Nestragic-100: A Brand of Tramadol Hydrochloride 100 mg Capsules

What it is

Nestragic-100 is a brand of tramadol hydrochloride, an opioid analgesic (painkiller) used to manage severe and persistent pain that requires an opioid and cannot be adequately controlled with alternative treatments, including immediate-release opioids.

What it's used for

It is indicated for severe and persistent pain that needs an opioid painkiller and that has not been effectively treated with other options. Doctors typically reserve it for patients when alternative treatments are ineffective, not tolerated, or would be unsuitable. It is not meant for mild or short-term pain.

How it's taken

This medicine should only be prescribed by a healthcare professional who is experienced in using extended-release/long-acting opioids and understands the associated risks. The lowest effective dose should be used for the shortest possible time. Dosing must be individualised, and any increase should only be considered when lower doses are not effective and the benefits clearly outweigh the substantial risks. Always follow your doctor’s instructions exactly.

Common side effects

Serious side effects include addiction, abuse, misuse, life-threatening respiratory depression, neonatal opioid withdrawal syndrome (if used during pregnancy), interactions with benzodiazepines and other central nervous system depressants, opioid-induced hyperalgesia (increased pain sensitivity), and serotonin syndrome (especially if taken with other serotonergic medicines). Other side effects may occur; consult a doctor if you experience any unusual symptoms.

Important cautions

Nestragic-100 (tramadol) is contraindicated in children under 12 years of age, and in children under 18 for post-operative pain after tonsillectomy or adenoidectomy. It should not be used in patients with significant respiratory depression, acute or severe bronchial asthma in an unmonitored setting, or in those with known hypersensitivity to tramadol. There is a risk of opioid-induced hyperalgesia and allodynia, and a potentially life-threatening serotonin syndrome if combined with certain other drugs. Always inform your doctor about all medicines you are taking.

Frequently asked questions