Medicines & medical devices

Opioid & Centrally Acting Analgesics

Tramadol carries four of these formulations and codeine two, with paracetamol working alongside in three of them, taking the fever down while the opioid holds the pain. The combination tablet is film-coated at 325 mg with 37.5 mg and again at double, 650 with 75, while plain tramadol comes as a 50 mg capsule and as a mint solution given by the drop. Ibuprofen arginine at 200 mg with codeine at 10 mg per millilitre comes as a mint oral solution, and nefopam at 20 mg per 2 ml ampoule is the centrally acting, non-opioid choice for post-operative pain on the ward. Whoever buys the opioid items already holds a narcotics import licence; the 7 formulations start at 10,000 units, made in Spain and other countries.

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