novodol 37.5 mg/325 mg tablet - Tramadol (37.5 mg) + Paracetamol (325 mg) medicine

Novodol 37.5 Mg/325 Mg Tablet: Complete Medicine Guide

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🏭 UniOrange Life Care Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 28, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate to well-established for acute pain.
Reviewed by
SaathiMed Expert Panel | Oct 28, 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

  • Difficulty breathing or slow, shallow breathing
  • Seizures or convulsions
  • Severe allergic reaction (rash, swelling, difficulty breathing)
  • Yellowing of skin or eyes, dark urine
  • Severe abdominal pain or vomiting blood
  • Confusion, hallucinations, or extreme drowsiness

If experiencing severe symptoms, call emergency services immediately.

What is novodol 37.5 mg/325 mg tablet used for?

This medicine is a combination of tramadol and paracetamol used for moderate to severe pain. It works by blocking pain signals in the brain and reducing fever. It should be taken exactly as prescribed and is not for children under 12.

  • Generic Name: Tramadol (37.5 mg) + Paracetamol (325 mg)
  • Manufacturer: UniOrange Life Care Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 novodol 37.5 mg/325 mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा ट्रामाडोल और पैरासिटामोल का संयोजन है, जिसका उपयोग मध्यम से गंभीर दर्द के इलाज के लिए किया जाता है। यह सर्जरी, दांत दर्द, या मस्कुलोस्केलेटल चोट के बाद होने वाले दर्द में प्रभावी है। यह दवा केवल डॉक्टर के पर्चे पर ही लेनी चाहिए।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, चक्कर आना, नींद आना, कब्ज, सिरदर्द और मुंह सूखना शामिल हैं। गंभीर दुष्प्रभावों में सांस लेने में कठिनाई, दौरे, सेरोटोनिन सिंड्रोम, और लीवर की क्षति शामिल हैं। यदि आपको कोई गंभीर लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। शराब और अन्य नींद लाने वाली दवाओं से बचें। गाड़ी चलाने या मशीन चलाने से बचें जब तक आपको पता न चले कि यह दवा आप पर कैसे असर करती है। दीर्घकालिक उपयोग के बाद अचानक बंद न करें।

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

💊 novodol 37.5 mg/325 mg tablet Uses & Benefits

[{"condition":"Acute moderate to severe pain","description":"Used for short-term relief of moderate to severe pain, such as post-operative pain, dental pain, or musculoskeletal pain.","evidence":"Well-established"},{"condition":"Chronic pain","description":"May be used for chronic pain conditions like osteoarthritis or low back pain when other treatments are inadequate.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Neuropathic pain","description":"Sometimes prescribed off-label for neuropathic pain, though evidence is limited.","evidence":"Limited"}]

Primary treatment for: Moderate to severe acute pain

Also treats: Chronic pain, Post-operative pain, Dental pain

📋 Drug Information

Generic Name(s)Tramadol (37.5 mg) + Paracetamol (325 mg)
Brand Namenovodol 37.5 mg/325 mg tablet
ManufacturerUniOrange Life Care Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) away from moisture and heat. Keep in original container.
Shelf Life24 months from date of manufacture.
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
Take this medicine with food to reduce stomach upset.
2
Do not exceed the prescribed dose or duration.
3
Avoid alcohol and other CNS depressants.
4
Do not drive or operate machinery until you know how it affects you.
5
Inform your doctor about all other medications you are taking.
6
Do not stop abruptly after long-term use; taper gradually.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Moderate to severe pain
This medicine is commonly prescribed for this.
Likely Use
❌
Mild headache
This medicine is not for mild pain; use over-the-counter analgesics.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionTramadol is rapidly and almost completely absorbed after oral administration. Paracetamol is also rapidly absorbed from the gastrointestinal tract. Food may slightly delay absorption but does not significantly affect the extent.
DistributionTramadol is widely distributed in body tissues. Paracetamol distributes throughout most body fluids. Both cross the placenta and are excreted in breast milk.
Protein BindingTramadol is approximately 20% bound to plasma proteins. Paracetamol is about 10-25% bound to plasma proteins.
MetabolismTramadol is metabolized in the liver by CYP2D6 and CYP3A4 to O-desmethyltramadol, which is active. Paracetamol is metabolized primarily by glucuronidation and sulfation, with a small fraction via CYP2E1 to a toxic metabolite, N-acetyl-p-benzoquinone imine (NAPQI).
Half-LifeTramadol: approximately 5-6 hours. Paracetamol: approximately 2-3 hours.
ExcretionTramadol and its metabolites are excreted primarily in the urine. Paracetamol metabolites are excreted in the urine.
BioavailabilityTramadol: approximately 75% after oral administration. Paracetamol: approximately 80-100%.
Onset of ActionPain relief typically begins within 30-60 minutes after oral administration.
Peak Plasma TimeTramadol: 2 hours. Paracetamol: 0.5-1 hour.
Duration of ActionPain relief lasts approximately 4-6 hours.

How It Works

This medicine combines two analgesics with complementary mechanisms. Tramadol is a centrally acting opioid analgesic that binds to mu-opioid receptors and inhibits the reuptake of norepinephrine and serotonin, enhancing descending inhibitory pain pathways. Paracetamol acts primarily in the central nervous system to reduce pain and fever, though its exact mechanism is not fully understood; it may inhibit prostaglandin synthesis in the brain and modulate pain perception.

Mechanism Steps

1
Tramadol binding to mu-opioid receptors: Tramadol and its active metabolite bind to mu-opioid receptors in the brain and spinal cord, inhibiting pain signal transmission.
2
Inhibition of monoamine reuptake: Tramadol inhibits the reuptake of serotonin and norepinephrine, enhancing descending pain inhibition.
3
Paracetamol central action: Paracetamol reduces prostaglandin synthesis in the central nervous system, elevating the pain threshold.

💡 How to Take novodol 37.5 mg/325 mg tablet

Strength: Tablet containing tramadol 37.5 mg and paracetamol 325 mg.

1Take this medicine orally with a full glass of water.
2Take with food to reduce stomach upset.
3Swallow the tablet whole; do not crush or chew.
4Follow the prescribed schedule exactly.
5Do not take more than the recommended dose.

Dosage Information

Adult DosageThe usual adult dose is one tablet every 4 to 6 hours as needed for pain. Do not exceed 8 tablets in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects. Start with a lower dose and monitor closely. Dose must be individualized by a qualified clinician.
Renal ImpairmentDose adjustment may be needed in renal impairment. Consult your doctor.
Hepatic ImpairmentDose adjustment may be needed in hepatic impairment. Consult your doctor.
Maximum Daily DoseMaximum 8 tablets in 24 hours (tramadol 300 mg and paracetamol 2600 mg).

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
Avoid
May increase drug levels.

⏰ 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 the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of novodol 37.5 mg/325 mg tablet

✅ Common Side Effects

Nausea (Common (up to 10%))
Take with food and stay hydrated. If persistent, consult your doctor.
Dizziness (Common (up to 10%))
Avoid driving or operating machinery until you know how it affects you.
Drowsiness (Common (up to 10%))
Rest if needed. Avoid alcohol and other sedatives.
Constipation (Common (up to 10%))
Increase fiber and fluid intake. Consult doctor if severe.
Headache (Common (up to 10%))
Usually resolves. If severe, consult doctor.

🚨 Serious Side Effects

Respiratory depression (Rare (<0.1%))
Seek immediate medical attention if breathing becomes slow or shallow.
Seizures (Rare (<0.1%))
Call emergency services if a seizure occurs.
Serotonin syndrome (Rare (<0.1%))
Seek immediate care if you experience agitation, hallucinations, rapid heart rate, fever, or muscle twitching.
Severe allergic reaction (Rare (<0.1%))
Get emergency help if you have rash, itching, swelling, or difficulty breathing.
Liver damage (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or severe abdominal pain immediately.

⚠️ Rare Side Effects

Dependence and withdrawal
Do not stop abruptly after long-term use; consult doctor for tapering.
Blood dyscrasias
Report unusual bleeding, bruising, or infections.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAO inhibitors Major
SSRIs Major
Warfarin Major
Benzodiazepines Moderate
Carbamazepine Moderate

🚨 Major Interactions

  • MAO inhibitors
  • SSRIs, SNRIs, tricyclic antidepressants
  • Warfarin

⚡ Moderate Interactions

  • CNS depressants (benzodiazepines, alcohol)
  • Carbamazepine

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol increases the risk of drowsiness, respiratory depression, and liver damage.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Children under 12 years of age","Severe respiratory depression","Acute or severe asthma","Known hypersensitivity to tramadol or paracetamol","Concurrent use of MAO inhibitors","Severe liver or kidney impairment"]

⚠️ Warnings & Precautions

["Risk of dependence and withdrawal","Risk of seizures, especially with high doses or predisposing factors","Risk of serotonin syndrome with serotonergic drugs","Risk of respiratory depression","Avoid in patients with head injury or increased intracranial pressure","Use with caution in elderly and debilitated patients"]

🤱 Lactation Safety

Tramadol and paracetamol are excreted in breast milk. Consult your doctor before use. Monitor infant for drowsiness or poor feeding.

💊 Overdose Management

Seek emergency medical help immediately. Overdose can cause respiratory depression, seizures, liver damage, and coma. Treatment is supportive and may include naloxone for opioid effects and N-acetylcysteine for paracetamol toxicity.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration of treatment. Avoid alcohol and other central nervous system depressants while taking this medicine. Do not drive or operate heavy machinery until you know how this medicine affects you. Inform your doctor about all other medications you are taking, especially antidepressants, anticonvulsants, and blood thinners. Do not stop this medicine abruptly after long-term use; your doctor may taper the dose gradually. Keep this medicine out of reach of children and pets. Store at room temperature away from moisture and heat. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of side effects like drowsiness, dizziness, and respiratory depression. Use with caution and lower doses may be needed.

🤰 Pregnancy Planning (TTC)

Consult your doctor if you are planning pregnancy or are pregnant. This medicine may not be safe during pregnancy.

🏥 Post-Surgery Considerations

This medicine may be prescribed for post-operative pain. Follow your surgeon's instructions carefully.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine before any dental procedure.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce stress on joints.
🥗
Engage in regular low-impact exercise like walking or swimming.
😴
Practice good posture and ergonomics.
💧
Include anti-inflammatory foods in your diet.
🧘
Get adequate sleep to aid recovery.
🌞
Manage stress through relaxation techniques.

🏋️ Exercise Considerations

Avoid strenuous exercise or activities that may increase pain. Consult your doctor before starting any exercise program while on this medicine.

🥗 Diet Recommendations

Include omega-3 rich foods like fish and flaxseed.
Reduce processed and high-sugar foods.
Stay well hydrated.
Eat a balanced diet rich in fruits and vegetables.

💼 Impact on Daily Work & Life

This medicine may cause drowsiness and dizziness. Avoid driving or operating heavy machinery until you know how it affects you. It may affect your ability to perform tasks requiring alertness.

🛑 When to Stop This Medicine

Do not stop this medicine abruptly without consulting your doctor, especially after long-term use. Your doctor will gradually reduce the dose to prevent withdrawal symptoms.

📅 Long-Term Use Effects

Long-term use may lead to dependence, tolerance, and withdrawal symptoms. Regular monitoring of liver and kidney function is advised. Do not use for extended periods without medical supervision.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can complement medicine for chronic pain management.

Evidence: Well-established
Acupuncture

May help with certain types of pain.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Not established from the available information. Consult your doctor regarding vaccinations while on this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and avoid extreme heat. If traveling across time zones, adjust dosing schedule as advised by your doctor. Check local customs regulations for controlled substances.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 45-year-old man with post-operative knee pain
He was prescribed this medicine after knee surgery. He took it as directed with food and experienced significant pain relief within an hour. He avoided driving and alcohol as advised. He did not experience any serious side effects.
💡 Lesson: Taking the medicine with food and following safety precautions ensures effective pain relief with minimal side effects.
👤 A 60-year-old woman with chronic osteoarthritis pain
She was started on this medicine for chronic knee pain. She initially felt dizzy, so her doctor adjusted the dose. She was advised to take it with food and to rise slowly from sitting. Her pain improved, and she was able to continue her daily activities.
💡 Lesson: Dose adjustment and monitoring for side effects are important, especially in older adults.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Pain relief typically begins within 30-60 minutes after taking the tablet.

Q: Can I take this medicine with other pain relievers?

A: Consult your doctor before combining with other pain relievers, especially those containing paracetamol, to avoid overdose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney 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?

🛑 Myths vs. Facts

  • Myth: This medicine is safe for everyone.
    Fact: It is not safe for children under 12, pregnant women, or those with certain medical conditions.
  • Myth: You can stop this medicine anytime.
    Fact: Abrupt discontinuation after long-term use can cause withdrawal symptoms.

🔄 Alternative Options

Generic Alternatives

  • Tramadol and Paracetamol Tablet

Brand Alternatives

  • Ultracet
  • Tramazac
  • Zydol

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Tramadol 37.5 mg + Paracetamol 325 mg","uses":"Moderate to severe pain","notes":"Combination product"},{"medicine":"Tramadol 50 mg","composition":"Tramadol 50 mg","uses":"Moderate to severe pain","notes":"Opioid analgesic"},{"medicine":"Paracetamol 500 mg","composition":"Paracetamol 500 mg","uses":"Mild to moderate pain, fever","notes":"Over-the-counter"}]

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