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Indicated for: Pain, Moderate to Severe Pain Syndrome (including postoperative, traumatic, neuralgia, oncological), Cough (in palliative care), Shivering (during anesthesia).
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The Therapeutic Goods Administration has approved fixed-dose combination products containing both medications, recognizing the evidence supporting their combined use for moderate to moderately severe pain. Patients in Australia who take both medications should be aware that the combination can increase the risk of serotonin syndrome, a potentially serious condition caused by excessive serotonin activity, particularly because tramadol has serotonergic effects. Patients receiving either medication in Australian healthcare settings receive clear instructions about dosing intervals, potential effects, and the importance of follow-up assessment to ensure adequate pain control.
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