What is the difference between co codamol and tramadol

Overall assessments of efficacy by patients mean score 2. Equivalent mean doses 3. Pubmed Abstract Opens New Window. We use cookies to give you the best possible user experience. By continuing to use the site, you agree to the use of cookies.

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Search Close Search. Home Research Disease Management. Conclusions: Dihydrocodeine treatment was associated with better global QL, cognitive functioning, analgesia and appetite, less fatigue, sleep disturbances, nausea and vomiting. Tramadol therapy was connected with better emotional functioning, less constipation and financial problems. PS deteriorated in both tramadol and DHC groups.

Abstract Background: Tramadol and dihydrocodeine DHC are analgesics of step 2 WHO analgesic ladder opioids for mild to moderate pain, weak opioids frequently used in the treatment of cancer pain of moderate intensity. If you've taken an accidental overdose you may feel very sleepy, sick or dizzy. You may also find it difficult to breathe.

In serious cases you can become unconscious and may need emergency treatment in hospital. The amount of tramadol that can lead to an overdose varies from person to person. If you've taken 1 extra dose by mistake, check the information that comes with the medicine packaging or ask your pharmacist or doctor for advice.

Generally, you are unlikely to get any symptoms and you can take your next dose as usual. Get someone else to drive you or call for an ambulance.

Take the tramadol box or leaflet inside the packet plus any remaining medicine with you. It's safe to take tramadol with paracetamol , ibuprofen or aspirin aspirin is suitable for most people aged 16 years and over. Do not take tramadol with codeine-containing painkillers you can buy from a pharmacy.

You'll be more likely to get side effects. Some everyday painkillers that you can buy from pharmacies contain codeine, which is a similar medicine to tramadol. Codeine-containing painkillers that you can buy from pharmacies include co-codamol , Nurofen Plus and Solpadeine. Like all medicines, tramadol can cause side effects although not everyone gets them. Talk to your doctor or pharmacist if the side effects listed below bother you or don't go away. Very common side effects of tramadol happen in more than 1 in 10 people and include:.

Common side effects of tramadol happen in more than 1 in people. They include:. In rare cases, it's possible to have a serious allergic reaction anaphylaxis to tramadol. These are not all the side effects of tramadol. For a full list see the leaflet inside your medicines packet. In early pregnancy, it's been linked to some problems for your unborn baby.

If you take tramadol at the end of pregnancy there's a risk that your newborn baby may get withdrawal symptoms. However, it's important to treat pain in pregnancy. For some pregnant women with severe pain, tramadol might be the best option.

Your doctor is the best person to help you decide what's right for you and your baby. It's safe to breastfeed while taking tramadol. Tramadol passes into breast milk in small amounts but it's unlikely to harm your baby. However, if your baby is premature, had a low birthweight or has an illness, talk to your doctor before breastfeeding. Some medicines and tramadol interfere with each other and increase the chances of you having side effects.

Tell your doctor if you're taking:. Do not take medicines called monoamine oxidase inhibitors or MAOIs which are used to treat depression with tramadol.

It's not known if complementary medicines and herbal teas are safe to take with tramadol. They're not tested in the same way as pharmacy and prescription medicines. They're generally not tested for the effect they have on other medicines. Tell your doctor or pharmacist if you're taking any other medicines, including herbal medicines, vitamins or supplements.

It acts on pain receptors in the central nervous system and the brain to block pain signals to the rest of the body. It also works in your brain to stop you feeling pain messages. Tramadol does not stop the pain from happening, but you will not be able to feel it as much. You will feel less pain 30 to 60 minutes after taking fast-acting tramadol. The pain relief wears off after 4 to 6 hours. Slow-acting tramadol tablets and capsules can take a day or two to start working but the pain relief will last for longer.

Depending on why you're taking tramadol, you may only need to take it for a short time. For example, if you're in pain after an injury or operation, you may only need to take tramadol for a few days or weeks at most.

Talk to your doctor if you're unsure how long you need to take tramadol for. Yes, tramadol is addictive. For this reason, your dose will be reviewed to make sure you are only taking the amount you need to control your pain. Your treatment plan may include details of how and when you will stop taking tramadol.

If you need to take it for a long time your body can become tolerant to it. That means you need higher doses to control your pain over time. Some people can become more sensitive to pain hyperalgesia. If this happens, your doctor will reduce your dose gradually to help these symptoms. Speak to your doctor if you are worried about tolerance, hyperalgesia or becoming addicted. If you're addicted to tramadol, you may find it difficult to stop taking it or feel you need to take it more often than necessary.

And if you stop taking tramadol suddenly you may suffer from withdrawal reactions. These include agitation, anxiety, nervousness, panic attacks, difficulty sleeping, shaking, over-activity, pins and needles or ringing in the ears.

Talk to your doctor if you're worried about addiction or if you want to know more about how to prevent withdrawal symptoms. The type of painkiller that's best depends on what type of pain you have and the cause of your pain. If tramadol doesn't get rid of your pain or works less well, talk to your doctor. Tramadol doesn't affect any type of contraception including the combined pill and emergency contraception.

There's no firm evidence to suggest that taking tramadol will reduce fertility in men. Speak to a pharmacist or your doctor if you're trying to get pregnant. They may want to review your treatment. Drinking alcohol while you're taking tramadol can make you feel more sleepy or increase the risk of serious side effects.

Stop drinking alcohol during the first few days of treatment until you see how the medicine affects you. If you feel sleepy with tramadol, it may be best to stop drinking alcohol while you're taking it.