Contramal DT 50mg Tablet (Tramadol 50mg): 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 irregular breathing
- Extreme sleepiness or difficulty waking up
- Seizure or convulsion
- Fever with sweating, muscle stiffness, tremors, or agitation
- Swelling of the face, lips, or throat, or difficulty breathing
- Severe abdominal pain, vomiting blood, or black stools
- Fast, irregular heartbeat or chest pain
- Confusion, hallucinations, or unusual behavior
- Yellowing of the skin or eyes
- Decreased urine output or inability to pass urine
If experiencing severe symptoms, call emergency services immediately.
What is asic 50mg tablet used for?
This medicine is an oral painkiller containing tramadol 50 mg. It is used for moderate to moderately severe pain in adults. It works by blocking pain signals in the brain and spinal cord. It can cause drowsiness, dizziness, nausea, and constipation. Do not drink alcohol or drive while taking it. It should only be used under medical supervision.
- Generic Name: Tramadol
- Manufacturer: Bhavishya Pharmaceuticals Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 asic 50mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा ट्रामाडोल 50 मिलीग्राम की गोली है, जिसका उपयोग मध्यम से गंभीर दर्द के इलाज के लिए किया जाता है। यह ऑपरेशन के बाद के दर्द, चोट के दर्द, दांत के दर्द, और गठिया या कमर दर्द जैसी पुरानी दर्द की स्थितियों में दी जाती है। यह दवा दिमाग और रीढ़ की हड्डी में दर्द के संकेतों को कम करके असर करती है। यह अकेले पैरासिटामोल या इबुप्रोफेन से राहत न मिलने पर दी जाती है। यह दवा डॉक्टर की सलाह के बिना नहीं लेनी चाहिए क्योंकि इससे लत लग सकती है और गंभीर दुष्प्रभाव हो सकते हैं।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में मतली, उल्टी, चक्कर आना, नींद आना, सिरदर्द, कब्ज, मुंह सूखना, पसीना आना और थकान शामिल हैं। गंभीर दुष्प्रभाव कम होते हैं लेकिन ध्यान देने योग्य हैं, जैसे सांस धीमी होना, बहुत अधिक नींद आना, दौरे पड़ना, दिल की धड़कन तेज होना, बेचैनी, भ्रम, और सीरोटोनिन सिंड्रोम के लक्षण जैसे बुखार, पसीना, मांसपेशियों में अकड़न और कंपन। अगर आपको कोई भी असामान्य लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, अपनी मर्जी से मात्रा न बढ़ाएं। इसे पानी के साथ निगलें, चबाएं नहीं। खाने के साथ लेने से मतली कम हो सकती है। इस दवा के साथ शराब बिल्कुल न लें क्योंकि इससे नींद, सांस की समस्या और लीवर पर असर बढ़ सकता है। जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक गाड़ी न चलाएं और मशीन न चलाएं। अगर आपको किडनी या लीवर की बीमारी, मिर्गी, सांस की समस्या, या नशे की लत रही है तो डॉक्टर को बताएं। लंबे समय तक लेने के बाद अचानक बंद न करें, डॉक्टर धीरे-धीरे मात्रा कम करेंगे।
💊 asic 50mg tablet Uses & Benefits
[{"condition":"Moderate to moderately severe acute pain","description":"This medicine is used for short-term relief of moderate to moderately severe pain, such as pain after surgery, injury, or dental procedures, when non-opioid painkillers are not sufficient.","evidence":"Well-established"},{"condition":"Chronic musculoskeletal pain","description":"It may be prescribed for persistent pain from conditions such as osteoarthritis, low back pain, or fibromyalgia when other treatments have not provided adequate relief.","evidence":"Moderate"},{"condition":"Neuropathic pain","description":"This medicine is sometimes used for nerve-related pain because it also affects serotonin and norepinephrine, but it is not a first-line treatment for all neuropathic pain conditions.","evidence":"Moderate"},{"condition":"Postoperative pain","description":"It can be used for pain control after surgery, often as part of a multimodal pain management plan and for a limited duration.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Premature ejaculation","description":"This medicine has been studied off-label for delaying ejaculation because of its effects on serotonin and opioid receptors, but it is not approved for this use and should only be considered under specialist supervision.","evidence":"Limited"},{"condition":"Restless legs syndrome","description":"It is occasionally used off-label for restless legs syndrome when other treatments are not suitable, but this is not a standard approved indication.","evidence":"Limited"}]
Primary treatment for: Moderate to moderately severe pain
Also treats: Osteoarthritis, Low back pain, Neuropathic pain, Postoperative pain, Dental pain
📋 Drug Information
| Generic Name(s) | Tramadol |
| Brand Name | Asic 50mg Tablet |
| Manufacturer | Bhavishya Pharmaceuticals Pvt 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 the original container, tightly closed, away from direct sunlight and moisture. Do not store it in the bathroom. Keep it out of reach of children and pets. |
| Shelf Life | The shelf life of this medicine is typically 24 to 36 months from the date of manufacture, depending on the manufacturer and packaging. Always check the expiry date on the pack and do not use it after that 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 works in two main ways. It binds weakly to mu-opioid receptors in the brain and spinal cord, which reduces the transmission of pain signals. It also inhibits the reuptake of serotonin and norepinephrine, two chemical messengers involved in pain modulation, which adds to its pain-relieving effect. This dual action makes it useful for certain types of pain, but it also explains why it can interact with other medicines that affect serotonin or opioid receptors.
Mechanism Steps
💡 How to Take asic 50mg tablet
Strength: This medicine is available as an immediate-release tablet containing 50 mg of tramadol. It is taken by mouth.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 50 mg to 100 mg taken by mouth every 4 to 6 hours as needed for pain, up to a maximum of 400 mg per day. For many people, a lower starting dose of 50 mg is enough. The dose must be individualized by a qualified clinician based on the type and severity of pain, your age, weight, kidney and liver function, and other medicines you take. Do not take more than the prescribed dose or take it more often than advised. If you have kidney or liver problems, your doctor may recommend a lower dose or a longer interval between doses. |
| Pediatric Dosage | Pediatric dosing is not established from available information. This medicine is not recommended for children below 12 years of age. For adolescents 12 years and older, dosing must be determined by a pediatrician based on weight and clinical condition. Do not give this medicine to a child without a doctor's prescription. |
| Elderly Dosage | Older adults, especially those above 65 years, may be more sensitive to the effects of this medicine, including drowsiness, dizziness, and breathing problems. A lower starting dose and slower dose increases are often recommended. Kidney and liver function should be checked before and during treatment. Elderly patients should also be monitored for falls and confusion. |
| Renal Impairment | In people with kidney problems, this medicine can accumulate and cause more side effects. For mild to moderate kidney impairment, the dose may need to be reduced or the interval between doses increased. In severe kidney impairment, this medicine is generally not recommended. Your doctor will decide the appropriate dose based on your kidney function tests. |
| Hepatic Impairment | In people with liver problems, the liver may not break down this medicine as quickly, leading to higher levels in the body and more side effects. A lower dose or longer dosing interval may be needed. In severe liver impairment, this medicine is generally not recommended. Your doctor will adjust the dose based on your liver function tests. |
| Maximum Daily Dose | The maximum recommended daily dose of this medicine is 400 mg per day for adults. Doses above this increase the risk of seizures, breathing problems, and other serious side effects. Never exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of asic 50mg tablet
✅ 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 | |
| Other opioids or sedatives | Major | |
| SSRIs/SNRIs | Major | |
| Carbamazepine | Major | |
| Warfarin | Major | |
| Fluoxetine/Paroxetine | Moderate | |
| Ketoconazole/Erythromycin | Moderate | |
| Rifampicin | Moderate | |
| Metoclopramide | Moderate | |
| Antihistamines | Minor |
🚨 Major Interactions
- Monoamine oxidase inhibitors (MAOIs)
- Other opioids, alcohol, or sedatives
- SSRIs, SNRIs, tricyclic antidepressants, triptans, and other serotonergic drugs
- Carbamazepine
- Warfarin
⚡ Moderate Interactions
- CYP2D6 inhibitors such as fluoxetine, paroxetine, and quinidine
- CYP3A4 inhibitors such as ketoconazole and erythromycin
- CYP3A4 inducers such as rifampicin and St. John's wort
- Antiemetics such as metoclopramide and ondansetron
- Diuretics and ACE inhibitors
🍷 Alcohol Interaction
Do not drink alcohol while taking this medicine. Alcohol increases the risk of severe drowsiness, slow breathing, and liver problems. It can also make you less alert and more likely to have an accident. If you have a history of alcohol misuse, tell your doctor before taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Allergy to tramadol or any ingredient in this medicine","Children below 12 years of age","Use within 14 days of taking monoamine oxidase inhibitors","Severe breathing problems or severe asthma","Uncontrolled epilepsy or a condition that increases seizure risk","Severe kidney or liver impairment without medical supervision","Acute alcohol or drug withdrawal","Breastfeeding, unless specifically approved by a doctor"]
⚠️ Warnings & Precautions
["This medicine can cause dependence and withdrawal symptoms if used for a long time. Use it only as prescribed and for the shortest duration needed.","Do not drive or operate heavy machinery until you know how this medicine affects you, as it can cause drowsiness and dizziness.","Avoid alcohol and other sedating medicines because they increase the risk of serious breathing problems and extreme sleepiness.","Tell your doctor if you have kidney or liver disease, epilepsy, breathing problems, depression, or a history of drug or alcohol misuse.","This medicine can increase the risk of seizures, especially in people with epilepsy or those taking other medicines that lower the seizure threshold.","Do not stop this medicine suddenly after long-term use. Your doctor will reduce the dose gradually to prevent withdrawal.","Keep this medicine out of reach of children, as accidental intake can be dangerous.","Tell your doctor if you are pregnant, planning pregnancy, or breastfeeding before taking this medicine."]
🤱 Lactation Safety
This medicine passes into breast milk in small amounts. It is generally not recommended during breastfeeding, especially for long-term use, because it may cause drowsiness or breathing problems in the baby. If you need this medicine while breastfeeding, your doctor will weigh the benefits and risks and may advise monitoring the baby for sleepiness or poor feeding.
💊 Overdose Management
Overdose of this medicine can cause severe drowsiness, slow or shallow breathing, seizures, coma, and even death. If you suspect an overdose, call emergency services immediately. Do not wait for symptoms to worsen. Treatment in the hospital may include supportive care, monitoring of breathing and heart function, and administration of an opioid antidote if needed. Always bring the medicine container or a list of medicines taken to the hospital.
⏰ 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, contact your doctor or pharmacist.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor and do not increase the dose or take it more often than advised. Swallow the tablet whole with a glass of water; you may take it with or without food, but taking it with food can reduce nausea. Avoid alcohol completely while taking this medicine because it increases the risk of drowsiness, breathing problems, and liver effects. Do not drive, ride a bike, or operate heavy machinery until you know how this medicine affects you. Do not take this medicine with other opioid painkillers, sleeping pills, muscle relaxants, or medicines for anxiety without telling your doctor, as the combination can cause dangerous sedation and slow breathing. Tell your doctor if you have kidney or liver disease, epilepsy, breathing problems, depression, or a history of drug or alcohol misuse. Do not stop this medicine suddenly after long-term use; your doctor will reduce the dose gradually to prevent withdrawal. Keep this medicine in a safe place away from children, as accidental intake can be dangerous. If you are pregnant, planning pregnancy, or breastfeeding, speak to your doctor before using this medicine.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults are more sensitive to the effects of this medicine, especially drowsiness, dizziness, confusion, and breathing problems. They are also at higher risk of falls and fractures. A lower starting dose and slower dose increases are recommended. Kidney and liver function should be checked before and during treatment. Elderly patients should be monitored closely for any changes in behavior or alertness.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, talk to your doctor before taking this medicine. Prolonged use during pregnancy can lead to withdrawal symptoms in the newborn. This medicine should only be used during pregnancy if the potential benefit justifies the potential risk to the fetus. Your doctor may recommend alternative pain management options.
🏥 Post-Surgery Considerations
This medicine is often used for pain relief after surgery. It should be used for the shortest duration possible and only as prescribed by your surgeon. After surgery, you may need to avoid driving and operating machinery while taking this medicine. Follow your surgeon's instructions about when to resume normal activities and when to stop the medicine.
🦷 Dental Procedures
This medicine may be prescribed for pain after dental procedures such as tooth extraction. It can cause drowsiness, so you should not drive yourself home from the dental appointment if you have taken it. Inform your dentist about all other medicines you take, especially antidepressants and blood thinners. Do not take this medicine for more than a few days after a dental procedure unless your dentist advises otherwise.
💚 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 avoid heavy lifting or high-impact exercises that could worsen your pain. If you feel dizzy or unsteady, stop exercising and sit down. Always warm up before exercise and cool down afterward.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness, dizziness, and difficulty concentrating, which may affect your ability to drive, operate machinery, or perform tasks that require alertness. Do not drive or use heavy equipment until you know how this medicine affects you. If your work involves operating machinery or driving, discuss with your doctor whether you need adjustments. Take regular breaks and avoid working late if you feel tired.
🛑 When to Stop This Medicine
You should stop this medicine when your pain is controlled and your doctor advises you to stop. Do not stop suddenly after long-term use, as this can cause withdrawal symptoms. If you experience side effects that bother you, contact your doctor before stopping. If you have been taking this medicine for more than a few weeks, your doctor will usually reduce the dose gradually over several days to weeks.
📅 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, mood changes, and hormonal effects. Regular monitoring by your doctor is important if you need this medicine for more than a few weeks. Your doctor will assess whether the benefits still outweigh the risks and may recommend other treatments.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help strengthen muscles, improve flexibility, and reduce pain in conditions like low back pain and osteoarthritis.
Evidence: Well-establishedHelps change the way you think about and cope with chronic pain.
Evidence: Well-establishedApplying heat or cold packs can temporarily relieve muscle pain and stiffness.
Evidence: ModerateSome people find acupuncture helpful for chronic pain, though evidence varies by condition.
Evidence: Limited to moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are not feeling well or have a fever, it is best to postpone vaccination until you recover. Always inform your healthcare provider about all medicines you are taking before receiving any vaccine.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C.
❌ DON'T
Do not refrigerate unless specifically instructed.
✅ 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 reach of children and pets.
❌ DON'T
Do not share this medicine with others.
✈️ 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 or a letter from your doctor, especially for international travel, as this medicine is a controlled substance in many countries. Check the customs rules of your destination before you travel. Store it in your hand luggage at room temperature, away from direct sunlight and moisture. 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 it by mouth. The peak effect is reached in about 2 hours, and the pain relief generally lasts 4 to 6 hours.
A: In some cases, doctors may prescribe this medicine together with paracetamol for better pain relief. However, you should only do this if your doctor specifically advises it, because taking multiple painkillers together can increase the risk of side effects.
A: This medicine can cause dependence and withdrawal, especially if taken for a long time or in high doses. It should only be used under medical supervision and for the shortest duration that works for you.
A: No. Alcohol increases the risk of severe drowsiness, slow breathing, and liver problems. You should avoid alcohol completely while taking this medicine.
A: If you remember soon after the missed dose, take it as soon as you can. 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 once.
A: Do not stop this medicine suddenly after long-term use, as it can cause withdrawal symptoms such as anxiety, sweating, nausea, and tremors. Your doctor will reduce the dose gradually.
🤔 Common Patient Concerns
🔄 Substitutes for asic 50mg tablet
View AllAlternative brands with exact same active ingredient:
-
dolriz 50mg injectionRitz Pharma ₹2.20 95.9% CHEAPER
-
tramore injectionMorepen Laboratories Ltd ₹3.05 94.3% CHEAPER
-
tramacad 50mg injectionCadila Pharmaceuticals Ltd ₹4.19 92.2% CHEAPER
-
TRANZAT 50 MG INJECTIONWockhardt Ltd ₹4.37 91.8% CHEAPER
-
tranzex 50mg injectionSun Pharmaceutical Industries Ltd ₹6.25 88.3% CHEAPER
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, slow breathing, and liver problems. It should be avoided completely. - Myth: This medicine works for all types of pain.
Fact: It is used for moderate to moderately severe pain. It is not the first choice for mild pain, and it may not work for all pain conditions. - Myth: You can stop this medicine suddenly without any problems.
Fact: Stopping suddenly after long-term use can cause withdrawal symptoms. Your doctor will reduce the dose gradually.
🔄 Alternative Options
Generic Alternatives
- Tramadol 50 mg tablet
Brand Alternatives
- Contramal DT 50mg Tablet