vetram 50mg injection - Tramadol (50mg) medicine

Tramadol Hydrochloride 50mg Injection: Comprehensive Medicine Guide

No reviews yet
🏭 Vsaar Pharma Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 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 | Sep 25, 2026

When to Call Your Doctor IMMEDIATELY

  • Slow, shallow, or difficulty breathing
  • Seizures or convulsions
  • Severe dizziness or fainting
  • Rapid heartbeat or palpitations
  • Agitation, hallucinations, fever, or muscle twitching
  • Swelling of face, lips, or throat
  • Inability to urinate

If experiencing severe symptoms, call emergency services immediately.

What is vetram 50mg injection used for?

Tramadol hydrochloride 50mg injection is a prescription opioid analgesic used for moderate to severe pain. It works by blocking pain signals in the brain and spinal cord. It is given by a healthcare professional and is not for self-administration.

  • Generic Name: Tramadol (50mg)
  • Manufacturer: Vsaar Pharma Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 vetram 50mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा ट्रामाडोल हाइड्रोक्लोराइड 50mg इंजेक्शन के रूप में मध्यम से गंभीर दर्द के इलाज के लिए उपयोग की जाती है। यह एक ओपिओइड दर्द निवारक है जो दर्द के संकेतों को मस्तिष्क और रीढ़ की हड्डी में अवरुद्ध करती है। इसका उपयोग आमतौर पर सर्जरी के बाद, चोट लगने पर, या गंभीर मस्कुलोस्केलेटल दर्द में किया जाता है। यह दवा केवल एक योग्य स्वास्थ्य पेशेवर द्वारा ही दी जानी चाहिए।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, चक्कर आना, नींद आना, उल्टी, कब्ज, पसीना और मुँह सूखना शामिल हैं। गंभीर दुष्प्रभावों में सांस लेने में कठिनाई, दौरे, सेरोटोनिन सिंड्रोम और एलर्जी प्रतिक्रियाएँ शामिल हो सकती हैं। यदि आपको कोई भी असामान्य लक्षण महसूस हो तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: यह दवा केवल एक योग्य स्वास्थ्य पेशेवर द्वारा ही दी जानी चाहिए। स्वयं इंजेक्शन न लगाएं। अपने डॉक्टर को सभी दवाओं के बारे में बताएं जो आप ले रहे हैं, विशेष रूप से अवसादरोधी, एंटीसाइकोटिक और अन्य दर्द निवारक। शराब और अन्य केंद्रीय तंत्रिका तंत्र अवसादकों से बचें। इस दवा को लेने के बाद वाहन न चलाएं या भारी मशीनरी संचालित न करें। सांस लेने में कठिनाई, तेज़ दिल की धड़कन, या गंभीर चक्कर आने पर तुरंत रिपोर्ट करें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 vetram 50mg injection Uses & Benefits

[{"condition":"Moderate to severe acute pain","description":"Used for short-term relief of moderate to severe pain, such as post-operative pain, trauma, or severe musculoskeletal pain.","evidence":"Well-established"},{"condition":"Chronic pain","description":"May be used for chronic pain conditions when other treatments are inadequate, but only under close medical supervision.","evidence":"Moderate"},{"condition":"Neuropathic pain","description":"Sometimes used for neuropathic 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 premature ejaculation due to its effects on serotonin and norepinephrine reuptake.","evidence":"Limited"},{"condition":"Restless legs syndrome","description":"Occasionally used off-label for restless legs syndrome, but not recommended as first-line therapy.","evidence":"Limited"}]

Primary treatment for: Moderate to severe acute pain

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

📋 Drug Information

Generic Name(s)Tramadol (50mg)
Brand Namevetram 50mg injection
ManufacturerVsaar Pharma Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action ClassOpioids
Route of AdministrationParenteral (intramuscular or intravenous injection)
StorageStore at room temperature (15-30°C). Protect from light and freezing. Keep out of reach of children.
Shelf LifeTypically 24 months from the date of manufacture. Refer to the product label for the exact expiry 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
Always administer this medicine in a setting where resuscitation equipment is available.
2
Monitor respiratory rate and depth closely, especially in elderly or debilitated patients.
3
Assess for a history of seizures before prescribing; use with caution in such patients.
4
Review all concomitant medications to avoid serotonin syndrome and other interactions.
5
Adjust dose in renal and hepatic impairment to prevent accumulation and toxicity.
6
Educate patients about the risks of dependence and withdrawal.
7
Avoid concurrent use with MAOIs and within 14 days of stopping them.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Moderate to severe acute pain
This medicine is commonly prescribed for this.
Likely Use
✅
Chronic pain
May be used under medical supervision.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionFollowing intramuscular administration, tramadol is rapidly and completely absorbed. The absolute bioavailability after intramuscular injection is approximately 100%. After intravenous administration, bioavailability is also 100%.
DistributionTramadol is widely distributed throughout the body. It crosses the blood-brain barrier and placenta. The volume of distribution is approximately 2.5 to 3 L/kg.
Protein BindingApproximately 20% of tramadol is bound to plasma proteins.
MetabolismTramadol is extensively metabolized in the liver via N- and O-demethylation, primarily by CYP2D6 and CYP3A4 enzymes. The O-demethylated metabolite (M1) is pharmacologically active and has a higher affinity for mu-opioid receptors than the parent drug.
Half-LifeThe elimination half-life of tramadol is approximately 5 to 6 hours. The active metabolite M1 has a half-life of about 7 hours.
ExcretionTramadol and its metabolites are primarily excreted by the kidneys. About 30% of the dose is excreted unchanged in the urine, and the remainder as metabolites.
BioavailabilityIntramuscular: approximately 100%. Intravenous: 100%.
Onset of ActionAnalgesic effect begins within 10 to 15 minutes after intramuscular injection and almost immediately after intravenous administration.
Peak Plasma TimePeak plasma concentration is reached approximately 45 minutes after intramuscular injection.
Duration of ActionPain relief typically lasts 4 to 6 hours after a single dose.

How It Works

This medicine exerts its analgesic effect through two complementary mechanisms. It binds to mu-opioid receptors in the central nervous system, although with lower affinity than typical opioids. Additionally, it inhibits the reuptake of norepinephrine and serotonin, which enhances descending inhibitory pain pathways. This dual action contributes to its effectiveness in managing moderate to severe pain.

Mechanism Steps

1
Mu-opioid receptor binding: This medicine binds to mu-opioid receptors in the brain and spinal cord, inhibiting pain signal transmission.
2
Norepinephrine reuptake inhibition: It blocks the reuptake of norepinephrine, increasing its availability in the synaptic cleft and enhancing descending pain inhibition.
3
Serotonin reuptake inhibition: It also inhibits serotonin reuptake, which contributes to its analgesic effect and may affect mood.
4
Descending pathway activation: The combined effects activate descending inhibitory pathways from the brainstem to the spinal cord, reducing pain transmission.

💡 How to Take vetram 50mg injection

Strength: Injection: 50 mg/mL

1This medicine is administered by a healthcare professional only.
2It is given as an intramuscular or intravenous injection.
3The injection site should be rotated if repeated doses are given.
4Do not self-administer; seek immediate medical attention if you experience any adverse effects.

Dosage Information

Adult DosageThe usual adult dose is 50 mg to 100 mg administered intramuscularly or intravenously every 4 to 6 hours as needed for pain. The maximum daily dose is 400 mg. For patients with renal or hepatic impairment, dose reduction is recommended. 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 DosageIn elderly patients (above 65 years), the dose should be reduced due to decreased renal clearance. The maximum daily dose is typically 300 mg. Close monitoring for side effects is advised.
Renal ImpairmentIn patients with creatinine clearance less than 30 mL/min, the dosing interval should be increased to every 12 hours, and the maximum daily dose should not exceed 200 mg. In severe renal impairment, tramadol is not recommended.
Hepatic ImpairmentIn patients with severe hepatic impairment, the dose should be reduced, and the dosing interval increased. The maximum daily dose should not exceed 200 mg. Use with caution.
Maximum Daily Dose400 mg per day for adults with normal renal and hepatic function.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
No specific food restrictions, but if oral form is used, take with food to reduce stomach upset.
Reduces gastrointestinal side effects.
Grapefruit
Avoid
May increase drug levels by inhibiting CYP3A4.

⏰ 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 vetram 50mg injection

✅ Common Side Effects

Nausea (Common (up to 10%))
Usually resolves with rest. If persistent, consult your doctor for antiemetic therapy.
Dizziness (Common (up to 10%))
Avoid sudden movements. Do not drive or operate machinery until it resolves.
Drowsiness (Common (up to 10%))
Rest and avoid activities requiring alertness. Inform your doctor if it interferes with daily activities.
Vomiting (Common (5-10%))
Stay hydrated. If vomiting persists, contact your doctor.
Constipation (Common (5-10%))
Increase fluid and fiber intake. Consult doctor if no bowel movement for 3 days.
Sweating (Common (5-10%))
Usually self-limiting. Maintain hydration.
Dry mouth (Common (5-10%))
Sip water frequently. Chew sugar-free gum if needed.

🚨 Serious Side Effects

Respiratory depression (Rare (<0.1%))
Seek immediate medical attention if you experience slow, shallow breathing or difficulty breathing.
Seizures (Rare (<0.1%))
Call emergency services immediately if a seizure occurs.
Serotonin syndrome (Rare (<0.1%))
Seek immediate care if you have agitation, hallucinations, rapid heartbeat, fever, or muscle twitching.
Anaphylaxis (Very rare (<0.01%))
Get emergency help if you experience rash, swelling of face/throat, or difficulty breathing.

⚠️ Rare Side Effects

Hallucinations
Report to your doctor immediately.
Confusion
Discontinue and seek medical advice.
Urinary retention
Consult your doctor if you are unable to urinate.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAOIs Major
SSRIs Major
Tricyclic antidepressants Major
Benzodiazepines Major
Alcohol Major
CYP2D6 inhibitors Moderate
CYP3A4 inducers Moderate
Warfarin Moderate
Metoclopramide Minor
Diuretics Minor

🚨 Major Interactions

  • Monoamine oxidase inhibitors (MAOIs)
  • Selective serotonin reuptake inhibitors (SSRIs)
  • Tricyclic antidepressants
  • CNS depressants (e.g., benzodiazepines, alcohol)

⚡ Moderate Interactions

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

🍷 Alcohol Interaction

Alcohol should be strictly avoided while receiving this medicine. Concurrent use can lead to additive central nervous system depression, severe drowsiness, respiratory depression, and increased risk of seizures. It can also impair judgment and coordination.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to tramadol or any component of the formulation","Severe respiratory depression or acute or severe bronchial asthma","Concurrent use with monoamine oxidase inhibitors (MAOIs) or within 14 days of stopping MAOIs","Patients with uncontrolled epilepsy","Severe hepatic or renal impairment (creatinine clearance

⚠️ Warnings & Precautions

["Risk of respiratory depression, especially in elderly or debilitated patients.","May lower seizure threshold; use with caution in patients with a history of seizures.","Risk of serotonin syndrome when used with serotonergic drugs.","Potential for abuse and dependence; use with caution in patients with a history of substance abuse.","Avoid use in patients with head injury or increased intracranial pressure.","Use with caution in patients with renal or hepatic impairment; dose adjustment may be needed.","May impair mental and physical abilities required for driving or operating machinery."]

🤱 Lactation Safety

Tramadol is excreted in breast milk in small amounts. It is generally considered compatible with breastfeeding for short-term use, but monitoring the infant for drowsiness and poor feeding is advised. Consult your doctor before use.

💊 Overdose Management

Overdose of tramadol can cause respiratory depression, seizures, coma, and cardiac arrest. Treatment includes supportive care, maintenance of airway and ventilation, and administration of naloxone for respiratory depression. Naloxone may not fully reverse all effects, and seizures may require benzodiazepines. Hemodialysis may be considered in severe cases. Seek emergency medical help immediately.

⏰ Missed Dose

This medicine is typically administered by a healthcare professional in a controlled setting. If a scheduled dose is missed, inform your healthcare provider immediately. Do not attempt to self-administer a double dose.

Additional Safety Advice

General Safety

This medicine should only be administered by a qualified healthcare professional. Do not attempt to self-administer. Inform your doctor about all medications you are taking, especially antidepressants, antipsychotics, and other pain relievers. Avoid alcohol and other central nervous system depressants. Do not drive or operate heavy machinery after receiving this medicine. Report any difficulty breathing, rapid heartbeat, or severe dizziness immediately.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to the effects of tramadol, especially respiratory depression and sedation. Dose reduction is recommended, and close monitoring is advised. The maximum daily dose should not exceed 300 mg.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before using this medicine. Tramadol should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. Prolonged use near term may cause neonatal opioid withdrawal syndrome.

🏥 Post-Surgery Considerations

This medicine is often used for post-operative pain. It should be administered under medical supervision. Monitor for respiratory depression and other side effects. Transition to oral analgesics as soon as feasible.

🦷 Dental Procedures

For dental procedures, tramadol injection may be used for severe pain. Inform your dentist if you are taking this medicine. 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 and muscles.
🥗
Engage in regular low-impact exercise as advised by your doctor.
😴
Practice relaxation techniques to cope with chronic pain.
💧
Ensure adequate sleep to aid recovery.
🧘
Avoid alcohol and recreational drugs.
🌞
Stay hydrated and eat a balanced diet.

🏋️ Exercise Considerations

Avoid strenuous activities or exercises that may increase pain until your condition improves. Consult your doctor or physiotherapist for a safe exercise plan. Do not drive or operate machinery until you know how this medicine affects you.

🥗 Diet Recommendations

Include fiber-rich foods to prevent constipation.
Stay well hydrated to maintain kidney function.
Limit caffeine and alcohol intake.
Eat small, frequent meals if you experience nausea.

💼 Impact on Daily Work & Life

This medicine can cause drowsiness, dizziness, and impaired coordination, affecting your ability to drive or operate machinery. Avoid these activities until you know how it affects you. Inform your employer if your job requires alertness.

🛑 When to Stop This Medicine

Do not stop this medicine abruptly without consulting your doctor, as withdrawal symptoms may occur. Your doctor will gradually reduce the dose if discontinuation is necessary. Seek immediate medical attention if you experience serious side effects.

📅 Long-Term Use Effects

Long-term use of tramadol can lead to tolerance, dependence, and withdrawal symptoms upon discontinuation. It may also increase the risk of seizures and serotonin syndrome. Regular monitoring of pain control, renal and hepatic function, and mental status is recommended. 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
Cognitive behavioral therapy

Helps in coping with chronic pain.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are known. However, consult your doctor before receiving any vaccine while on this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate or freeze

✅ 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 with this medicine, carry it in its original packaging along with a copy of your prescription. Since it is an injectable opioid, check the laws of your destination country regarding controlled substances. Store it at room temperature and protect it from light and freezing. If traveling across time zones, consult your doctor about dosing schedule adjustments. Always declare it at customs if required.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 55-year-old man with severe knee pain after surgery
He received tramadol hydrochloride 50mg injection for post-operative pain. Within 15 minutes, his pain significantly decreased, and he was able to rest comfortably. He experienced mild nausea, which resolved with an antiemetic. He was monitored for respiratory depression and remained stable.
💡 Lesson: Tramadol injection provides rapid pain relief but requires monitoring for side effects like nausea and respiratory depression.
👤 A 70-year-old woman with chronic back pain and renal impairment
She was given a reduced dose of tramadol injection due to her age and kidney function. Her pain was well controlled, and no adverse effects were noted. Regular monitoring of renal function was done.
💡 Lesson: Dose adjustment is crucial in elderly patients with renal impairment to avoid toxicity.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts relieving pain within 10 to 15 minutes after injection, with peak effects around 45 minutes.

Q: How long does the effect last?

A: Pain relief typically lasts 4 to 6 hours after a single dose.

Q: Is it safe to use during pregnancy?

A: Use only if clearly needed. Consult your doctor about potential risks and benefits.

Q: Can I become addicted to this medicine?

A: Tramadol has a potential for abuse and dependence. Use only as prescribed and under medical supervision.

🤔 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 vetram 50mg injection

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Tramadol is a safe painkiller with no addiction risk.
    Fact: Tramadol can cause dependence and withdrawal, and it has a potential for abuse.
  • Myth: Tramadol injection can be self-administered.
    Fact: It must be given by a healthcare professional due to risks of respiratory depression and other serious side effects.
  • Myth: Tramadol is safe to use with alcohol.
    Fact: Alcohol increases the risk of severe CNS depression and respiratory depression.

🔄 Alternative Options

Generic Alternatives

  • Tramadol hydrochloride injection

Brand Alternatives

  • Tramadol hydrochloride 50mg injection

📊 Comparison with Similar Medicines

[{"medicine":"Tramadol injection","class":"Opioid analgesic","strength":"50mg","route":"Parenteral","onset":"10-15 minutes","duration":"4-6 hours"},{"medicine":"Morphine injection","class":"Opioid analgesic","strength":"10mg","route":"Parenteral","onset":"5-10 minutes","duration":"4-5 hours"}]

😊 Was this information helpful?

Browse Medicines A-Z

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Back to Medicines Directory