By Medically reviewed by Hello Doktor Medical Panel


What is paratramol (paracetamol and tramadol) used for?

Paratramol is commonly used for headache, toothache, ear pain, joint pain, periods pain, fever and other conditions.

Paratramol works by increasing the pain threshold and increases the blood flow across the skin, heat loss and sweating; blocking the effect of chemicals that causes pain.

How should I take paratramol (paracetamol and tramadol)?

Take paratramol by mouth and exactly as directed. Do not take more or less of it or take it more often than directed on the package label or recommended by your doctor.

How do I store paratramol (paracetamol and tramadol)?

Paratramol is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store paratramol in the bathroom or the freezer. There may be different brands of paratramol that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush paratramol down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using paratramol (paracetamol and tramadol)?

Before using this drug, tell your doctor if:

  • You are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.
  • You are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, such as herbal and complementary medicines.
  • You have allergy with any of active or inactive ingredients of paratramol or other medications.
  • You have any other illnesses, disorders, or medical conditions.

Be careful if you are having surgery, including dental surgery.

Be careful in case of driving or operating heavy machinery.

Consult a doctor if you have or had liver, kidney or stomach disease.

Do not consume grapefruit juice.

Do not take paracetamol if you consume alcoholic beverages every day.

Is it safe during pregnancy or breastfeeding?

There isn’t enough information about the safety of using paratramol during pregnancy and breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking paratramol.

Side effects

What side effects can occur from paratramol (paracetamol and tramadol)?

Side effects may include:

  • Feeling of sickness
  • Skin reddening
  • Allergic reactions
  • Shortness of breath
  • Swollen facial features
  • Liver damage

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.


What drugs may interact with paratramol (paracetamol and tramadol)?

Paratramol may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Products that may interact with this drug are:

  • Alcohol
  • Buprenorphine
  • Bupropion
  • Carbamazepine
  • Cimetidine
  • Codeine

Does food or alcohol interact with paratramol (paracetamol and tramadol)?

Paratramol may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with paratramol (paracetamol and tramadol)?

Paratramol may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.


The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using paratramol (paracetamol and tramadol).

What is the dose of paratramol (paracetamol and tramadol) for an adult?

1-2 tablets every 4-6 hours or as needed for pain relief up to a maximum of 8 tablets a day.

What is the dose of paratramol (paracetamol and tramadol) for a child?

The dosage has not been established in pediatric patients. It may be unsafe for your child. It is always important to fully understand the safety of the drug before using. Please consult with your doctor or pharmacist for more information.

How is paratramol (paracetamol and tramadol) available?

Paratramol is available in the following dosage forms and strengths:

  • Tablet

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of paratramol, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

msBahasa Malaysia

Share now :

Review Date: August 11, 2017 | Last Modified: December 19, 2019

You might also like