Acugesic 50mg Tablet
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- Muslim-Friendly
- FDA Approved
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Prescription Required
Overview
Acugesic 50mg Tablet contains tramadol hydrochloride 50mg, an opioid analgesic used to relieve moderate to moderately severe pain when milder painkillers are not sufficient.
Tramadol relieves pain through a dual mechanism: it weakly activates opioid receptors in the brain and spinal cord, and it also inhibits the reuptake of serotonin and noradrenaline, both of which contribute to reducing the perception of pain.
How it Works
Tramadol and its active metabolite bind weakly to mu-opioid receptors, reducing pain signal transmission, while also blocking the reuptake of serotonin and noradrenaline in the central nervous system, which enhances the body’s own pain-inhibiting pathways. This dual action provides analgesia while carrying a lower risk of dependence than stronger opioids, though the risk is not absent.
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.
Dosage
The 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 Life
Use this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.
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
Frequently Asked Questions
What is Acugesic 50mg Tablet used for?
Acugesic 50mg Tablet is used to relieve moderate to moderately severe pain when milder painkillers such as paracetamol or NSAIDs are not sufficient on their own.
Can I become dependent on this medicine?
Yes, tramadol carries a risk of tolerance and dependence, especially with prolonged or high-dose use, so it should be used at the lowest effective dose for the shortest time needed, under your doctor’s guidance.
Can I drink alcohol while taking this medicine?
No, alcohol should be avoided completely while taking tramadol, as combining them significantly increases the risk of severe drowsiness and dangerously slowed breathing.
Why is it important to tell my doctor about antidepressants I am taking?
Combining tramadol with certain antidepressants (such as SSRIs, SNRIs, or MAOIs) increases the risk of serotonin syndrome, a rare but potentially life-threatening reaction involving agitation, rapid heartbeat, and high fever.
What should I do if I miss a dose of Acugesic 50mg Tablet?
If you are taking this medicine on a regular schedule, take the missed dose as soon as you remember unless it is close to your next dose; if you are taking it as needed for pain, simply take your next dose when required. Do not double the dose.
Can I buy Acugesic 50mg Tablet from DoctorOnCall?
Yes, Acugesic 50mg Tablet is available through DoctorOnCall, a licensed online pharmacy serving our Malaysian and Singaporean customers. As this is a prescription medicine, you will need to complete an online consultation so a doctor can assess your suitability and issue a valid prescription before the order is processed. This ensures the medicine is appropriate for your condition and used under proper medical supervision, whether you are ordering from Malaysia or Singapore.
Is the medication provided by DoctorOnCall genuine and safe to use?
DoctorOnCall sources its medicines through appropriate licensed pharmacy supply channels for our Malaysian and Singaporean customers. All orders are dispensed and checked by a registered pharmacist before delivery. Always use Acugesic 50mg Tablet according to your doctor’s instructions and the information provided with the product.
What payment methods does DoctorOnCall accept?
We accept payment via Online Banking, Credit Card, and e-Wallets (Boost, GrabPay) for our Malaysian and Singaporean customers, so you can choose whichever method is most convenient for you at checkout.
Does DoctorOnCall provide an installment payment plan for Acugesic 50mg Tablet?
DoctorOnCall provides an installment payment plan for eligible Malaysian and Singaporean customers, where applicable. Available plans, eligibility, and terms can vary by market, so please contact DoctorOnCall Customer Service for the latest information on installment options for your order.
Is delivery free, and how much does shipping for Acugesic 50mg Tablet cost?
Delivery charges may vary for our Malaysian and Singaporean customers depending on your delivery location and the applicable order terms at the time of purchase. For the most accurate and up-to-date delivery fee information, please contact DoctorOnCall Customer Service before placing your order.
How long does delivery take for Acugesic 50mg Tablet?
Our Malaysian customers can generally expect delivery within 3-5 working days, while our Singaporean customers generally receive their orders within 5-7 working days. These are expected timeframes rather than guarantees, and actual delivery time may vary depending on your delivery location, order processing time, courier operations, and whether the order falls on a weekend or public holiday.
What is DoctorOnCall’s shipping, return, or cancellation policy for Acugesic 50mg Tablet?
Shipping, return, and cancellation terms may vary for our Malaysian and Singaporean customers depending on the product and your order details. Please refer to DoctorOnCall’s Shipping & Delivery Policy and Return, Refund & Exchange Policy, or contact Customer Service, for the specific terms that apply to your order.
Ingredients / Active Ingredients
- Tramadol hydrochloride 50mg
Safety Advice
Pregnancy
Use during pregnancy is generally not recommended unless absolutely necessary.
Breastfeeding
Generally not recommended while breastfeeding.
Kidney
Use cautiously. Dose adjustment or monitoring may be required.
Liver
No adequate data available. Consult a doctor before use.
Alcohol
Caution is advised when consuming alcohol with this medicine.
Driving
It is not advisable to drive if you experience side effects from this medicine.
Medical Review
