最後更新日113.02
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藥 名 
更新日期:02/17/2023 09:14:03
Tramadol HCl (50mg)膠囊.
現行藥品外觀
22T015

高警訊

健保
(總院為主)

中文名:卡莫德 膠囊50公絲 (管四)
健保碼:AC43597100
廠 牌:歐帕
藥理分類 
N02AX02
【Analgesics】
Other opioids
藥理作用
Product name Camadol (50mg)膠囊.
Dosage form Cap. 50 mg
Administration & Dosage PO,
 ● Moderate-moderately severe pain: PO, 50-100 mg q4-6h as needed. Max. 400 mg/d. Age> 75 yrs, Max. 300 mg/d.
建議給藥途徑 N/A
腎功能劑量建議 無特別標註
肝功能劑量建議 Cirrhosis:50mg Q12H
Contraindication Hypersensitivity to tramadol, opioids; pediatric patients <12 years; postoperative management in pediatric patients <18 years who have undergone tonsillectomy and/or adenoidectomy; significant respiratory depression; acute or severe bronchial asthma
Precaution
Adverse reaction 【>10%】Dizziness, vertigo, headache, drowsiness, central nervous system stimulation; constipation, N/V, xerostomia, dyspepsia; weakness
【1-10%】Flushing, chest pain, hypertension, vasodilation, peripheral edema, orthostatic hypotension; anxiety,
apathy, ataxia, chills, confusion, depersonalization, depression, falling, feeling hot, hypoesthesia, lethargy, nervousness, pain, paresthesia, restlessness, rigors, agitation, euphoria, hypertonia, malaise, sleep disorder, withdrawal syndrome, insomnia; diaphoresis, skin rash, pruritus, hot flash, hyperglycemia, weight loss; diarrhea, anorexia, abdominal pain, decreased appetite, sore throat, viral gastroenteritis,flatulence; menopausal symptoms, pelvic pain, prostatic disease, UTI; Influenza ; arthralgia, back pain, increased CPK, limb pain, myalgia, neck pain, tremor; blurred vision, miosis, visual disturbance; bronchitis, flu-like syndrome
【<1%】 not referred here, please see package insert or other references
Pregnancy Category C / 避免使用,除非有治療必要
Notes Moderate-moderately severe chronic pain not requiring rapid onset--titration schedule: 25 mg QD and titrated in 25 mg increments as separate doses q3d to reach 100 mg/d (25 mg QID); then, increased by 50 mg as tolerated q3d to reach 200 mg/d (50 mg QID).
相關連結
磨粉及剝半提示 無特別標註
給藥及保存方式
針劑相容溶液

*為文獻資料

健保給付規定
健保碼:AC43597100
健保規定查詢網頁
藥品說明:
 用於非癌症慢性頑固性疼痛(pain >6 months)須附疼痛評估報告

藥品理由:
 01 癌症疼痛
 02 非癌症慢性頑固疼痛使用NSAIDs仍無法控制疼痛
 03 非癌症慢性頑固疼痛使用NSAIDs有嚴重副作用
舊藥品外觀

中文名:頓痛特 膠囊50公絲
廠 牌:派頓