Important! We do not offer any products ourselves, but offer the possibility to request a treatment (possibly with medication).
If you wish to obtain certain medication, you can buy these products at your own pharmacy or instruct us to arrange this in your name at a registered EU pharmacy. For prescription only medication we also arrange a consultation for you with a registered EU doctor.
* Instruction costs include VAT.
Important notice for Tramal
This product is no longer available for UK residents, please choose another pain relief treatment. Tramadol containing products are available for non UK residents only. Please also note that this product has a delivery time up to 4 business days after receipt of payment and approval of the doctor (issuing prescription). If you pay by credit card your payment will be processed the same day.
What is Tramal®?
Tramal is a brand of generic tramadol. It is a prescription medicine that belongs to the class of medicines called opioids. Tramal is used to treat moderate to severe pain. It prevents or inhibits the transmission of pain signals to the brain, which reduces the pain. Tramal is available in the form of tablets and oral drops, and contains the active ingredient tramadol.
What is it used for?
Tramal is used to relieve moderate to severe pain, such as severe back pain, nerve pain and arthrosis.
How to use Tramal
Tramal tablets are swallowed whole, without chewing, with some water. The oral drops should also be taken with plenty of water or other fluids. Tramal may be taken at any time of the day, with or without food, but should be taken consistently at the same time each day. The dosage is determined by a doctor based on the symptoms. Always follow the prescription exactly and do not use this medicine for longer than prescribed. When Tramal is used for a long time it may become habit-forming, causing mental or physical dependence.
It is recommended to start with the lowest dose. The usual dose is 50 mg, twice daily. In cases of chronic pain, the dose can be adjusted from time to time according to the patient's needs. Tramal provides four to eight hours of pain relief.
Tramal may cause side effects. A possible side effect is an increased risk of mental or physical dependence. Tramal should also not be used with the following medications because very serious interactions may occur: anticonvulsants, cough suppressants, other painkillers including Pentazocine, Buprenorphine, Nalmefene and Nalbuphine, soporifics, antidepressants and medicines that affect the ability to react. Common side effects
- Constipation (infrequent or difficult bowel movements)
Less common side effects include tachycardia (increased heart rate), blood pressure swings, loss of appetite, poor concentration, insomnia, respiratory problems, skin rash and allergic reactions. See the package leaflet for a complete list of side effects and risks.
Not to be used in
People who are hypersensitive to Tramal or allergic to any of its active ingredients, and people who are under the influence of (intoxicated with) alcohol, drugs or sleeping tablets. This medicine should also not be used in combination with medicines that act on the brain, such as antidepressants.
Do not use Tramal if you are pregnant or breastfeeding. Do not drive or operate heavy machinery as Tramal may affect your ability to react. Alcohol is known to intensify the effects of Tramal and increase the chance of side effects. You should therefore avoid drinking alcohol while taking this medicine.