Always take Maneo Tablets exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.
The dosage should be adjusted to the intensity of your pain and your individual pain sensitivity. In general, the lowest pain relieving dose should be taken.
Unless otherwise prescribed by your doctor, the recommended dose is:
Adults and children over 12 years of age:
Maneo 100 mg Tablets: one tablet (100 mg tramadol hydrochloride) twice a day, preferably in the morning and evening.
If this is not sufficient to kill the pain the dose can be increased to:
Maneo 150 mg Tablets: one tablet (150 mg tramadol hydrochloride) twice a day, preferably in the morning and evening.
Maneo 200 mg Tablets: one tablet (200 mg tramadol hydrochloride) twice a day, preferably in the morning and evening.
Your doctor may prescribe a different, more appropriate dosage strength of Maneo Tablets if necessary.
Do not take more than 400 mg of tramadol hydrochloride daily, except if your doctor has instructed you to do so.
Use in children:
Do not give Maneo Tablets to children below the age of 12 years.
In elderly patients (over 75 years) the excretion of tramadol hydrochloride may be delayed. If this applies to you, your doctor may recommend prolonging the dosage interval.
Severe liver and/or kidney disease (insufficiency) / dialysis patients:
Patients with severe liver and/or kidney insufficiency should not take Maneo Tablets. If in your case the insufficiency is mild or moderate, your doctor may recommend prolonging the dosage interval.
Method of administration
Always swallow the tablets whole with a glass of water, preferably in the morning and evening. Do not break, chew or crush them. You can take the tablets on an empty stomach or with food.
Duration of treatment
Your doctor will tell you how long you should use Maneo Tablets. This depends on the cause of the pain. You should not take Maneo Tablets for longer than necessary. If you need to be treated for a longer period, your doctor will check at regular short intervals whether you should continue to take Maneo Tablets and at what dose. If necessary you may have breaks in your treatment. If you have the impression that the effect of Tramadol PR Tablets is too strong or too weak, talk to your doctor or pharmacist.
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If you take more Maneo Tablets than you should
If you have taken an additional dose by mistake, this will generally have no negative effects. You should take your next dose as prescribed.
If you (or someone else) swallow several Maneo Tablets at the same time you should contact your doctor or hospital emergency department immediately.
Symptoms of overdose may include very small pupils, vomiting, a fall in blood pressure, a fast heart beat, collapse, loss of consciousness up to coma (deep unconsciousness), fits and breathing problems up to cessation of breathing may occur.
If you forget to take Maneo Tablets
If you forget to take your tablets, pain is likely to return. Take your dose as soon as you remember unless it is almost time for your next dose. Do not take a double dose to make up for a forgotten dose.
If you stop taking Maneo Tablets
If you interrupt or finish treatment with Tramadol PR Tablets too soon, pain is likely to return. If you wish to stop treatment on account of unpleasant effects, please tell your doctor.
Generally there will be no after-effects when treatment with Maneo Tablets is stopped. However, on rare occasions, people who have been taking Maneo Tablets for some time may feel unwell if they abruptly stop taking them. They may feel agitated, anxious, nervous or shaky. They may be confused, hyperactive, have difficulty sleeping and have stomach or bowel disorders.
Very rarely, people may experience confusion, panic attacks, delusions persecution (paranoia), hallucinations, change in perception of reality (derealisation) or feeling a loss of identity (depersonalization). They may experience unusual perceptions such as itching, tingling and numbness, and “ringing” in the ears (tinnitus).
If you experience any of these complaints after stopping Maneo Tablets, please consult your doctor.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.