Altradol Tablet (Tramadol): Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Slow, shallow, or stopped breathing
- Extreme sleepiness or difficulty waking up
- Seizures or convulsions
- Agitation, confusion, fast heartbeat, high fever, or muscle stiffness
- Swelling of the face, lips, tongue, or throat
- Severe abdominal pain, vomiting blood, or black stools
- Yellowing of the skin or eyes
- Decreased urine output or inability to urinate
- Unusual bleeding or bruising
- Sudden severe headache or vision changes
If experiencing severe symptoms, call emergency services immediately.
What is afdol injection used for?
This medicine contains tramadol and is used to relieve moderate to moderately severe pain in adults. It works by blocking pain signals in the brain and spinal cord. It is available as an immediate-release tablet and should only be taken under medical supervision because it can cause drowsiness, dependence, and serious side effects.
- Generic Name: Tramadol
- Manufacturer: Anglo-French Drugs & Industries Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 afdol injection के बारे में (Hindi Summary)
उपयोग: यह दवा ट्रामाडोल नामक सक्रिय तत्व से बनी है और मध्यम से गंभीर दर्द के इलाज के लिए इस्तेमाल की जाती है। यह मस्तिष्क और रीढ़ की हड्डी में दर्द के संकेतों को कम करके काम करती है। यह आमतौर पर सर्जरी के बाद, चोट लगने पर, दांत निकालने के बाद या पुराने दर्द जैसे गठिया और कमर दर्द में दी जाती है। यह दवा केवल डॉक्टर की सलाह से ही लेनी चाहिए क्योंकि इससे नींद आना, चक्कर आना और लत लगने का खतरा हो सकता है। इसे शराब के साथ बिल्कुल न लें।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में मतली, चक्कर आना, नींद आना, कब्ज, सिरदर्द और मुंह सूखना शामिल हैं। कुछ लोगों को उल्टी भी हो सकती है। गंभीर दुष्प्रभावों में दौरे पड़ना, सांस लेने में कठिनाई, तेज धड़कन, और एलर्जी की प्रतिक्रिया शामिल हो सकती है। अगर आपको सांस लेने में तकलीफ, बेहोशी, या दौरे पड़ें तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, अपनी मर्जी से मात्रा न बढ़ाएं। इसे पानी के साथ निगलें, खाने के साथ या बिना खाने के ले सकते हैं, लेकिन खाने के साथ लेने से मतली कम हो सकती है। इस दवा के साथ शराब न लें। जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक गाड़ी न चलाएं और मशीन न चलाएं। अपने डॉक्टर को अपनी सभी दवाओं के बारे में बताएं। लंबे समय तक लेने के बाद अचानक बंद न करें, डॉक्टर की सलाह से धीरे-धीरे कम करें।
💊 afdol injection Uses & Benefits
[{"condition":"Moderate to moderately severe acute pain","description":"This medicine is used for short-term relief of acute pain such as pain after surgery, dental procedures, or injury when non-opioid analgesics are not enough.","evidence":"Well-established"},{"condition":"Chronic pain syndromes","description":"It may be prescribed for persistent pain conditions such as osteoarthritis or low back pain when other treatments have failed, but only under close medical supervision.","evidence":"Moderate"},{"condition":"Neuropathic pain","description":"Sometimes used for certain types of nerve pain, although it is not a first-line treatment for all neuropathic conditions.","evidence":"Limited"}]
Off-label uses: [{"condition":"Premature ejaculation","description":"Tramadol has been studied off-label for delaying ejaculation, but this use is not approved and should only be considered by a specialist.","evidence":"Limited"},{"condition":"Restless legs syndrome","description":"In some cases, clinicians may try tramadol for restless legs syndrome when other treatments are not effective, but this is not a standard approved use.","evidence":"Limited"}]
Primary treatment for: Moderate to moderately severe pain
Also treats: Chronic low back pain, Osteoarthritis pain, Post-surgical pain, Neuropathic pain
📋 Drug Information
| Generic Name(s) | Tramadol |
| Brand Name | Asic 50mg Tablet |
| Manufacturer | Anglo-French Drugs & Industries Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | Opioids |
| Route of Administration | Oral |
| Storage | Store this medicine at room temperature between 15°C and 30°C in a dry place. Keep it in its original container, tightly closed, and away from direct sunlight, heat, and moisture. Do not store it in the bathroom. Keep it out of the reach of children and pets. |
| Shelf Life | The shelf life of this medicine is typically 24 to 36 months from the date of manufacture, but you should always check the expiry date printed on the pack. Do not use it after the expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine produces pain relief through two complementary mechanisms. It binds weakly to mu-opioid receptors in the central nervous system, which reduces the transmission of pain signals. In addition, it inhibits the reuptake of norepinephrine and serotonin in the spinal cord, which enhances descending pain inhibition. This dual action makes it useful for certain types of pain, but it also increases the risk of serotonin syndrome when combined with other serotonergic drugs.
Mechanism Steps
💡 How to Take afdol injection
Strength: This medicine is available as an immediate-release tablet. The strength is not specified in the provided information. Always check the label for the exact strength prescribed to you.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine for moderate to moderately severe pain is one 50 mg tablet taken by mouth every 4 to 6 hours as needed for pain relief. Some doctors may start with a lower dose and adjust based on your response and tolerance. The maximum recommended daily dose is generally 400 mg, but lower limits may apply for older adults or those with liver or kidney problems. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. This medicine is not recommended for children under 12 years of age. |
| Elderly Dosage | Older adults, especially those above 65 years, may be more sensitive to the effects of this medicine. Doctors usually start with a lower dose and increase it slowly. The maximum daily dose may be reduced, and extra monitoring for drowsiness, confusion, and falls is recommended. |
| Renal Impairment | In people with kidney impairment, this medicine may accumulate in the body. For moderate kidney impairment, the dosing interval may need to be extended, and for severe kidney impairment, a lower dose or a different pain reliever may be recommended. Dose adjustment must be guided by a qualified clinician. |
| Hepatic Impairment | In people with liver impairment, the liver may not process this medicine efficiently, leading to higher blood levels and increased side effects. A lower dose or longer dosing interval may be needed. In severe liver disease, this medicine is generally not recommended. Dose adjustment must be guided by a qualified clinician. |
| Maximum Daily Dose | The maximum recommended daily dose for adults is generally 400 mg, but this may be lower depending on your age, liver function, kidney function, and other medicines you take. Never exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of afdol injection
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| MAOIs | Major | |
| SSRIs/SNRIs | Major | |
| Other opioids | Major | |
| Warfarin | Major | |
| Tricyclic antidepressants | Major | |
| Carbamazepine | Moderate | |
| Quinidine | Moderate | |
| Ritonavir | Moderate | |
| Digoxin | Moderate | |
| Diuretics | Moderate |
🚨 Major Interactions
- Monoamine oxidase inhibitors (MAOIs)
- Other opioids or central nervous system depressants
- Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs)
- Tricyclic antidepressants
- Warfarin
⚡ Moderate Interactions
- Carbamazepine
- Quinidine
- Ritonavir
- Digoxin
- Diuretics
🍷 Alcohol Interaction
Do not drink alcohol while taking this medicine. Alcohol increases the risk of severe drowsiness, dizziness, and slowed breathing, and it can also raise the chance of seizures and liver problems. If you accidentally consume alcohol, avoid driving or operating machinery and contact your doctor if you feel unusually sleepy or unwell.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to tramadol or any ingredient in this medicine","Children under 12 years of age","Use of monoamine oxidase inhibitors within the past 14 days","Uncontrolled epilepsy or a history of seizures not well controlled","Severe respiratory depression or severe lung disease","Severe liver or kidney impairment without medical supervision","Acute alcohol or drug intoxication","Pregnancy and breastfeeding unless specifically advised by a doctor"]
⚠️ Warnings & Precautions
["This medicine can cause seizures, especially in people with a history of seizures or those taking other seizure-triggering medicines.","Serotonin syndrome is a rare but serious risk, particularly when combined with other serotonergic drugs.","Respiratory depression can occur, especially with high doses or when combined with other central nervous system depressants.","Dependence and withdrawal can develop with prolonged use. Do not stop suddenly without medical advice.","This medicine can cause drowsiness and dizziness. Avoid driving or operating machinery until you know how it affects you.","Do not drink alcohol while taking this medicine.","Use with caution in older adults, who may be more sensitive to side effects.","Tell your doctor about all other medicines, supplements, and herbal products you are taking."]
🤱 Lactation Safety
This medicine passes into breast milk in small amounts. It is generally not recommended during breastfeeding because of the potential for sedation and breathing problems in the infant. If it must be used, the lowest effective dose should be taken, and the baby should be monitored for drowsiness and poor feeding.
💊 Overdose Management
An overdose of this medicine can cause severe drowsiness, slow or stopped breathing, seizures, coma, and even death. If you suspect an overdose, call emergency services immediately. Do not wait for symptoms to worsen. Treatment in a hospital may include supportive care, monitoring of breathing and heart function, and administration of an antidote such as naloxone if opioid effects are prominent. Seizures may be treated with appropriate anticonvulsant medicines. Never try to manage an overdose at home.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember if it is still close to the scheduled time. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed dose. If you are unsure what to do, contact your doctor or pharmacist.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor and never increase the dose on your own. Swallow the tablet whole with a glass of water, with or without food, but taking it with food may reduce nausea. Do not drink alcohol while using this medicine because it can increase drowsiness and the risk of serious breathing problems. Do not drive, operate machinery, or perform hazardous tasks until you know how this medicine affects you. Tell your doctor about all other medicines you take, especially antidepressants, anticonvulsants, blood thinners, and other pain relievers. Do not stop this medicine suddenly after long-term use; your doctor will help you taper the dose safely. Keep this medicine out of the reach of children and store it in its original packaging at room temperature.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults are more sensitive to the effects of this medicine, especially drowsiness, dizziness, confusion, and falls. They may also have reduced kidney and liver function, which can cause the medicine to build up in the body. Doctors usually start with a lower dose and monitor closely. Extra caution is needed if the elderly person is taking other medicines that cause drowsiness.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, talk to your doctor before taking this medicine. It is not recommended during pregnancy unless clearly needed. Long-term use during pregnancy can cause withdrawal symptoms in the newborn. Your doctor may recommend alternative pain management options.
🏥 Post-Surgery Considerations
This medicine is often used after surgery for moderate to severe pain. It should be taken exactly as prescribed by your surgeon. Inform your surgical team about all other medicines you take. After surgery, your doctor will monitor your pain and may adjust the dose. Do not drive or operate machinery until you are fully recovered and your doctor says it is safe.
🦷 Dental Procedures
This medicine may be prescribed for pain after dental procedures such as tooth extraction or implant placement. Take it as directed by your dentist. Inform your dentist about all other medicines you take, especially antidepressants and blood thinners. Avoid alcohol and do not drive after taking this medicine.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can cause drowsiness and dizziness, so avoid exercising until you know how it affects you. Start with gentle activities and gradually increase intensity as tolerated. If you have chronic pain, consult a physiotherapist for a safe exercise plan. Stop exercising and seek medical advice if you experience chest pain, severe shortness of breath, or worsening pain.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness, dizziness, and difficulty concentrating, which may affect your ability to work, drive, or operate machinery. Avoid these activities until you know how the medicine affects you. If your job requires alertness, discuss with your doctor about adjusting the dose or timing. Take regular breaks and avoid strenuous tasks if you feel sleepy.
🛑 When to Stop This Medicine
Do not stop this medicine suddenly, especially if you have been taking it for more than a few weeks, as this can cause withdrawal symptoms such as anxiety, sweating, nausea, and tremors. Your doctor will guide you on how to taper the dose gradually. If you experience serious side effects like seizures, breathing problems, or severe allergic reactions, stop the medicine and seek immediate medical help.
📅 Long-Term Use Effects
Long-term use of this medicine can lead to tolerance, meaning you may need higher doses for the same effect, and dependence, which can cause withdrawal symptoms if you stop suddenly. It may also increase the risk of seizures, hormonal changes, and mood disturbances. Regular monitoring of pain control, side effects, liver and kidney function, and signs of dependence is recommended. If you need to stop after long-term use, your doctor will help you taper the dose gradually.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help strengthen muscles, improve flexibility, and reduce pain without medicines.
Evidence: Well-establishedHelps change the way you think about and cope with chronic pain.
Evidence: Well-establishedSome people find relief from chronic pain with acupuncture, though evidence is mixed.
Evidence: LimitedMedicines like acetaminophen or NSAIDs may be enough for mild to moderate pain.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled for vaccination, inform your healthcare provider that you are taking this medicine. It is generally safe to continue your regular medicines unless your doctor advises otherwise.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in the original container with the label intact
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight and moisture
❌ DON'T
Do not store in the bathroom cabinet
✅ DO
Keep out of the reach of children and pets
❌ DON'T
Do not leave it where children can see or reach it
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging with the prescription label clearly visible. Bring a copy of your prescription and a letter from your doctor if you are traveling internationally, as some countries have strict rules about opioid medicines. Store it in your carry-on luggage, not in checked baggage, and keep it away from extreme heat or cold. If you are crossing time zones, ask your doctor how to adjust your dosing schedule. Never share this medicine with anyone else.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts relieving pain within 30 to 60 minutes after you take a tablet, with the peak effect around 2 hours.
A: No. Alcohol increases the risk of severe drowsiness, breathing problems, and seizures. Avoid alcohol completely while taking this medicine.
A: It can be used long-term only under close medical supervision because of the risks of dependence, withdrawal, and other side effects. Your doctor will monitor you regularly.
A: If you remember within a short time, take the missed dose. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
A: This medicine can cause drowsiness and dizziness. Do not drive or operate machinery until you know how it affects you.
🤔 Common Patient Concerns
🔄 Substitutes for afdol injection
View AllAlternative brands with exact same active ingredient:
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Tram InjectionZydus Cadila ₹6.00 30.7% COSTLIER
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m dol injectionOscar Remedies Pvt Ltd ₹14.06 206.3% COSTLIER
-
Sternix InjectionCanixa Life Sciences Pvt ₹17.13 273.2% COSTLIER
-
Rosetra InjectionAlmet Corporation Ltd ₹18.70 307.4% COSTLIER
-
valcom injectionKinedex Healthcare Pvt Ltd ₹20.63 349.5% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a safe painkiller with no risk of addiction.
Fact: This medicine can cause dependence and withdrawal, especially with long-term use. It should only be used under medical supervision. - Myth: You can drink alcohol while taking this medicine.
Fact: Alcohol increases the risk of severe drowsiness, breathing problems, and seizures. It should be avoided completely. - Myth: This medicine works instantly.
Fact: It usually takes 30 to 60 minutes to start relieving pain, with peak effects around 2 hours. - Myth: You can stop this medicine suddenly without any problems.
Fact: Stopping suddenly after long-term use can cause withdrawal symptoms. Always taper under medical guidance.
🔄 Alternative Options
Generic Alternatives
- Tramadol
Brand Alternatives
- Altradol