INSTREL GEL


Overview

Uses of Tramadol
Tramadol is used for moderate to severe pain.
Uses of Paracetamol / Acetaminophen
Paracetamol / Acetaminophen is used for pain relief and fever. It is used to relieve pain in conditions like headache, muscle pain, or dental pain.
Uses of Serratiopeptidase
Serratiopeptidase is used in the treatment of pain relief and swelling.
Tramadol side effects
Common
  • Headache
  • Dizziness
  • Sleepiness
  • Vomiting
  • Nausea
  • Constipation
Paracetamol / Acetaminophen side effects
Common
No common side effects seen
Serratiopeptidase side effects
Common
No common side effects seen
How to use Tramadol
This medicine is for external use only. Use it in the dose and duration as advised by your doctor. Check the label for directions before use. Clean and dry the affected area and apply the gel. Wash your hands after applying, unless hands are the affected area.
How to use Paracetamol / Acetaminophen
This medicine is for external use only. Use it in the dose and duration as advised by your doctor. Check the label for directions before use. Clean and dry the affected area and apply the gel. Wash your hands after applying, unless hands are the affected area.
How to use Serratiopeptidase
This medicine is for external use only. Use it in the dose and duration as advised by your doctor. Check the label for directions before use. Clean and dry the affected area and apply the gel. Wash your hands after applying, unless hands are the affected area.
How Tramadol works
Tramadol is an opoid analgesic (pain reliever) which works by blocking transmission of pain signals to the brain to lower pain perception.
How Paracetamol / Acetaminophen works
Paracetamol / Acetaminophen is an analgesic (pain reliever) and anti-pyretic (fever reducer). It works by blocking the release of certain chemical messengers that cause pain and fever.
How Serratiopeptidase works
Serratiopeptidase is an enzyme that works by breaking down the chemical messengers involved in pain and inflammation (redness and swelling).
Instrel Gel related warnings
Alcohol
No interaction found/established
Pregnancy
WEIGH RISKS VS BENEFITS
INSTREL GEL may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
Lactation
No information is available on the use of INSTREL GEL during lactation. Please consult your doctor.
Driving
No interaction found/established
Kidney
No interaction found/established
Liver
No interaction found/established

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
No alternate brands found for this medicine

Expert Advice

Related to Tramadol

  • Use only for severe acute pain for not more than 5 days.
  • Prolonged use may result in physical and psychological dependence even at recommended dosages.
  • Avoid driving or using machinery if you feel dizzy after taking Tramadol.
  • It is better to take with food to avoid an upset stomach.
  • Your doctor may adjust your dose if you have liver or kidney disease.

Related to Paracetamol / Acetaminophen

  • Good for pain relief and fever but not effective in joint pain due to poor anti-inflammatory action.
  • Starts working within one hour. Wait for at least 4 hours before taking the next dose.
  • Present in many over-the-counter (OTC) and prescription medicines. Avoid taking more than one paracetamol product at a time to prevent overdose. Doses >4 g/day (2 g in alcoholics) may cause liver, kidney or heart problems.
  • Discontinue Paracetamol / Acetaminophen and inform your doctor immediately if rash occurs.
  • For children, measure the doses of liquid Paracetamol / Acetaminophen using the measuring cup instead of a teaspoon to avoid under or over-dosage.
  • Avoid excess alcohol intake (>3 glasses/day) when taking Paracetamol / Acetaminophen as it may cause liver damage.

Related to Serratiopeptidase

  • Notify your doctor if you have a bleeding disorder. Since Serratiopeptidase interferes with the blood clotting, so it might worsen the bleeding disorder
  • Stop using the Serratiopeptidase at least 2 weeks before a scheduled surgery, since Serratiopeptidase interferes with blood clotting.
  • Notify your doctor if you are or planning to become pregnant or are breastfeeding.

Patient Concerns

Questions Related to Instrel

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Broken wrist needed proper medicine
Dr. Akshat Goel
Bone & Joint Specialist
Share x-ray picTake Cap Altraday twice daily and Tab Flotrip-forte thrice daily for pain relief and swelling
Dr. I feel backache pain during any hard work Dr.told me earlier that I HV some prob in my backbone. I can't maintain my routine because I HV to do work in household purpose he suggested DOlO-650 SOS any better mdcne?
Dr. Akshat Goel
Bone & Joint Specialist
Do Spinal Extension exercises" thrice daily for 15 mins each session"For pain relief another option is Tab Voveran SR100
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FAQs

Related to Tramadol
Q. Is Tramadol narcotic / NSAID/ opioid?
Tramadol belongs to a class of medications called opiate (narcotic) which is used to treat moderate to severe pain
Q. Is Tramadol banned in India?
Tramadol is available in India as prescription drug
Q. Are Tramadol/ tramazac/ tramazac co 37.5/ tramacep safe?
Tramadol. tramazac/ tramazac co 37.5/ tramacep are relatively safe drug if used in prescribed dose for prescribed duration as advised by your doctor
Q. Does tramadol contain morphine/ codeine/ hydrocodone/ aspirin/ Tylenol?
Tramadol does not contain morphine/ codeine/ hydrocodone/ aspirin/ Tylenol. It belongs to a class of medications called opiate (narcotic) which is used to treat moderate to severe pain
Q. Is Tramadol addictive?
Yes, it may cause physical and physiological addiction. Always consult your doctor before taking this medication.
Related to Paracetamol / Acetaminophen
Q. Can I take Paracetamol / Acetaminophen with vitamin B complex?
Yes, Paracetamol / Acetaminophen can be taken with vitamin B-complex preparations. They have been used together in the treatment of acute and painful diseases affecting nerves like trigeminal neuralgias, post-operative pain, etc. Paracetamol / Acetaminophen helps to relieve pain and vitamin B-complex corrects the deficiency that might be causing your symptoms.
Q. Is Paracetamol / Acetaminophen use associated with Helicobacter pylori infection?
No, Paracetamol / Acetaminophen use is not associated with Helicobacter pylori infection. Painkiller drugs can increase the acid secretion in the stomach, aggravate the symptoms of this infection and the risk of stomach and the intestine ulcer. However, this risk is minimum with Paracetamol / Acetaminophen as compared to other pain killers.
Q. Can I take Paracetamol / Acetaminophen with warfarin?
Paracetamol / Acetaminophen is safe to use occasionally with warfarin as other painkillers like ibuprofen and aspirin can increase the risk of bleeding. However, on a long-term use, Paracetamol / Acetaminophen can also increase the risk of bleeding. Talk to your doctor before taking them together as you may need to be monitored regularly.
Q. Can anyone be allergic to Paracetamol / Acetaminophen?
Yes, there have been reports of hypersensitivity and allergic reaction with the use of Paracetamol / Acetaminophen. Symptoms of an allergy include swelling of the face, mouth, and throat, shortness of breath, urticaria, red rash, and severe itching. Stop taking Paracetamol / Acetaminophen if you have such symptoms and immediately consult your doctor.
Q. How beneficial is to use Paracetamol / Acetaminophen with diclofenac?
Paracetamol / Acetaminophen and Diclofenac might be given together in case of fever and pain. Paracetamol / Acetaminophen has an early onset of action and it helps in relieving the symptoms till diclofenac starts working. However, both are pain killers and can affect stomach lining on long-term use leading to acid reflux, heartburn, and stomach ulcers and bleeding.
Q. Does Paracetamol / Acetaminophen treat sore-throat, flu or cold?
Paracetamol / Acetaminophen does not treat sore-throat, flu or cold but it can help in relieving fever and body aches associated with these conditions.
Q. Can I take Paracetamol / Acetaminophen with amoxicillin?
Paracetamol / Acetaminophen and amoxicillin can be taken together. Amoxicillin is an antibiotic and is used to treat bacterial infections. Paracetamol / Acetaminophen is given along, for the relief of any associated pain and fever. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Does Paracetamol / Acetaminophen have side effects?
Paracetamol / Acetaminophen is quite safe for short term use. It has side effects if taken in more than the dose advised and for a long-term. Immediately consult a doctor if there is nausea, stomach pain, loss of appetite, dark colored urine, clay colored stools or jaundice as it could be due to an overdose of Paracetamol / Acetaminophen.
Q. Is Paracetamol / Acetaminophen safe to use?
Paracetamol / Acetaminophen is safe to use in the dose that advised by the doctor. Using this medicine in more than recommended doses can damage your liver and cause serious harm.
Q. Can I take Paracetamol / Acetaminophen with homeopathic medicine?
Ask your doctor before taking Paracetamol / Acetaminophen with homeopathic medicine as there is no information available on this.
Q. Is it safe to take Paracetamol / Acetaminophen with Tramadol?
Yes, Paracetamol / Acetaminophen can be taken with Tramadol. They are used together for moderate to severe pain in various diseases and their use is associated with common side effects like nausea, dizziness, and sleepiness.No drug-drug interactions have been reported when they are used together.
Q. Can I take Paracetamol / Acetaminophen with Azithromycin?
Paracetamol / Acetaminophen and Azithromycin can be taken together. Azithromycin is an antibiotic and is used to treat bacterial infections. Paracetamol / Acetaminophen is given along, for the relief of any associated pain and fever. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Can a patient with high blood pressure take Paracetamol / Acetaminophen?
Occasional use of Paracetamol / Acetaminophen is safe in patients with high blood pressure. However, if it is to be taken for a long time, you must talk to your doctor. Paracetamol / Acetaminophen belongs to the group of painkillers called analgesics and antipyretics and these drugs can decrease the action of medicines taken by the patient for control of high blood pressure.
Q. What happens if you take an overdose of Paracetamol / Acetaminophen?
Overdose of Paracetamol / Acetaminophen can cause potentially life-threatening liver damage, which is the most serious side effect. Early symptoms may include nausea, vomiting, profuse sweating, and general tiredness. Kidney damage, decreased platelet count and coma may also occur. Immediately consult a doctor or consult an emergency in the case of suspected overdosage.
Q. Can vitamin D be taken safely with Paracetamol / Acetaminophen?
Yes, vitamin D can be taken with Paracetamol / Acetaminophen. Patients with osteoarthritis who are on vitamin D and calcium may need to take Paracetamol / Acetaminophen for the relief of any associated pain. No drug-drug interactions or any harmful effects have been reported.
Q. Does Paracetamol / Acetaminophen affect the liver?
Use of Paracetamol / Acetaminophen for a long time and above recommended doses can cause liver damage ranging from abnormal liver tests to liver failure. If you are taking Paracetamol / Acetaminophen from a long time and have nausea, stomach pain, loss of appetite, dark colored urine, clay colored stools or jaundice, inform your doctor as these could be signs of an underlying liver damage.
Q. Can I take Paracetamol / Acetaminophen if I have hepatitis?
Paracetamol / Acetaminophen is considered the safest painkiller to take for people with hepatitis for mild to moderate pain and fever. However, Paracetamol / Acetaminophen is metabolized in the liver, so, consult your doctor before taking Paracetamol / Acetaminophen if you have hepatitis as it can cause liver damage if taken in higher doses or for a very long time.
Q. What are the serious side effects of taking excess Paracetamol / Acetaminophen?
Potentially severe life-threatening liver injury is a serious side effect seen with an overdose of Paracetamol / Acetaminophen. Overdose can also cause kidney injury, coma, and decreased platelet count. Early symptoms of an overdose include nausea, vomiting, and general tiredness. Immediately consult a doctor or reach an emergency in case of suspected overdose.
Related to Serratiopeptidase
Q. Is serratiopeptidase addictive?
No. Serratiopeptidase is not an addictive drug
Q. Is serratiopeptidase an antibiotic/ steroid/ pain killer?
No, these drugs are used in the treatment of pain and inflammatory condition
Q. Is serratiopeptidase banned/ legal/ illegal/ available in India?
No, serratiopeptidase is available as prescription drug.
Related Lab Tests
Information last updated by Dr. Varun Gupta, MD Pharmacology on 8th Mar 2017.
The medicine details are for information purpose only. Consult a doctor before taking any medicine.
Manufacturer/Marketer Address
Dr. Reddy's Laboratories Ltd., 8-2-337, Road No. 3, Banjara Hills, Hyderabad, Telangana 500034, INDIA
NOT FOR SALE
We do not facilitate sale of this product at present