Dolmundin 200mg Tablet 5'S

Introduction About DOLMUNDIN 200MG TABLET

DOLMUNDIN 200MG TABLET contains Tramadol which belongs to the group of medicines
called Opioids. It is used in the management of moderate to severe pain (such as
sudden or long-standing pain like pain after an operation or after an injury) in
adults and adolescents aged 12 years and older.

DOLMUNDIN 200MG TABLET is not recommended for use in patients with severe liver
of kidney insufficiency, seizures (fits) which are not controlled by the
management, who have consumed alcohol, withdrawal symptoms due to addiction of
drugs or those have accidentally consumed extra dose of sleeping tablets,
antipsychotics, antidepressants or other pain killers (which can slow down the
breathing and reactions).

Before taking DOLMUNDIN 200MG TABLET, inform your doctor if you have mild to
moderate liver or kidney insufficiency, asthma or breathing trouble, recently
had a head injury or have a very bad headache that makes you sick, had
convulsions (fits) or suffer from epilepsy, have recently felt confused, sleepy
or fainted, are going to have any surgery (which requires anaesthesia), have
tendency to drug addiction or abuse and if you are addicted to morphine.

DOLMUNDIN 200MG TABLET is not recommended for use in pregnant women and not more
than once or alternatively in breastfeeding women. DOLMUNDIN 200MG TABLET is not
recommended for use in children (below 12 years of age) and in children with
breathing problems. It should be cautiously used among elderly patients (aged 75
years and above).

The most common side effects of taking DOLMUNDIN 200MG TABLET are nausea,
vomiting, dizziness, headache, constipation and dry mouth. Consult your doctor
if any of the side effects worsens.

Uses Of DOLMUNDIN 200MG TABLET

• Manage moderate to severe pain (such as sudden or long-standing pain)

How DOLMUNDIN 200MG TABLET Works

DOLMUNDIN 200MG TABLET inhibits the reuptake of the natural neurotransmitters
(norepinephrine and serotonin) and binds weakly to certain receptors (μ-opioid),
blocking the transmission of pain signals to the brain. Thus, it reduces
moderate to severe pain by acting on specific nerve cells of the spinal cord and
the brain.

How to use DOLMUNDIN 200MG TABLET

Take DOLMUNDIN 200MG TABLET as advised by your physician. Swallow the medicine
with a glass of water. You can take this medicine with or without food. Do not
crush or chew the medicine. Your doctor will decide the correct dose and
duration for you depending upon your age, body weight and disease condition.

Side Effects Of DOLMUNDIN 200MG TABLET

Common

• nausea and vomiting
• dizziness, headache
• sleepiness, drowsiness
• constipation
• sweating, dry mouth

Uncommon

• retching, feeling bloated or full
• skin reactions (such as itching, rash)
• palpitation, fast heartbeat, feeling faint or collapse (in patients with upright position or under physical strain)

Rare

• appetite changes
• convulsions (fits)
• tingling sensation and trembling
• slow heartbeat, increase in blood pressure
• blurred vision
• flushing
• muscle weakness
• difficulty or inability in passing urine
• psychic effects (such as changes in mood, activity, behaviour, perce

Stop taking DOLMUNDIN 200MG TABLET and contact your doctor immediately if you
experience any of the following side effects:

• slow or shallow breathing, confusion, sleepiness, small pupils, severe nausea and or constipation, constipation and lack of appetite
• extreme fatigue, lack of appetite, severe abdominal pain, nausea, vomiting or low blood pressure (signs of adrenal insufficiency (low cortisol levels))
• symptoms of an allergic reaction (such as swollen face or throat, difficulty in breathing and wheezing, changes in heart rate, fainting, collapse or unconsciousness due to a drop in blood pressure or convulsions)
• sleep-related breathing disorders such as sleep apnea or hypoexmia (signs include breathing pauses during sleep, night awakening due to shortness of breath, difficulties to maintain sleep or excessive drowsiness during the day)

How To Manage Side Effects

Nausea or vomiting:

Stick to simple meals while taking this medicine. Avoid eating oily rich, fried
or spicy foods. Do not lie down or sleep immediately after eating. Inform your
doctor if the symptom does not improve .

Constipation:

Try to eat more high-fiber foods such as fresh fruit, vegetables, cereals and
drink plenty of water. If this does not help, consult your doctor for receiving
alternate management for constipation.

Headache:

Drink ample amount of water and avoid skipping meals. Get adequate rest. Try to
be relaxed and stress free. Apply pain relieving balm on your forehead if
necessary. Consult your doctor if the symptom does not improve

Dry mouth:

Sip water regularly and other sugar free liquids. Do not use mouthwashes that
contain alcohol because they can make your mouth dry, use mouthwash that is used
only for dry mouth. Limit your caffeine intake. Avoid smoking or using tobacco
products. Consult your doctor if the symptom does not improve.

Dizziness:

Lie down until dizziness is gone, then get up slowly. Move slowly and carefully,
do not hurry. Get adequate rest. Drink plenty of water and other fluids. Avoid
coffee, cigarettes, alcohol and drugs. Consult your doctor if the symptom gets
worse.

Warning & Precautions

!### Pregnancy

DOLMUNDIN 200MG TABLET is not recommended for use during pregnancy because it
may cross the placenta and its safety is not established in pregnant women. If
you have severe pain, consult your doctor for advice who has to decide whether
you can take single doses.

!### Breastfeeding

DOLMUNDIN 200MG TABLET is not recommended for use more than once or
alternatively in breastfeeding women as it may pass through the breast milk.
Consult your doctor before taking DOLMUNDIN 200MG TABLET.

!### Driving and Using Machines

DOLMUNDIN 200MG TABLET is not recommended for use more than once or
alternatively in breastfeeding women as it may pass through the breast milk.
Consult your doctor before taking DOLMUNDIN 200MG TABLET.

!### Alcohol

Do not consume alcohol while taking DOLMUNDIN 200MG TABLET as it may increase
the effects of this medicine.

!### Kidney

DOLMUNDIN 200MG TABLET is not recommended for use in patients with severe kidney
insufficiency. It should be taken with caution in patients with mild to moderate
kidney insufficiency and your doctor may prolong the dosing interval. Consult
your doctor before taking DOLMUNDIN 200MG TABLET.

!### Liver

DOLMUNDIN 200MG TABLET is not recommended for use in patients with severe liver
insufficiency. It should be used with caution in patients with mild to moderate
liver insufficiency and your doctor may prolong the dosing interval. Consult
your doctor before taking DOLMUNDIN 200MG TABLET.

!### Allergy

Do not take DOLMUNDIN 200MG TABLET if you are allergic to Tramadol or any other
ingredients of this medicine.

!### Lungs

DOLMUNDIN 200MG TABLET should be used with caution in patients with asthma or
trouble breathing. Consult your doctor before taking DOLMUNDIN 200MG TABLET.

Others

DOLMUNDIN 200MG TABLET is not recommended for use if you:

• have epilepsy (fits) which is not properly controlled by the management
• have withdrawal symptoms (due to addiction of drugs)
• have accidentally consumed extra dose of sleeping tablets, antipsychotics, antidepressants or other pain killers (which can slow down the breathing and reactions)

Before taking DOLMUNDIN 200MG TABLET, inform your doctor if you:

• recently had a head injury or have a very bad headache that makes you sick
• had convulsions (fits) or suffer from epilepsy
• have recently felt confused, sleepy or fainted
• are going to have any surgery (which requires anaesthesia)
• are addicted to morphine
• have tendency to drug addiction or abuse

Use in paediatrics:

DOLMUNDIN 200MG TABLET is not recommended for use in children (under 12 years of
age). It is also not recommended for children having breathing problems because
the toxicity symptoms of this medicine will be worse in these children. Consult
your child’s doctor for advice.

Use in geriatrics:

DOLMUNDIN 200MG TABLET should be used with caution in elderly patients (aged
above 75 years) due to delayed excretion of this medicine and your doctor may
prolong the dosing interval of DOLMUNDIN 200MG TABLET. Consult your doctor
before taking DOLMUNDIN 200MG TABLET.

Interactions

A. Drug - Drug interactions:

Before taking DOLMUNDIN 200MG TABLET, inform your doctor if you are taking any
of the following medicines:

• monoamine oxidase inhibitors (medicines used to manage depression) Ex. isocarboxazid, phenelzine and selegiline (used to manage parkinson’s disease)
• carbamazepine (used to manage fits)
• medicines used to manage pain (Ex. pentazocine, nalbuphine, buprenorphine, morphine and codeine)
• ondansetron (used to manage nausea)
• antidepressants such as fluoxetine, escitalopram (used to manage depression)
• antipsychotics such as clozapine, amisulpride (used to manage schizophrenia disorders)
• warfarin (used to manage or manage blood clots)

Overdosage:

If you or anyone else accidentally take too much of DOLMUNDIN 200MG TABLET,
consult your doctor immediately or visit the nearby hospital. Symptoms of
overdose are excessive constriction of pupil of the eye, vomiting, sedation,
seizures, coma, cardiovascular collapse and respiratory depression.

Synopsis

Drug	:	Tramadol
Pharmacological Category	:	Opioids
Therapeutic Indication	:	Managea moderate to severe pain
Dosage Forms	:	Tablet, Capsule, Injection, Suppositories

More Information

• keep DOLMUNDIN 200MG TABLET out of reach of children.
• Store DOLMUNDIN 200MG TABLET at room temperature

FAQs About DOLMUNDIN 200MG TABLET

What is DOLMUNDIN 200MG TABLET and why is it prescribed?

DOLMUNDIN 200MG TABLET contains Tramadol which belongs to the group of medicines
called Opioids. It is used in the management of moderate to severe pain (such as
sudden or long-standing pain like pain after an operation or after an injury).
Consult your doctor before taking DOLMUNDIN 200MG TABLET.

What are the common side-effects of taking DOLMUNDIN 200MG TABLET?

The most common side effects of taking DOLMUNDIN 200MG TABLET are nausea,
vomiting, headache, dizziness, sleepiness, drowsiness, sweating, dry mouth and
constipation. Consult your doctor if any of the side effect worsens.

Can I takeDOLMUNDIN 200MG TABLETmore than the recommended dose to
control the pain?

No, DOLMUNDIN 200MG TABLET is not recommended to be taken more than the
recommended dose as it may lead to serious unwanted effects. Overdosage symptoms
of DOLMUNDIN 200MG TABLET are excessive constriction of pupil of the eye,
vomiting, sedation, seizures, coma, cardiovascular collapse and respiratory
depression. If you or anyone else accidentally take too much of DOLMUNDIN 200MG
TABLET, consult your doctor immediately or visit the nearby hospital.

Is DOLMUNDIN 200MG TABLET safe to use during breast-feeding?

DOLMUNDIN 200MG TABLET is not recommended for use more than once or
alternatively in breastfeeding women as it may pass through the breast milk.
Consult your doctor for advice before taking DOLMUNDIN 200MG TABLET.

Is DOLMUNDIN 200MG TABLET safe to use in elderly patients?

DOLMUNDIN 200MG TABLET should be used with caution in elderly patients (aged
above 75 years) due to delayed excretion of this medicine and your doctor may
prolong the dosing interval of DOLMUNDIN 200MG TABLET. Consult your doctor
before taking DOLMUNDIN 200MG TABLET.

Useful Diagnostic Tests

• Kidney function test