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Trammax 50mg Tablet

Written By Dr. Syeda Aafia, MBA, BDS
Reviewed By Dr. Rajeev Sharma, MBA, MBBS
Last updated on 25 Nov 2025 | 03:05 PM (IST)
Trammax 50mg Tablet is a pain relieving medicine. It is used to manage persistent, moderate to severe chronic pain that requires continuous, around-the-clock treatment.
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General Information

The content is shown in English
Trammax 50mg Tablet image
Trammax 50mg Tablet image

Product introduction

Trammax 50mg Tablet can be taken with or without food. In general, you should try to use the smallest amount necessary to control your symptoms, for the shortest possible time. You should take this medicine regularly while you need it. Try not to miss doses as this will make the medicine less effective.

Some common side effects of this medicine include dizziness, sleepiness, vomiting, nausea, and constipation. If any of these side effects do not go away or get worse, you should let your doctor know. Your doctor may be able to suggest ways of preventing or reducing the symptoms.

To make sure it is safe for you, before taking this medicine, let your doctor know if you have any medical conditions or disorders. You should also tell your doctor all the other medicines you are using or taking. Pregnant and breastfeeding women should consult their doctors before using this medicine.

Uses of Trammax Tablet

  • Moderate to severe pain

Benefits of Trammax Tablet

Moderate to severe pain
Trammax 50mg Tablet helps to relieve moderate to severe pain in conditions that affect joints and muscles. It works by blocking chemical messengers in the brain that tell us we have pain. It can help relieve pain in conditions like rheumatoid arthritis and osteoarthritis. Taking it will help you go about your daily life more easily. This will help you to go about your daily activities more easily and have a better, more active, quality of life. Consult a doctor if you are not sure.

Side effects of Trammax Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Trammax
  • Dizziness
  • Sleepiness
  • Vomiting
  • Nausea
  • Constipation
  • Headache
  • Itching

How to use Trammax Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Trammax 50mg Tablet may be taken with or without food.

How Trammax Tablet works

Trammax 50mg Tablet is an opioid analgesic (pain reliever) which works by blocking transmission of pain signals to the brain to lower pain perception.

Quick tips

  • 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 Trammax 50mg Tablet.
  • 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.

Safety advice

Alcohol

Alcohol

UNSAFE
It is unsafe to consume alcohol with Trammax 50mg Tablet
Pregnancy

Pregnancy

CONSULT YOUR DOCTOR
The safety of Trammax 50mg Tablet during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.
Breast feeding

Breast feeding

UNSAFE
Trammax 50mg Tablet is unsafe to use during breastfeeding. Data suggests that the drug may cause toxicity to the baby.
Consult a doctor immediately if the baby shows signs of increased sleepiness (more than usual), difficulty breastfeeding, breathing problems, or limpness.
Driving

Driving

UNSAFE
Trammax 50mg Tablet may cause side effects that could affect your ability to drive.
Trammax 50mg Tablet may cause side effects such as drowsiness and blurred vision. If this happens, do not drive.
Kidney

Kidney

CAUTION
Trammax 50mg Tablet should be used with caution in patients with kidney disease. Dose adjustment may be needed.
Liver

Liver

CAUTION
Trammax 50mg Tablet should be used with caution in patients with liver disease. Dose adjustment may be needed.

Interaction with drugs

Taking Trammax with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Life-threatening

Selegiline (Oral Route)

Do not consume Selegiline with Tramadol. If essential, watch out for symptoms such as fever, tremors, diarrhea or agitation. Please consult your doctor.
Life-threatening

Naltrexone (Oral Route)

Do not consume Naltrexone with Tramadol; watch out for symptoms such as breathlessness, increased heart rate, or headache. Naltrexone may reduce efficacy of Tramadol.
Life-threatening

Tranylcypromine (Oral Route)

Do not consume Tranylcypromine with Tramadol. If Tranylcypromine is essential, ensure a gap of At least 2 weeks between taking Tranylcypromine and Tramadol. Please consult your doctor.
Severe

Moclobemide (Oral Route)

If concurrent use is essential, your doctor may monitor your treatment and adjust the doses as per the observations.
Severe

Alprazolam (Oral Route)

If concurrent use is essential, watch out for symptoms of Alprazolam side effects such as drowsiness, excessive sedation, tiredness, dizziness or slurred speech and consult your doctor if you experience them. They may adjust the dose of Alprazolam as per the observations. It is advised to avoid driving or undertaking other tasks requiring skill and alertness.

Frequently asked questions

Trammax 50mg Tablet may cause drowsiness and dizziness, especially in the beginning of the treatment. Do not drive or work with tools or machinery if your alertness is affected. It is not advisable to drink alcohol during treatment with this medicine as it might increase sleepiness.
Trammax 50mg Tablet belongs to a class of medications called opiate (narcotic) which is used to treat moderate to severe pain
Trammax 50mg Tablet is available in India as prescription drug
Yes, Trammax 50mg Tablet may cause physical and physiological addiction. Always consult your doctor before taking this medication.

Fact Box

Chemical Class

Phenylpropylamine derivative

Habit Forming

Yes

Therapeutic Class

PAIN ANALGESICS

Action Class

Opioids

References

  1. Schumacher MA, Basbaum AI, Way WL. Opioids Analgesics & Antagonists. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 547.
  2. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1384-86.
  3. Sciencedirect. Tramadol. [Accessed 02 Apr. 2019] (online) Available from:
  4. Tramadol hydrochlorid. FDA; 1995 [revised May 2010]. [Accessed 23 Jan. 2019] (online) Available from:
  5. Central Drugs Standard Control Organisation (CDSCO). [Accessed 02 Apr. 2019] (online) Available from:
  6. Tramadol hydrochloride. Prescribing Information. Titusville, New Jersey; Janssen Pharmaceuticals, Inc.; 2023. [Accessed 12 Sep. 2025] (online) Available from:
  7. Tramadol hydrochloride. Melbourne, Australia: Seqirus Pty Ltd.; [Accessed 10 Nov. 2025] (online) Available from:
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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: Betamax Remedies
Address: SCF-274 , 2nd Floor Motor Market , Manimajra (Chandigarh)

Vendor Details

Country of origin: India
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