A Brief Guide Of Darvin Tablets (Trama-dol And Paracetamol) Uses Dosage Side Effects Price

Darvin Tablets Uses Dosage A Comprehensive Guide

Darvin Tablets is a combination of the medicines Dextropropoxyphene and Paracetamol. Dextropropoxyphene used in the moderate pain and reliefs the pain with unconsciousness. On the other hand, Paracetamol is analgesic and anti pyretic agent which is an active metabolite of phenacetin.  Meanwhile, it contains, Trama-dol hydrochloride 37.5mg /Paracetamol 325mg.

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Darvin Tablets Uses

Generally these tabs used to treat moderate to severe pain. But only when your doctor recommended that a combination of Trama-dol hydrochloride and Paracetamol Tablets is needed.

Contraindications Details

Do not take this medicine if

• You are hypersensitive or have had an allergic reaction (for intent skin rash, swelling of the face, wheezing or difficult breathing) to trama-dol, paracetamol or any of the other ingredients In these capsules
• In case of acute alcohol poisoning
• If you are taking sleeping pills, pain relievers or medicines that effect mood and emotions
• You are also taking medicines called monoamine oxidase inhibitors (MAOIs). Or have taken MAOIs in the last 14 days before treatment with it. Meanwhile, MAOIs  used in the treatment of depression or Parkinson’s disease
• If you have a severe live disorder
• You have epilepsy that is not adequately controlled by your current medicine.

Before you take It check with your doctor or pharmacist If

• Have liver problem or disease as your eyes and skin may turn yellow, which may suggest jaundice
• Have kidney problem
• Severe difficulties in breathing, for example asthma or severe lung problems
• Have epilepsy or have already experienced fits or seizures
• Recently suffered from a head injury, shock or severe headaches associated with vomiting (being sick)
• You are dependent on any medicine (for example morphine)
• Take other medicines to treat pain that contain buprenorphine, nalbuphine or pentazocine
• Going to have an anesthetic (tell your doctor or dentist that you are taking the medicine

Drug Interactions Information

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. Meanwhile, your doctor will tell you which medicines are safe to take with this medication

• Do not exceed the maximum daily doses of paracetamol or trama-dol from this or other medicines.
• Do not take it with MAOIs (see section do not take darvin)

Generally its is not recommended with the following medicines, as it may affect how well they work:

• Carbamazepine (a medicine used to treat epilepsy or some types of pain)
• Buprenorphine, nalbuphine or pentazocine (opiod type pain relievers).
• Darvin may increase the risk of side effect if you also take following medicines:
• Triptans (used for migraine) or selective serotonin re-uptake inhibitors (SSRIs, used for depression)
• Check with your doctor if you experience confusion, restlessness, fever, sweating, uncoordinated movement of limbs or eyes, uncontrollable jerking of muscles or diarrhea.
• Tranqyilizer, sleeping pills, other pain relievers such as morphine and codeine (also as cough medicine), baclofen (a muscle relaxant), medicines used to lower blood pressure, antidepressants or medicines to treat allergies, Check with your doctor if you feel drowsy or feel faint.
• Antidepressants, anaesthetic, medicine that effect the state of mind, or pupropion (used to help stop smoking) the risk of having a fit may increase. Your doctor will tell you whether Darvin is suitable for you.
• Warfarine of phenprocoumon (for blood thinning). The effectiveness of such medicine may be altered and bleeding may occur.
• The effectiveness of Darvin may be altered if you also take the following medicines.
• Metoclopramide, domperidone or ondanstron (medicines used to treat nausea and vomiting/being sick)
• Cholestyramine (medicine used to reduce cholesterol in the blood)
• Ketoconazole or erythromycin (medicines used against infection).

Taking It with food and drink

Do not drink alcohol while you are taking the tab, as you may feel drowsy.

Darvin Tablet Use In Pregnancy

Do not take it while you are pregnant. On the other hand, check with doctor if you become pregnant during treatment with this and before taking any breast-feeding as small amounts of trama-dol may pass into the breast-milk

Effects On Driving And Using Machines

If you feel drowsy while taking this product, do not drive, use tool or use machinery. Furthermore, in case of any emergency your doctor or pharmacist will decide according to the situation.

Darvin Tablets Dosage

Oral: Moderate to severe pain control with this medicine use Adults and adolescents over 12 years The ideal dose is 2 tablets every 6 hours: maximum 8 tablets daily. The recommended dosage to start with 2 tablets, unless otherwise prescribed by your doctor. Meanwhile, if required further doses may be taken as instructed by your doctor. The shortest time between dose must be at 6 hours. Do not take more than 8 tablets per day. Your doctor may increase the time between dose if:

• You are older than 75 years
• You have kidney problems
• Or you have liver problems

Children under 12 year of age

The effective and safe use of Darvin (Trama-dol Hydrochloride And Paracetamol Tablets) has not been established in children blow age of 12 years. Treatment is therefore not recommended in this population.

In Renal And Hepatic Insufficiency

Its not recommended in patients with severe hepatic and renal impairment (creatinine clearance 10ml/min). Meanwhile, In case of  moderate hepatic and renal impairment (creatinine clearance between 10 and 30ml/min), the dosing should be increased to 12-hourly Intervals and prolongation of dosage interval should carefully considered. On the other hand, if you take more dose than you should immediate medical advice should practiced in the event of an overdose. Most importantly, such action needed even if you feel well, because of the risk of delayed, serious liver damage.

If you forget to take The Dose

If you forget to take the tablets, pain is likely return. On the other hand, do not take double dose to make up for forgotten individual doses. Meanwhile, simply continue taking the tablets as before.

If you stop taking It

Generally, there will no after-effects when treatment with Dvin is stopped. However, rarely, people who using a medicine containing Trama-dol may become dependent on it, making it hard to stop taking. Therefore, if you have  taking Darvin for some time and want to stop, contact your doctor because your body may have become used to DARVIN.

People may face symptoms like:

• Feel agitated, anxious, nervous or shaky
• Be over active
• Have difficulty
• Have stomach or bower disorders

Very few people may also get:

• Panic attack
• Hallucination, unusual perceptions such as itching, tingling and nubness.
• Ringing in the ears.

If you experience any of these complaints after stopping the use of this medication, most importantly, contact your doctor

Darvin Tablets Side Effects

Like all the other medicines Darvin Side Effects also shown. Meanwhile, some side effects could be serious. Most importantly, in this situation contact your doctor immediately if any of the following occur:

• Rarely cases of skin rash, indication and allergic reaction, may develop with sudden swelling of the face and neck, difficulties breathing or drop or blood pressure and fainting, it this happens to you , stop treatment, do not take the medicine again.
• Prolonged or unexpected bleeding from the use of  DARVIN with medicines used to thin the blood(e.g warfain, Phenprocoumon). Additionally, if any of the following side effects get serious, contact your doctor or pharmacist: very common side effects (affecting more than 1 in 10 people treated)
• Nausea
• Dizziness, drowsiness.

Common side effects (affecting less than 1 in 10 but more than 1 in 100 people treated)

• Vomiting (being sick), digestion problems (constipation, flatulence, diarrhea), stomach pain, dry mouth.
• Itching, sweating
• Headache, shaking
• Confusion, sleeping disorders, mood changes (anxiety, nervousness, feeling or high spirits)

Uncommon side effects (affecting less than 1 in 100 but more than 1 in 1000 people treated)

• Increase in pulse or blood pressure, heart rate or heart rhythm disorders
• Difficulty or pain om passing water
• Skin reaction (for example rashes, hives)
• Tingling, numbness or feeling or pins and needles in the limbs, ringing in the ears, involuntary muscle twitching
• Depression, nightmares, hallucination (hearing seeing or sensing things that are not really there) memory lapses
• Difficulty swallowing, blood in the stools
• Shivering, hot flushes pain in the chest
• difficulty breathing

Rare side effects (affecting less than 1 in 1000 but more than 1 in 10,000 people treated)

• Fits, uncoordinated movement
• Addiction
• Blurred vision

In addition, the following side effects have been reported by people using medicines that contain only Trama-dol or only Paracetamol:

• Feeling faint when getting up from a lying or sitting position, slow heart rate, fainting
• Changes in appetite
• Muscle weakness, slower or weaker breathing
• Mood changes, changes in activity, changes in perception
• Worsening of existing asthma
• Nose bleeds or bleeding gums, which may result from low blood platelet count.

If you notice an of the said side effects after use of this product you must immediately contact your doctor or physician for the further use.

Darvin Tablet Storage Instructions

Most importantly, always remember to keep all the medicine out of the reach of your small children. On the other hand, store the medicine on a cool but dry place. Always protect it from sunlight and heat. Lastly, you must see the pack for the product expiry date which always mentioned on the pack and if the product is expired you must not use the expired tablets.

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Darvin (Trama dol Hydrochloride And Paracetamol Tablets) Price (Rs. 160 PKR) And $ 5 USD iN USA