Prescribing Advice for GPs

An NHS Prescribing Advisers' Blog

Tramacet

Tramacet has been launched recently and is being heavily promoted in the form of adverts and journal inserts. It contains 325mg of Paracetamol and 37.5mg of Tramadol per tablet.

Given the recent announcement of the withdrawal of Co-proxamol, we feel it would be inappropriate to transfer patients to this drug. We are also concerned that this new product contains subtherapeutic doses of both ingredients.

It currently costs £10.07 for 60 tablets which is over £9 more than the cost of 100 Paracetamol and £3 more than 100 Co-codamol 30/500mg tablets.

Action: There can be no good reason to use Tramacet in any circumstance.

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104 Comments to “Tramacet”

  1. I am taking tramacet for pain after I was involved in a car accident. I have noticed that I no longer have palpitations, but once I have stop taking it the palpitations returns. Do I have to take them for life. I am afraid for my liver and my kidneys.

    Comment by Nolitha Makapela — August 17, 2019 #
    Reply

    1. @Nolitha Makapela,

      You don't have to take them for life, but you need to speak to your doctor or pharmacist about gradually reducing your dose to avoid withdrawal effects, or at least make it more tolerable until it settles again. It may also be worth investigating the cause of your palpitations if that keeps occurring.

      Comment by Matthew Robinson — August 18, 2019 #
      Reply

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