Common brands: Tramadol
usable until: 04/2026
Tramadol 200 ret – Librapharm
Tramadol, the active substance in Tramadol 200 ret – Librapharm, is a centrally acting painkiller from the group of opioids. It achieves its pain-relieving effect through its action on specific nerve cells of the spinal cord and brain.
Tramadol 200 ret – Librapharm is used for the treatment of moderately severe to severe pain.
The active substance is: tramadol hydrochloride 1 sustained-release tablet contains 16.7 mg tramadol hydrochlorid, rapid release and 183.3 mg tramadol hydrochloride, slow release. The other ingredients are: Aluminium hydroxide, calcium hydrogen phosphate dihydrate, carboxymethyl starch sodium (type A) (Ph.Eur.), microcrystalline cellulose, hypromellose, lactose monohydrate, magnesium umstearate (Ph.Eur.), maize starch, povidone K 25, hydrogenated castor oil, highly dispersed silicon dioxide, quinoline yellow, indigocarmine.
Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
The dosage should be adjusted according to the severity of your pain and your individual sensitivity. As a general rule, the lowest pain-relieving dose should be chosen.
Do not take more than 400 mg of tramadol hydrochloride daily unless prescribed by your doctor.
Unless otherwise prescribed by your doctor, the recommended dose is:
Adults and adolescents aged 12 years and over
1 sustained-release tablet Tramadol 200 ret – Librapharm twice a day (equivalent to 400 mg tramadol hydrochloride/day), taking it in the morning and evening is recommended.
If necessary, your doctor may prescribe a different, more suitable dose strength of this medicine.
The dosage interval should not be less than 8 hours.
Use in children
Tramadol 200 ret – Librapharm is not intended for use in children under 12 years of age.
As a rule, dose adjustment is not necessary in elderly patients (up to 75 years of age) without signs of severe liver or kidney disease. In elderly patients (over 75 years) there may be a delay in the excretion of tramadol. If this is the case for you, your doctor may recommend that you increase the interval between doses.
Liver or kidney function weakness (insufficiency)/ dialysis patients
Patients with severe liver and/or kidney impairment must not take Tramadol 200 ret – Librapharm. If you have mild or moderate liver and/or kidney impairment, your doctor may recommend increasing the interval between doses.
The recommended dosages are guidelines. In principle, the smallest pain-relieving dose should be chosen. In the treatment of chronic pain, dosing according to a fixed schedule is preferable.
Mode of administration
Tramadol 200 ret – Librapharm is for oral use. Take Tramadol 200 ret – Librapharm whole, unchewed and undivided with plenty of liquid, preferably in the morning and evening. You can take the tablets on an empty stomach or with meals.
Duration of use
Do not take Tramadol 200 ret -Librapharm for longer than is absolutely necessary. If longer-term pain treatment seems necessary, your doctor will check regularly at short intervals (if necessary by taking breaks from use) whether you should continue to take Tramadol 200 ret – Librapharm and, if so, at what dose.
Please talk to your doctor or pharmacist if you have the impression that the effect of Tramadol 200 ret – 1 A Pharma is too strong or too weak.
Direction for use:
– Keep this medicine out of the reach of children.
– Do not use this medicine after the expiry date which is stated on the blister and carton after “use by”. The expiry date refers to the last day of the month indicated.
– Do not dispose of medicines in waste water or household waste. Ask your pharmacist how to dispose of the medicine when you stop using it. You are helping to protect the environment.