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Trolnac-P Tablet is a combination pain-relieving medicine used to manage moderate to severe pain. This includes pain after surgery, injury, or severe muscle pain. It works by acting on the brain to reduce the perception of pain and provide effective relief.

Written By Dr. Anuj Saini, MMST, MBBS,
Reviewed By Dr. Mekhala Chandra, MD, MBBS,
Last updated on 12 May 2026 | 01:04 AM (IST)
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General Information

Contains

Tramadol (37.5mg)+ Paracetamol (325mg)

Marketer

Stenkem Molecules Pvt Ltd

Storage

Store below 30°C
The content is shown in English
Trolnac-P Tablet image
Trolnac-P Tablet image

Product introduction

Trolnac-P Tablet should be taken in the dose and duration advised by your doctor. It may be taken with or without food. If it causes stomach upset, take it with food. Take it exactly as prescribed by your doctor. Do not take more than the recommended dose or use it for longer than advised. Common side effects of this medicine include nausea, vomiting, dry mouth, dizziness, and constipation in some patients. These are usually mild and tend to resolve over time. If any of these side effects persist or get worse, consult your doctor for guidance. Inform your doctor immediately if you notice any rash or signs of an allergic reaction while taking this medicine. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before use. This medicine is not recommended for people with severe liver impairment or those with uncontrolled epilepsy.

Uses of Trolnac-P Tablet

  • Moderate to severe pain

Benefits of Trolnac-P Tablet

Moderate to severe pain
Trolnac-P Tablet works by acting on the brain to alter pain perception and by blocking pain signals. This helps provide faster and more effective relief from intense pain. Timely pain control can improve mobility and support recovery. As a result, patients may experience greater comfort and improved ability to perform daily activities.

Side effects of Trolnac-P 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 Trolnac-P
  • Nausea
  • Vomiting
  • Constipation
  • Dizziness
  • Dryness in mouth
  • Sleepiness
  • Diarrhea
  • Abdominal pain
  • Dyspepsia
  • Flatulence
  • Headache
  • Trembling
  • Anxiety
  • Sleep disorder
  • Itching

How to use Trolnac-P 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. Trolnac-P Tablet may be taken with or without food.

How Trolnac-P Tablet works

Trolnac-P Tablet is a combination of two medicines: Tramadol and Paracetamol which relieve severe pain. Tramadol is an opioid analgesic (pain reliever) which works by blocking the transmission of pain signals to the brain to lower pain perception. Paracetamol works by blocking the release of certain chemical messengers that cause pain.

Quick tips

  • Consider taking Trolnac-P Tablet with milk or food to prevent stomach upset.
  • Trolnac-P Tablet may cause drowsiness, dizziness, or slowed reaction time, particularly when you first start taking it. It is recommended to avoid driving or operating heavy machinery until you are certain how it affects you.
  • Drink plenty of water and eat fiber-rich foods like fruits and vegetables to help prevent constipation, a common side effect of Trolnac-P Tablet.
  • Do not drink alcohol while taking Trolnac-P Tablet. Alcohol combined with this medicine can cause extreme drowsiness or dangerously slow your breathing.
  • During long-term treatment, your doctor may conduct regular blood tests to monitor your liver function.
  • Inform your doctor if you have a history of heart disease, high blood pressure, liver disease, kidney disease, epilepsy, or any breathing problems before taking Trolnac-P Tablet.
  • Do not stop taking Trolnac-P Tablet suddenly if you have been using it for more than a few days. Stopping it abruptly may lead to withdrawal symptoms such as anxiety, restlessness, sweating, insomnia, and gastrointestinal discomfort.

Safety advice

Alcohol

Alcohol

UNSAFE
Do not drink alcohol while you are taking this medicine. Trolnac-P Tablet may cause excessive drowsiness when taken with alcohol.
Pregnancy

Pregnancy

UNSAFE
Trolnac-P Tablet is highly unsafe during pregnancy. It can cause serious harm to the unborn baby, including birth defects and pregnancy loss. Do not use this medicine if you are pregnant or planning to become pregnant.
Breast feeding

Breast feeding

SAFE IF PRESCRIBED
Trolnac-P Tablet may be safe to use during breastfeeding. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.
Consult a doctor immediately if the baby shows signs of increased sleepiness (more than usual), difficulty breastfeeding, breathing problems, or limpness.
Driving

Driving

UNSAFE
Trolnac-P Tablet may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney

Kidney

CAUTION
Trolnac-P Tablet should be used with caution in patients with kidney disease. Dose adjustment may be needed.
Liver

Liver

CAUTION
Trolnac-P Tablet should be used with caution in patients with liver disease. Dose adjustment may be needed.
However, the use of Trolnac-P Tablet is not recommended in patients with severe liver disease or active liver disease.

Frequently asked questions

Trolnac-P Tablet is a combination painkiller used for short-term relief of moderate to severe pain, such as pain after surgery, injury, or severe muscle and joint pain. Tramadol works by acting on pain receptors in the brain and spinal cord to reduce the intensity of pain. Paracetamol works by blocking certain chemical signals in the brain that cause pain and fever. Together, they provide stronger and faster relief than either medicine alone.
Trolnac-P Tablet should not be used by children under 12. It should also be avoided if you have severe asthma, breathing problems, liver disorders, or epilepsy. If you are pregnant or if you drink excessive alcohol, this medicine may not be safe for you. Consult your doctor and share your complete medical history before starting this medicine.
Yes. Since Trolnac-P Tablet contains tramadol, which is an opioid painkiller, it may cause tolerance, dependence, or addiction if used for a long time. You may feel the need to take more than the prescribed dose or use it for reasons other than pain relief. Always use it only as directed by your doctor.
Yes. It may impair the mental and physical abilities needed for driving and operating heavy machinery. Side effects such as drowsiness, dizziness, blurred vision, and slowed reaction times are common, particularly at the start of treatment or after a dose increase. Avoid driving while taking Trolnac-P Tablet.
Both the kidney and liver play critical roles in processing and clearing this medicine from the body. If either organ is not functioning properly, the medicine can accumulate in the body, increasing the risk of serious side effects. If you have kidney or liver disease, take Trolnac-P Tablet only if your doctor prescribes it.
Trolnac-P Tablet is contraindicated (must not be used) in all children under 12 years of age. It is also contraindicated in patients under 18 years of age who have had a tonsillectomy or adenoidectomy (throat or nose surgery), due to a significantly increased risk of life-threatening breathing problems. Elderly patients may take this medicine after consulting their doctor.
Patients with epilepsy or a history of seizures may face an increased risk of experiencing a seizure while taking Trolnac-P Tablet. The seizure risk further increases when it is taken alongside certain medicines like antidepressants. Do not take Trolnac-P Tablet without consulting your doctor.
Yes. Constipation is one of the most common side effects of Trolnac-P Tablet. Consult your doctor if constipation becomes severe or if you develop abdominal pain and bloating. If you notice that you have not had a bowel movement for 3 or more days, contact your doctor.
No. Do not stop taking Trolnac-P Tablet abruptly after taking it for more than a few days, as this may be unsafe. Because it is an opioid, the body can become physically dependent on it quickly. When the medicine is stopped suddenly, the body may produce withdrawal symptoms such as sweating, anxiety, insomnia, and tremors.
No. Usually, doctors prescribe Trolnac-P Tablet for short-term use (generally up to a few days). In certain conditions, your doctor may prescribe it for longer durations depending on the severity of the condition and the type of diagnosis. If you have chronic back pain, discuss a comprehensive pain management plan with your doctor. Using opioids such as Trolnac-P Tablet as the primary long-term strategy is generally not recommended.
No. Trolnac-P Tablet and paracetamol are not the same medicine, even though the former contains paracetamol as an ingredient. Paracetamol and Trolnac-P Tablet work in different ways in the body and should be taken only after consulting your doctor to avoid confusion and overdose.

Fact Box

Habit Forming

Yes

Therapeutic Class

PAIN ANALGESICS

References

  1. FDA approved prescribing information. Tramadol hydrochlorid; 1995 [revised May 2010]. [Accessed 24 Apr. 2019] (online) Available from:
  2. Paracetamol. Barnstaple, Devon: Actavis UK Ltd.; 1980 [revised 23 Dec. 2016]. [Accessed 02 Apr. 2019] (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: Stenkem Molecules Pvt Ltd
Address: B-2/1023, Seagul Handevadi Road,Hadapsar,Pune-411028

Vendor Details

Country of origin: India

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