Acugesic 50mg Tablet

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

Acugesic 50mg Tablet is a prescription-only medicine (POM) presented as a tablet, with Tramadol hydrochloride 50mg as its active ingredient content.

This page is limited to product, safety and handling information, in line with Malaysian rules on prescription medicine information for the public. Your prescriber or pharmacist is the right source for anything beyond that, together with the leaflet inside the pack.

Through DoctorOnCall, this product is supplied after an online consultation with a licensed doctor and a valid prescription, and it is checked by a registered pharmacist before dispensing. Take it exactly as prescribed, and speak to your doctor before stopping, changing the dose, or starting any other medicine alongside it.

Directions for Use

Take Acugesic 50mg Tablet with or without food, swallowing the tablet whole with water. Do not drive or operate machinery until you know how this medicine affects you, as it can cause drowsiness, and avoid alcohol while taking it.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Drowsiness or dizziness
  • Nausea and vomiting
  • Constipation
  • Headache
  • Dry mouth
  • Sweating
  • Fatigue
  • Confusion (especially in older adults)
  • Risk of dependency with long-term use

Contraindications

  • Known hypersensitivity to tramadol or other opioids
  • Acute intoxication with alcohol, sedatives, or other opioids
  • Uncontrolled epilepsy or significantly increased risk of seizures
  • Concurrent use or recent use (within 14 days) of monoamine oxidase inhibitors (MAOIs)
  • Severe respiratory depression

Drug / Food Interactions

  • Other CNS depressants (alcohol, benzodiazepines, other opioids, sedating antihistamines) significantly increase the risk of severe drowsiness and dangerous respiratory depression
  • SSRIs, SNRIs, or MAOIs combined with tramadol increase the risk of serotonin syndrome, a potentially life-threatening condition
  • Carbamazepine reduces tramadol blood levels, potentially reducing its pain-relieving effect
  • Warfarin’s blood-thinning effect may be enhanced when combined with tramadol

Quick Tips

  • Use this medicine for the shortest duration needed, as tolerance and dependence can develop with prolonged use
  • Avoid alcohol completely while taking this medicine
  • Do not drive or operate machinery until you know how tramadol affects you
  • Never combine with other opioids, sedatives, or antidepressants without checking with your doctor first

Ingredients / Active Ingredients

  • Tramadol hydrochloride 50mg

Safety Advice

Pregnancy

Not Advisable

Use during pregnancy is generally not recommended unless absolutely necessary.

Breastfeeding

Not Advisable

Generally not recommended while breastfeeding.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

No Data

No adequate data available. Consult a doctor before use.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Not Advisable

It is not advisable to drive if you experience side effects from this medicine.

Frequently Asked Questions

Product Specifications

BrandDuopharma
ClassificationPrescription medicine
Ingredients / Active IngredientsTramadol
Pack Size10s
DosageThe usual adult dose of Acugesic 50mg Tablet is 50-100mg every 4-6 hours as needed, up to a maximum daily dose set by your doctor, used for the shortest duration needed to control your pain.
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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