Fixed combinationsContains opioids
Paracetamol / tramadol
The doses cannot be adjusted independently.
Fixed combination
The Farmacotherapeutisch Kompas notes that the NHG advises against a fixed-dose combination because the individual doses are not adjustable. Distinguish this product from two separate medicines.
Check what has already been used
Include paracetamol and tramadol from all products and check the risks of opioids.
Prescription options
The NHG advises against the fixed combination, as the doses cannot be set separately. Two separate medicines are an option only if tramadol is appropriate after reassessment.
Sources for this topic
Reference for dentists on acute dental pain and pain after treatment.
- Farmacotherapeutisch Kompas · Pijn · Advies en stappenplan bij acute nociceptieve pijn
- Farmacotherapeutisch Kompas · Paracetamol/tramadol · Advies en toepasbaarheid · vaste combinatie
- Farmacotherapeutisch Kompas · Tramadol · Doseringen · acute pijn, NHG-startdosering en interacties