valcom injection - Tramadol (NA) medicine

Analtra Tablet DT: Complete Medicine Guide

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🏭 Kinedex Healthcare Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 16, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for acute pain; moderate for chronic pain.
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 difficulty in breathing
  • Severe dizziness or fainting
  • Seizures or convulsions
  • Agitation, hallucinations, rapid heartbeat, fever, or muscle twitching (signs of serotonin syndrome)
  • Swelling of the face, lips, or throat, or difficulty swallowing
  • Severe abdominal pain or vomiting blood
  • Yellowing of the skin or eyes

If experiencing severe symptoms, call emergency services immediately.

What is valcom injection used for?

This medicine is a prescription pain reliever containing tramadol. It is used for moderate to moderately severe pain and works by blocking pain signals in the brain and spinal cord. It should only be taken under medical supervision.

  • Generic Name: Tramadol (NA)
  • Manufacturer: Kinedex Healthcare Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 valcom 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 ओपिओइड दर्द निवारक दवाओं की श्रेणी में आती है। यह मस्तिष्क और रीढ़ की हड्डी में दर्द के संकेतों को रोककर दर्द कम करती है। इसका उपयोग सर्जरी, चोट, दांत दर्द, और पुराने दर्द जैसे गठिया में किया जा सकता है। यह दवा केवल डॉक्टर के पर्चे पर ही लेनी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, चक्कर आना, नींद आना, सिरदर्द और कब्ज शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन सांस लेने में कठिनाई, दौरे, और एलर्जी प्रतिक्रिया हो सकती है। यदि आपको सांस लेने में परेशानी, भ्रम, या चेहरे पर सूजन हो तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपनी मर्जी से मात्रा न बढ़ाएं। इस दवा को लेते समय शराब न पिएं। गाड़ी चलाने या मशीन चलाने से बचें जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है। अगर आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर को बताएं। इस दवा को अचानक बंद न करें, इससे withdrawal के लक्षण हो सकते हैं।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 valcom injection Uses & Benefits

[{"condition":"Moderate to moderately severe acute pain","description":"This medicine is used for short-term relief of pain following surgery, injury, or dental procedures when non-opioid analgesics are not sufficient.","evidence":"Well-established"},{"condition":"Chronic pain conditions","description":"It may be prescribed for chronic pain such as osteoarthritis or low back pain, but only when other treatments have failed and under close medical supervision.","evidence":"Moderate"},{"condition":"Neuropathic pain","description":"Sometimes used for nerve pain, though evidence is limited and it is not a first-line treatment.","evidence":"Limited"}]

Off-label uses: [{"condition":"Premature ejaculation","description":"Tramadol has been studied off-label for delaying ejaculation, but it is not approved for this use and should not be taken without medical advice.","evidence":"Limited"}]

Primary treatment for: Moderate to moderately severe pain

Also treats: Chronic pain, Neuropathic pain

📋 Drug Information

Generic Name(s)Tramadol (NA)
Brand Namevalcom injection
ManufacturerKinedex Healthcare Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action ClassOpioids
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture.
Shelf Life24 months from the 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 exactly as prescribed; do not increase the dose without consulting your doctor.
2
Avoid alcohol completely while taking this medicine, as it increases the risk of drowsiness and breathing problems.
3
Do not drive or operate heavy machinery until you know how this medicine affects you.
4
If you have a history of seizures, kidney or liver disease, inform your doctor before taking this medicine.
5
Do not stop this medicine suddenly; your doctor may taper the dose to prevent withdrawal symptoms.
6
Keep this medicine in a safe place, away from children, to prevent accidental ingestion.

🔍 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 a first-line treatment for mild headache.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is rapidly and almost completely absorbed after oral administration. The bioavailability is about 75% due to first-pass metabolism.
DistributionIt is widely distributed in the body. The volume of distribution is approximately 2.5 to 3 L/kg.
Protein BindingAbout 20% of this medicine is bound to plasma proteins.
MetabolismThis medicine is metabolized in the liver by CYP2D6 and CYP3A4 enzymes to several metabolites, including O-desmethyltramadol, which is pharmacologically active.
Half-LifeThe elimination half-life of this medicine is approximately 5 to 6 hours.
ExcretionThis medicine and its metabolites are primarily excreted by the kidneys.
BioavailabilityThe oral bioavailability of this medicine is approximately 75%.
Onset of ActionPain relief usually begins within 30 to 60 minutes after taking this medicine.
Peak Plasma TimePeak plasma concentration is reached about 2 hours after oral administration.
Duration of ActionThe analgesic effect of this medicine lasts for about 4 to 6 hours.

How It Works

This medicine works by two main mechanisms. It binds to mu-opioid receptors in the central nervous system, which reduces the transmission of pain signals. Additionally, it inhibits the reuptake of serotonin and norepinephrine, which enhances descending pain inhibition. This dual action makes it effective for moderate pain.

Mechanism Steps

1
Opioid receptor binding: This medicine binds to mu-opioid receptors in the brain and spinal cord, blocking pain signals.
2
Monoamine reuptake inhibition: It inhibits the reuptake of serotonin and norepinephrine, increasing their levels in the synaptic cleft and enhancing pain inhibition.
3
Pain signal modulation: The combined effects reduce the perception of pain and increase the threshold for pain.

💡 How to Take valcom injection

Strength: Dispersible tablet, strength not specified in the available information.

1Disperse the tablet in a glass of water as directed.
2Stir and drink the entire mixture immediately.
3Take with or without food, but food may reduce stomach upset.
4Follow the prescribed dose and frequency exactly.
5Do not crush or chew the tablet unless instructed.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 50 to 100 mg every 4 to 6 hours as needed for pain, not to exceed 400 mg per day. For chronic pain, a lower starting dose may be used. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and other medications.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Start with a lower dose and increase gradually as needed. Dose must be individualized by a qualified clinician.
Renal ImpairmentIn patients with kidney impairment, the dose may need to be reduced and the dosing interval extended. Consult a doctor for individualized dosing.
Hepatic ImpairmentIn patients with liver impairment, the dose may need to be reduced. Consult a doctor for individualized dosing.
Maximum Daily Dose400 mg per day for adults. Do not exceed this dose.

Dosage Timeline

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

🍽️ Food Timing Guide

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

⏰ 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 valcom injection

✅ Common Side Effects

Nausea (Common (up to 10%))
Take with food and stay hydrated. If it persists, 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. Do not drive. Consult your doctor if it interferes with daily activities.
Headache (Common (5-10%))
Usually resolves on its own. Consult your doctor if it persists.
Constipation (Common (5-10%))
Increase fiber and fluid intake. Consult your doctor if it continues.

🚨 Serious Side Effects

Respiratory depression (Rare (<0.1%))
Seek immediate medical attention if you experience slow or shallow breathing.
Seizures (Rare (<0.1%))
Call emergency services if a seizure occurs.
Serotonin syndrome (Rare (<0.1%))
Seek immediate care if you have agitation, hallucinations, rapid heartbeat, fever, or muscle twitching.
Severe allergic reaction (Rare (<0.1%))
Get emergency help if you have swelling of the face, lips, or throat, or difficulty breathing.

⚠️ Rare Side Effects

Hallucinations
Consult your doctor immediately if you experience hallucinations.
Dependence and withdrawal
Do not stop suddenly. Talk to your doctor for a tapering plan.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAO inhibitors Major
SSRIs Major
Benzodiazepines Major
Alcohol Major
CYP2D6 inhibitors Moderate
CYP3A4 inducers Moderate
Warfarin Minor

🚨 Major Interactions

  • MAO inhibitors
  • SSRIs, SNRIs, triptans
  • CNS depressants (e.g., alcohol, benzodiazepines)

⚡ Moderate Interactions

  • CYP2D6 inhibitors (e.g., fluoxetine, quinidine)
  • CYP3A4 inducers (e.g., rifampin, carbamazepine)

🍷 Alcohol Interaction

Do not drink alcohol while taking this medicine. Alcohol increases the risk of drowsiness, respiratory depression, and other serious side effects.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Severe respiratory depression","Acute or severe asthma","Known hypersensitivity to tramadol","Concurrent use of MAO inhibitors","Severe kidney impairment","Severe liver impairment","Children under 12 years","Post-operative pain in children under 18 years after tonsillectomy or adenoidectomy"]

⚠️ Warnings & Precautions

["Risk of dependence and withdrawal","Risk of seizures, especially in patients with epilepsy","Risk of serotonin syndrome","Risk of respiratory depression","Avoid in patients with head injury or increased intracranial pressure","Use with caution in the elderly","Do not drive or operate machinery until you know how it affects you"]

🤱 Lactation Safety

This medicine passes into breast milk. It is not recommended during breastfeeding unless advised by a doctor. If used, monitor the baby for drowsiness and breathing difficulties.

💊 Overdose Management

Overdose can cause severe respiratory depression, seizures, and coma. Seek emergency medical help immediately. Treatment may include naloxone, oxygen, and supportive care.

⏰ 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 take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not increase the dose or take it more often than directed. Avoid driving or operating heavy machinery until you know how this medicine affects you. Do not drink alcohol while taking this medicine, as it can increase drowsiness and the risk of serious side effects. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Do not stop this medicine suddenly without talking to your doctor, as it can cause withdrawal symptoms. Keep this medicine out of reach of children and store it in a cool, dry place.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to the effects of this medicine, especially drowsiness and respiratory depression. Lower doses may be needed, and close monitoring is advised.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, talk to your doctor before taking this medicine. It should only be used if the potential benefit justifies the potential risk to the fetus.

🏥 Post-Surgery Considerations

This medicine may be used for post-surgical pain, but it should be used with caution, especially in children under 18 after tonsillectomy or adenoidectomy, where it is contraindicated.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine before any dental procedure. It may interact with anesthetics and other medications used during dental work.

💚 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 relaxation techniques to manage pain.
💧
Get adequate sleep to help your body recover.
🧘
Avoid alcohol and recreational drugs.

🏋️ Exercise Considerations

Avoid strenuous exercise or activities that require alertness until you know how this medicine affects you. Dizziness and drowsiness can increase the risk of falls.

🥗 Diet Recommendations

Eat a balanced diet rich in fruits and vegetables.
Stay well hydrated.
Include fiber to prevent constipation.

💼 Impact on Daily Work & Life

This medicine can cause drowsiness and dizziness, which may affect your ability to drive or operate machinery. Avoid these activities until you know how it affects you. It may also affect your concentration and reaction time.

🛑 When to Stop This Medicine

Do not stop this medicine suddenly without consulting your doctor. Your doctor will gradually reduce the dose to prevent withdrawal symptoms. If you experience side effects, contact your doctor before stopping.

📅 Long-Term Use Effects

Long-term use of this medicine can lead to dependence, tolerance, and withdrawal symptoms. It may also cause hormonal changes, mood swings, and increased sensitivity to pain. Regular monitoring by a doctor is required if used for more than a few weeks.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can help manage chronic pain and improve mobility.

Evidence: Well-established
Acupuncture

May provide pain relief for some conditions.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, consult your doctor before any vaccination.

📦 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

When traveling, carry this medicine in its original packaging along with a copy of your prescription. Keep it in your hand luggage to avoid loss. Store it at room temperature and away from direct sunlight. If traveling across time zones, consult your doctor about adjusting the dosing schedule. Check the customs regulations of your destination country regarding opioid medications.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 50-year-old man with chronic knee pain due to osteoarthritis
He was prescribed this medicine for pain relief. He took it as directed and found significant relief, allowing him to walk more comfortably. He experienced mild nausea initially, which went away after taking it with food. He was advised not to drive while on this medicine.
💡 Lesson: Taking this medicine with food can reduce stomach upset, and it is important to follow safety precautions like avoiding driving.
👤 A 35-year-old woman after dental surgery
She was given this medicine for post-operative pain. She took it for three days and experienced dizziness and drowsiness. She stopped driving and rested. The pain was well controlled, and she did not need it beyond a few days.
💡 Lesson: This medicine is effective for short-term pain but can cause drowsiness; avoid driving and operating machinery.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts relieving pain within 30 to 60 minutes after taking it.

Q: Can I take this medicine with other painkillers?

A: Do not take other painkillers without consulting your doctor, as some combinations can be dangerous.

Q: Is this medicine safe during pregnancy?

A: This medicine should only be used during pregnancy if prescribed by a doctor. It may not be safe for the baby.

🤔 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?

🔄 Substitutes for valcom injection

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 safe to take without a prescription.
    Fact: This medicine is a prescription opioid and can cause dependence and serious side effects. It should only be used under medical supervision.
  • Myth: This medicine is not addictive.
    Fact: This medicine can cause dependence and addiction, especially with long-term use.

🔄 Alternative Options

Generic Alternatives

  • Tramadol hydrochloride dispersible tablet

Brand Alternatives

  • Analtra Tablet DT

📊 Comparison with Similar Medicines

[{"medicine":"Tramadol","class":"Opioid analgesic","uses":"Moderate to moderately severe pain","common_side_effects":"Nausea, dizziness, drowsiness"},{"medicine":"Codeine","class":"Opioid analgesic","uses":"Mild to moderate pain","common_side_effects":"Constipation, drowsiness, nausea"},{"medicine":"Tapentadol","class":"Opioid analgesic","uses":"Moderate to severe pain","common_side_effects":"Nausea, dizziness, constipation"}]

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