Dicyclomine + Paracetamol/Acetaminophen + Tramadol is primarily used for the management of acute moderate to severe pain in adults and falls under the category of analgesic medications.
Additionally, this combination provides relief from painful gastrointestinal conditions associated with irritable bowel syndrome (IBS) and other functional bowel disorders, helping reduce abdominal cramps and spasms.
Drowsiness
Dizziness
Blurred vision
Dry mouth
Nausea and vomiting
Dicyclomine + Paracetamol/Acetaminophen + Tramadol is a combination analgesic and antispasmodic medicine.
Dicyclomine acts as an antispasmodic and works by relaxing the smooth muscles in the gut. This is achieved by blocking acetylcholine, a chemical messenger, which reduces spasms and cramping in the abdomen.
Paracetamol is an analgesic and an antipyretic. It operates predominantly within the central nervous system and inhibits the creation of prostaglandins, chemicals that promote inflammation, pain, and fever, thereby offering pain relief and reducing fever.
Tramadol s an opioid analgesic. It attaches itself to certain receptors in the brain known as μ-opioid receptors. This attachment reduces the perception of pain. Simultaneously, Tramadol also suppresses the uptake of two neurotransmitters, serotonin and norepinephrine, adding to its pain-relieving effect.
When combined, these three components provide effective pain relief through different mechanisms for various types of acute pain.
BDS, MDS
BMS, FMC, MD Resident
Dicyclomine + Paracetamol/Acetaminophen + Tramadol is available for use orally in the form of tablets.
This combination is intended for use by adults only.
It should not be administered to children under the age of 12 years.
This combination is contraindicated in patients with severe respiratory depression.
It is also contraindicated in individuals with acute or severe bronchial asthma and those with a paralytic ileus.
Patients with severe liver impairment should not take this combination.
This combination may interact with other opioids (such as morphine and codeine), benzodiazepines and other sedatives (like diazepam and lorazepam), antidepressants (including MAOIs like phenelzine and SSRIs like fluoxetine), antihistamines (such as diphenhydramine and loratadine), anticholinergic medications (like atropine), and warfarin.
It is essential to inform your doctor about all other medications you are taking to avoid potential interactions.
An overdose of this combination can lead to severe symptoms such as extreme drowsiness, slow breathing, liver damage, and loss of consciousness. Immediate medical attention is crucial in cases of overdose.
If you miss a dose, take it as soon as you remember unless it is almost time for your next dose. Do not double the dose to make up for the missed one.
Most side effects are temporary and generally harmless and resolve when discontinuing this combination. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.
To manage dizziness or drowsiness, try adjusting the timing of the medicine, such as taking it when you do not need to be alert.
Stay hydrated by drinking plenty of water to help ease some side effects like dry mouth or constipation.
This combination may impair your ability to drive or operate machinery. If you experience dizziness or drowsiness after taking this medicine, it is advised to avoid engaging in activities that require mental alertness.
Dicyclomine + Paracetamol/Acetaminophen + Tramadol is not recommended for use during pregnancy or lactation unless explicitly advised by your doctor. The effects on the unborn child or nursing infant are not fully understood, making it essential to consult your doctor before use if you are pregnant or breastfeeding.
Patients with a history of liver disease, kidney disease, or seizures should use this medicine with caution.
Special consideration is also advised for individuals with substance abuse disorders due to the opioid component of this medication.
Maintain a balanced diet rich in fibre to help manage gastrointestinal symptoms. Include whole grains, fruits, and vegetables in your meals.
Stay hydrated by drinking adequate amounts of water throughout the day which assists in digestion and prevents constipation.
Regular moderate exercise can help improve gastrointestinal motility and overall health. Consult your doctor for appropriate exercises that might benefit your specific condition.
Frequently asked questions
No, it is not a steroid. It is a combination of an antispasmodic, an analgesic and antipyretic, and an opioid analgesic.
There is no evidence to suggest that this combination directly affects mood or hormonal balance. However, it may cause some side effects such as drowsiness and insomnia which could potentially affect mood indirectly.
The time for this combination to start working can vary depending on the individual and the severity of the pain. However, relief is typically experienced within an hour of taking the medication.
The composition of the medication itself does not contain any animal-derived ingredients. However, the physical form of the medicine (tablet/capsule) may sometimes contain gelatin which is animal-derived. It is recommended that vegetarians and vegans consult with their doctor or pharmacist to confirm.
This medication contains Tramadol, which is an opioid analgesic. Prolonged use can lead to physical dependence and withdrawal symptoms if stopped abruptly. Therefore, it should be used exactly as prescribed by your doctor.
No specific food interactions have been reported with this medication. However, it is always a good idea to consult your doctor about any potential interactions.
Expired medications should be disposed of properly and not thrown in the regular trash or flushed down the toilet. Your local pharmacy may have a disposal programme for expired medications.
Dicyclomine + Paracetamol/acetaminophen + Tramadol in other salts
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