asic 50mg tablet - Tramadol (50mg) medicine

Contramal DT 50mg Tablet (Tramadol 50mg): Complete Medicine Guide

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🏭 Bhavishya Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 16, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Well-established for short-term relief of moderate to moderately severe pain in adults.
Reviewed by
SaathiMed Expert Panel | Oct 16, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
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।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 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 NameAsic 50mg Tablet
ManufacturerBhavishya Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action ClassOpioids
Route of AdministrationOral
StorageStore 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 LifeThe 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 GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Start with the lowest effective dose and use this medicine for the shortest time possible to reduce the risk of dependence.
2
Take this medicine with food if it causes nausea, and drink plenty of water to prevent constipation.
3
Avoid alcohol completely and do not drive or operate machinery until you know how this medicine affects you.
4
Tell your doctor about all other medicines you take, especially antidepressants, seizure medicines, and blood thinners.
5
Do not stop this medicine suddenly after long-term use; your doctor will reduce the dose gradually to prevent withdrawal.
6
Keep a pain diary to help your doctor assess how well the medicine is working and whether the dose needs adjustment.
7
If you have kidney or liver problems, ask your doctor whether the dose needs to be reduced.
8
Report any unusual symptoms such as confusion, hallucinations, severe drowsiness, or difficulty breathing immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Moderate to severe pain after surgery
This medicine is commonly prescribed for postoperative pain.
Likely Use
✅
Chronic low back pain
It may be used for chronic musculoskeletal pain when other painkillers are not enough.
Likely Use
❌
Mild headache
This medicine is not the first choice for mild pain. Simple painkillers like paracetamol are usually preferred.
Not Primary
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
✅
Nerve pain
It is sometimes used for neuropathic pain, but it is not a first-line treatment for all nerve pain.
Likely Use

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is absorbed from the gastrointestinal tract after oral administration. The exact absorption rate can vary between individuals, and taking it with food may slightly delay absorption but does not significantly reduce the total amount absorbed.
DistributionThis medicine distributes widely in the body, including into the central nervous system. It crosses the placenta and is found in breast milk in small amounts.
Protein BindingApproximately 20% of this medicine binds to plasma proteins.
MetabolismThis medicine is metabolized in the liver, mainly by CYP2D6 and CYP3A4 enzymes. One of its metabolites, O-desmethyltramadol, is pharmacologically active and contributes to pain relief. Genetic differences in CYP2D6 activity can affect how well the medicine works and the risk of side effects.
Half-LifeThe elimination half-life of this medicine is approximately 5 to 7 hours in healthy adults. It may be longer in people with liver or kidney problems.
ExcretionThis medicine and its metabolites are mainly excreted by the kidneys. About 30% is excreted unchanged in the urine, and the rest is excreted as metabolites.
BioavailabilityThe oral bioavailability of this medicine is approximately 70% to 75% after a single dose and may increase to about 90% or more with repeated dosing.
Onset of ActionPain relief usually begins within 30 to 60 minutes after taking this medicine by mouth.
Peak Plasma TimePeak plasma levels of this medicine are reached about 2 hours after oral administration.
Duration of ActionThe pain-relieving effect of this medicine generally lasts about 4 to 6 hours, so it is often taken every 4 to 6 hours as needed, up to the maximum daily dose.

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

1
Weak mu-opioid receptor activation: This medicine binds weakly to mu-opioid receptors in the brain and spinal cord, reducing pain signal transmission.
2
Serotonin and norepinephrine reuptake inhibition: It blocks the reuptake of serotonin and norepinephrine, increasing their levels in the nervous system and enhancing pain relief.
3
Descending pain pathway modulation: The increased serotonin and norepinephrine activity strengthens descending pain-inhibitory pathways from the brain to the spinal cord.
4
Reduced pain perception: The combined opioid and monoamine effects reduce the intensity of pain as perceived by the brain.

💡 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.

1Read the label and follow your doctor's instructions exactly.
2Swallow the tablet whole with a full glass of water. Do not crush or chew it unless your doctor says it is okay.
3You may take it with or without food. Taking it with food may reduce nausea.
4Take it at the same times each day if you are on a scheduled dose.
5Do not take more than the prescribed dose or take it more often than advised.
6Avoid alcohol and other sedating medicines while taking this medicine.
7If you miss a dose, follow the missed dose instructions given by your doctor.
8Store the medicine safely away from children.

Dosage Information

Adult DosageThe 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 DosagePediatric 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 DosageOlder 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 ImpairmentIn 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 ImpairmentIn 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 DoseThe 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

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals or a snack
Reduces nausea and stomach upset.
Grapefruit
Avoid
May increase the levels of this medicine and the risk of side effects.
Alcohol
Avoid completely
Increases drowsiness, breathing problems, and liver risk.
Water
Drink plenty
Helps prevent constipation and keeps you hydrated.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with your regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.
📌 You are unsure what to do
→ Contact your doctor or pharmacist for advice.
💡 Never take extra doses without medical guidance.

⚠️ Side Effects of asic 50mg tablet

✅ Common Side Effects

Nausea (Common (up to 10%))
Take the tablet with food and sip water. If nausea persists or you cannot keep fluids down, contact your doctor.
Dizziness (Common (up to 10%))
Avoid driving or operating machinery until you know how this medicine affects you. Sit or lie down if you feel dizzy.
Drowsiness (Common (up to 10%))
Do not drive or use heavy machines. Avoid alcohol and other sedating medicines.
Constipation (Common (up to 10%))
Drink plenty of water, eat fiber-rich foods, and stay active. Ask your doctor if you need a stool softener.
Headache (Common (up to 10%))
Rest and stay hydrated. If the headache is severe or unusual, seek medical advice.
Dry mouth (Common (up to 10%))
Sip water regularly and chew sugar-free gum. This usually improves with time.
Sweating (Common (up to 10%))
Keep cool and drink fluids. Tell your doctor if sweating is excessive.
Tiredness (Common (up to 10%))
Get adequate rest. Avoid driving if you feel unusually tired.

🚨 Serious Side Effects

Slow or shallow breathing (Uncommon but serious)
Seek emergency medical help immediately if breathing becomes slow, shallow, or you feel very sleepy and cannot be woken easily.
Seizures (Rare but serious)
Call emergency services if you have a seizure. Do not drive or operate machinery until cleared by a doctor.
Serotonin syndrome (Rare but serious)
Seek urgent care if you develop fever, sweating, muscle stiffness, tremors, agitation, or confusion, especially if you take other serotonergic medicines.
Severe allergic reaction (Rare)
Get emergency help if you have swelling of the face, lips, or throat, a widespread rash, or difficulty breathing.
Dependence and withdrawal (Uncommon with short-term use, more likely with long-term use)
Do not stop suddenly after long-term use. Your doctor will reduce the dose gradually.

⚠️ Rare Side Effects

Hallucinations or confusion
Contact your doctor immediately if you see or hear things that are not there or feel confused.
Severe skin reaction
Seek emergency care if you develop a painful rash, blisters, or peeling skin.
Low blood sugar
If you feel shaky, sweaty, confused, or very hungry, check your blood sugar if possible and seek medical help.
Difficulty passing urine
Tell your doctor if you cannot pass urine or have severe lower abdominal pain.

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

General Safety

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

🏃
Stay physically active with low-impact exercises like walking or swimming to help manage pain.
🥗
Maintain a healthy weight to reduce stress on your joints and back.
😴
Practice good posture and use ergonomic furniture to prevent pain flare-ups.
💧
Include anti-inflammatory foods like fruits, vegetables, and omega-3 rich fish in your diet.
🧘
Get adequate sleep and practice relaxation techniques to help cope with chronic pain.
🌞
Avoid smoking and limit caffeine, as these can worsen some pain conditions.
🚭
Keep a pain diary to track your symptoms and share it with your doctor.

🏋️ 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

Eat a balanced diet rich in fruits, vegetables, and whole grains.
Include omega-3 fatty acids from fish, flaxseed, or walnuts to help reduce inflammation.
Drink plenty of water to prevent constipation, which is a common side effect.
Limit processed foods, sugary drinks, and excessive caffeine.
Avoid alcohol completely while taking this medicine.

💼 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.

Physiotherapy

Can help strengthen muscles, improve flexibility, and reduce pain in conditions like low back pain and osteoarthritis.

Evidence: Well-established
Cognitive behavioral therapy

Helps change the way you think about and cope with chronic pain.

Evidence: Well-established
Heat and cold therapy

Applying heat or cold packs can temporarily relieve muscle pain and stiffness.

Evidence: Moderate
Acupuncture

Some 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.

👤 A 52-year-old man with chronic low back pain
He had been struggling with low back pain for years and found little relief from paracetamol and ibuprofen. His doctor prescribed this medicine at 50 mg every 6 hours as needed. He noticed good pain relief within an hour of taking it, which helped him return to his daily walks. He also learned to take it with food to avoid nausea and never missed his follow-up appointments. After three months, his doctor gradually reduced the dose as his pain improved with physiotherapy.
💡 Lesson: This medicine can provide effective short-term pain relief when used as prescribed, but it should be combined with other treatments like physiotherapy and used for the shortest duration possible.
👤 A 38-year-old woman after dental surgery
She had a wisdom tooth removed and experienced moderate to severe pain afterward. Her dentist prescribed this medicine for a few days. She took it exactly as directed, avoided alcohol, and did not drive while taking it. She felt drowsy on the first day but this improved. She stopped the medicine after four days when the pain settled and did not experience any withdrawal symptoms.
💡 Lesson: Short-term use of this medicine for acute pain is generally safe when taken as prescribed. Avoiding alcohol and not driving are important safety measures.

💬 Questions Patients Often Ask

Q: How long does this medicine take to work?

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.

Q: Can I take this medicine with paracetamol?

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.

Q: Is this medicine addictive?

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.

Q: Can I drink alcohol while taking this medicine?

A: No. Alcohol increases the risk of severe drowsiness, slow breathing, and liver problems. You should avoid alcohol completely while taking this medicine.

Q: What should I do if I miss a dose?

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.

Q: Can I stop this medicine suddenly?

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

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney or liver function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?
  • Is this medicine addictive?
  • Can I take it with paracetamol or ibuprofen?
  • Will it make me sleepy?
  • Can I take it during pregnancy or breastfeeding?

🔄 Substitutes for asic 50mg tablet

View All

Alternative brands with exact same active ingredient:

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

📊 Comparison with Similar Medicines

[{"medicine":"This medicine (Tramadol 50 mg)","class":"Opioid-like analgesic","common_use":"Moderate to moderately severe pain","dependence_risk":"Moderate to high","sedation":"Moderate","notes":"Also affects serotonin and norepinephrine."},{"medicine":"Paracetamol","class":"Non-opioid analgesic","common_use":"Mild to moderate pain and fever","dependence_risk":"None","sedation":"None","notes":"Safe when used at recommended doses."},{"medicine":"Ibuprofen","class":"NSAID","common_use":"Pain and inflammation","dependence_risk":"None","sedation":"None","notes":"Can cause stomach and kidney problems with long-term use."},{"medicine":"Tapentadol","class":"Opioid analgesic","common_use":"Moderate to severe pain","dependence_risk":"High","sedation":"Moderate to high","notes":"Stronger than tramadol."}]

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