interference in hormonal balance. Diclofenac is an NSAID, and Tramadol is an opioid analgesic, both used for pain relief. They generally do not impact hormonal levels or balance.
Is Diclofenac + Tramadol a steroid?
No, Diclofenac + Tramadol is not a steroid. It is a combination medication comprising an NSAID and an opioid pain reliever.
Does Diclofenac + Tramadol have any effect on sleep?
Yes, one of the side effects of Diclofenac + Tramadol can be drowsiness. Therefore, it can potentially affect sleep patterns. If you experience extreme sleep disturbances, consult your doctor.
Will Diclofenac + Tramadol affect fertility?
Diclofenac + Tramadol is not commonly associated with effects on fertility. Diclofenac is an NSAID and Tramadol is an opioid analgesic; neither is known to have significant impacts on reproductive health. However, long-term use or high doses of these medications should be monitored by a doctor.
How much time does Diclofenac + Tramadol take to work?
The duration for Diclofenac + Tramadol to start working can vary from person to person. Generally, pain relief can be felt within an hour after taking the medicine.
Is it safe to take Diclofenac + Tramadol daily?
Diclofenac + Tramadol is typically prescribed for short-term use for severe pain. Long-term daily use should only be under the direct supervision of a doctor due to potential side effects and risk of dependency.
Diclofenac + Tramadol in other salts
List of medicines for Diclofenac + Tramadol
Company
About UsHealth ArticleHealth StoriesHealth LibraryDiseases & Health ConditionsAyurvedaUnderstanding Generic MedicinesAll MedicinesAll BrandsNeed HelpFAQSecuritySavings CalculatorAdvertise with UsSubscribe
Registered Office Address
Grievance Officer
Download Truemeds
Contact Us
Our customer representative team is available 7 days a week from 9 am - 9 pm.
v4.28.9
2026 - Truemeds | All rights reserved. Our content is for informational purposes only. See additional information.
Our Payment Partners
