Diclofenac+tramadol
About Diclofenac+tramadol
Diclofenac+tramadol is a prescription medicine used to treat moderate to severe pain. It is commonly prescribed to manage sudden, intense pain from physical injuries, surgical procedures, or chronic musculoskeletal conditions. By targeting pain through two distinct pathways in the body, this medicine helps calm severe discomfort and improve your daily physical function.
To get the best results, you must take Diclofenac+tramadol consistently and exactly as your doctor has directed. You should always take this tablet with a meal or a glass of milk to protect your stomach lining from irritation. Making simple lifestyle adjustments, such as drinking plenty of fluids and doing gentle, low-impact stretching, can also support your body’s natural healing process.
While taking Diclofenac+tramadol, you may experience mild, common side effects such as nausea, drowsiness, or lightheadedness. However, you must seek medical attention immediately if you experience serious symptoms like severe stomach pain, black or tarry stools, breathing difficulties, or yellowing of your skin or eyes.
Before you begin taking Diclofenac+tramadol, talk to your doctor if you have a history of stomach ulcers, asthma, high blood pressure, or liver or kidney disorders. Do not take this medicine if you have severe heart failure, active internal bleeding, severe kidney or liver disease, or if you have had an allergic reaction to aspirin or other pain relievers. People with aspirin-sensitive asthma (asthma that worsens after taking aspirin or other NSAID pain medicines) should avoid diclofenac unless specifically advised by their doctor, as it may trigger serious breathing difficulties.
This medicine can interact dangerously with alcohol, sleeping pills, and other prescription pain relievers, potentially causing extreme sleepiness or shallow breathing. Pregnant, breastfeeding, or elderly individuals must always consult their healthcare provider before using this medicine, as they may require special monitoring or dose adjustments.
Uses of Diclofenac+tramadol
• Pain Relief: Diclofenac+tramadol is widely used to alleviate mild to moderate pain, including headaches, muscle aches, and joint discomfort, providing effective relief.
• Anti-inflammatory: Diclofenac+tramadol helps reduce inflammation associated with conditions like arthritis or injuries. Thus, provides relief from swelling and discomfort.
• Post-operative Pain Management: Diclofenac+tramadol is often prescribed after surgical procedures to manage pain and support recovery, enabling patients to participate in physical therapy.
• Menstrual Pain Management: Diclofenac+tramadol is effective in relieving symptoms of dysmenorrhea, such as cramps and discomfort, during the menstrual cycle.
• Chronic Pain Conditions: As part of a treatment plan, Diclofenac+tramadol helps manage ongoing pain caused by chronic conditions, enhancing the quality of life.
Medicinal Benefits
Diclofenac+tramadol provides targeted, dual-action pain relief by combining two pain-relieving ingredients that work together to manage discomfort more effectively. Key benefits include:
- Comprehensive Pain Management: By addressing pain through two different mechanisms, Diclofenac+tramadol helps provide broader relief and may offer better symptom control than single-ingredient pain medicines.
- Improves Physical Movement: By reducing moderate to severe pain, Diclofenac+tramadol helps improve mobility, making it easier to participate in physical therapy, complete daily activities, and move with greater comfort.
- Supports Rest and Recovery: By reducing moderate to severe pain, Diclofenac+tramadol may help patients rest more comfortably during recovery. However, tramadol may affect sleep patterns in some people, and any new or persistent sleep-related changes should be discussed with a doctor.
Directions for Use
- Take Diclofenac+tramadol with or without food or as advised by a doctor.
- Follow your doctor's instructions on the dosage and timing of this medication, to ensure the safety.
- Swallow the medicine as a whole with glass of water.
- Do not crush, break, or chew it.
Storage
Side Effects of Diclofenac+tramadol
Common Side Effects (Usually mild):
- Nausea or vomiting
- Dizziness or lightheadedness
- Sleepiness or fatigue
- Mild stomach upset or indigestion
Constipation
Serious Side Effects (Call a doctor right away):
- Severe abdominal pain, dark tarry stools, or vomiting blood
- Slow, shallow, or difficult breathing
- Swelling of the face, lips, tongue, or throat, or severe skin rashes
- Yellowing of the skin or eyes, or dark urine
- Seizures, extreme confusion, or fainting
Medicines Containing this Salt
View AllDrug Warnings
- Check the packaging before use: Always inspect the blister pack or bottle before taking a tablet; do not take the medicine if the protective foil is torn, punctured, or damaged.
- Check the tablet appearance: Ensure the tablet is whole and looks normal; do not take tablets that are discoloured, crumbling, or cracked.
- Do not drive immediately: Wait to see how this medicine affects you before driving, operating machinery, or doing anything that requires full mental focus, as it can cause sudden drowsiness.
- Stand up slowly: To prevent dizziness or fainting, take your time when rising from a sitting or lying position.
Do not share this medicine: Never give this medicine to anyone else, even if they have similar symptoms, as it can cause serious health complications in others. - Risk of dependence and withdrawal: Tramadol may cause dependence, and sudden stopping after regular use can lead to withdrawal symptoms; always consult your doctor before discontinuing it.
- Prescription and controlled medicine warning: Tramadol-containing medicines in India require a valid prescription and should not be shared or used without medical advice due to risks of misuse and serious side effects.
Drug Interactions
Inform your doctor if you are taking any of the following medicines, as they may interact with Diclofenac+tramadol.
- Sleeping pills, anti-anxiety medicines, muscle relaxants, or other opioid medications: Taking these medicines together may increase the risk of extreme drowsiness, slowed breathing, loss of consciousness, or coma
- Blood thinners (such as warfarin) or other anti-inflammatory pain relievers: Combining these medicines may increase the risk of serious stomach bleeding.
- Certain antidepressants or antipsychotic medicines: These may increase the risk of seizures when used with Diclofenac+tramadol.
- Blood pressure medicines and water pills (diuretics): Diclofenac+tramadol may reduce the effectiveness of these medicines, affecting blood pressure control or fluid balance.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
unsafeYou are recommended not to consume alcohol along with Diclofenac+tramadol to avoid unpleasant side-effects like gastric bleeding.
Pregnancy
unsafeDiclofenac+tramadol is not recommended for use in pregnant women.
Breast Feeding
unsafeWhile Diclofenac+tramadol may pass in the lactating mother's breast milk, there is not enough evidence to establish the safety of Diclofenac+tramadol in nursing mothers. So, do it is advisable to take it only if prescribed by your doctor.
Driving
cautionIn some cases, Diclofenac+tramadol may cause dizziness and drowsiness. So if you observe such symptoms, immediately stop the intake of Diclofenac+tramadol.
Liver
cautionDiclofenac+tramadol should be used with caution in patients with liver diseases. Therefore, the doctor may adjust the dose while using it in patients with liver diseases.
Kidney
cautionLet your doctor know if you have any history of kidney diseases. Your doctor will weigh the benefits and potential risks before prescribing Diclofenac+tramadol.
Children
cautionDiclofenac+tramadol should not be given to children below the age of 18 as it is known to cause breathing problems (like slow breathing or difficulty in breathing)
Habit Forming
Diet & Lifestyle Advise
- Eat a high-fibre diet: Because this medicine can slow down your digestion and cause constipation, drink plenty of water and eat high-fibre foods like vegetables, fresh fruits, and whole grains.
- Avoid all alcohol: Do not drink beer, wine, or spirits while taking this medicine, as alcohol dramatically increases the risk of dangerous drowsiness, shallow breathing, and stomach bleeding.
- Avoid other over-the-counter pain medicines: Do not take aspirin, ibuprofen, or other anti-inflammatory drugs while taking Diclofenac+tramadol, as this combination can damage your stomach and kidneys.
- Pace your daily activities: Use your pain relief to engage in low-impact movement like short walks, but avoid heavy lifting or intense exercise that could worsen your underlying injury.
Special Advise
Diclofenac+tramadol tends to cause stomach upset. Thus, it is recommended to consume Diclofenac+tramadol with meals to minimize gastric side effects. If you have a peptic ulcer diagnosis, Diclofenac+tramadol is best avoided unless prescribed by your doctor.
Diclofenac+tramadol can cause liver injury when taken in large doses. Concomitant use of alcohol is best avoided as it aggravates liver toxicity.
Although it is generally a safe medicine to use, it should be avoided in patients with kidney disease as Diclofenac+tramadol may harm renal functions.
Diclofenac+tramadol contains Tramadol, which is a habit-forming drug. So, it should be taken for a short duration to avoid unpleasant withdrawal symptoms like breathing difficulties.
Although Diclofenac+tramadol provides symptomatic relief in conditions like arthritis and may reduce the inflammation caused by these conditions, to achieve the best results, it is strongly recommended to remain physically active as much as your condition allows. Adopting a healthy lifestyle coupled with a healthy diet containing high proteins is the mainstay of managing arthritic conditions.
Patients Concern
Disease/Condition Glossary
Inform your doctor if you have a history of the following conditions before taking Diclofenac+tramadol, as it may worsen your condition or cause complications.
- Asthma, chronic obstructive pulmonary disease (COPD), or other lung disorders: Diclofenac+tramadol may worsen breathing difficulties in some people.
- Stomach ulcers or inflammatory bowel diseases: It may increase the risk of internal bleeding or stomach perforation.
- Kidney disease, liver problems, or severe heart failure: Diclofenac+tramadol may put additional strain on these organs and increase the risk of complications.
- Epilepsy or a history of head injuries: Diclofenac+tramadol may increase the risk of seizures in susceptible individuals.
FAQs
Diclofenac+tramadol is used to provide relief from pain and inflammation (redness and swelling).
Diclofenac+tramadol contains Diclofenac (non-steroidal anti-inflammatory drug (NSAID)) and Tramadol (an opioid). Diclofenac works by blocking the release of chemical messengers which are responsible to cause pain and inflammation. Tramadol, on the other hand, blocks the transmission of pain signals to the brain, and as a result pain perception is lowered.
Yes, Diclofenac+tramadol contains tramadol, which is known to decrease fertility in both men and women. Before starting Diclofenac+tramadol, inform your doctor if you plan to become pregnant as the salt might be changed.
Diclofenac+tramadol should be avoided in patients with known allergy to NSAIDs, diclofenac, tramadol or any of the ingredients of Diclofenac+tramadol. Diclofenac+tramadol if taken along with sleep medicines or MAO inhibitors (medicines to treat depression or Parkinson’s disease) can cause serious unpleasant side effects. Also, in patients suffering from liver disease or epilepsy, Diclofenac+tramadol should not be used.
Yes, prolonged use of Diclofenac+tramadol can cause kidney damage as pain killers reduce prostaglandin levels (a chemical), which protects the kidneys from damage and helps in its normal functioning. So, Diclofenac+tramadol is mostly prescribed as a short term medication to avoid any kidney damage.
Diclofenac+tramadol may impair mental and/or physical abilities required for the performance of heavy tasks like operating machinery or driving a motor vehicle, especially when used with alcohol or other CNS depressants (sleeping pills or anti-anxiety pills).
Do not take Diclofenac+tramadol for longer durations as it might increase the risk of heart problems, liver problems, breathing problems, and stomach bleeding/ulcer. Please consult a doctor before its use.
Yes, Diclofenac+tramadol contains tramadol, which an opioid and is habit-forming. So, it is recommended not to take Diclofenac+tramadol for prolonged use as it may lead to unpleasant withdrawal symptoms like breathing problems, heart problems, liver/kidney problems.
Yes,the use of Diclofenac+tramadol can cause constipation. Consult a doctor if constipation persists.
You should not stop taking Diclofenac+tramadol abruptly without consulting your doctor, as sudden discontinuation can lead to withdrawal symptoms like breathing problems, heart problems, liver/kidney problems or a return of pain. Consult the doctor before stopping Diclofenac+tramadol as they may suggest gradually reducing the dose to prevent complications. Always follow the doctor's instructions when discontinuing any medication.
Yes, Diclofenac+tramadol may cause mouth dryness as a common side effect. To overcome this, chew sugar-free gum, drink plenty of water throughout the day, or suck on sugar-free lozenges to stimulate saliva production. Using a humidifier at night and avoiding alcohol, tobacco, and caffeine can also help alleviate mouth dryness. If this symptom persists, consult the doctor for further advice.
Diclofenac+tramadol should be stored in a cool and dry place away from sunlight. Keep it out of sight and reach of children.
The side effects of Diclofenac+tramadol include loss of appetite, nausea, vomiting, dizziness, indigestion, sleepiness, constipation, heartburn, stomach pain, and dryness in the mouth. Consult the doctor if any of these side effects persist or worsen.

