A Drug Study On

Dolcet

In Partial Fulfillment of the

Requirements on NCM 212 - RLE
OXYGENATION, FLUIDS AND ELECTROLYTES

Submitted to:
Zajada C. Balono, RN, MN
Clinical Instructor

Johanna Lysa Ballano, St. N

Practicing Clinical Instructor

Submitted by:
Jeonoh E. Florida, StN
BSN 3B, Group 1, Subgroup 2

October 18, 2023

GENERIC NAME Tramadol + Paracetamol

BRAND NAME Dolcet

CLASSIFICATION Analgesics (Non-Opioid) & Antipyretics / Analgesics

(Opioid)

MODE OF ACTION Tramadol is an opioid that works by binding to opioid

receptors and inhibiting the reuptake of serotonin and
norepinephrine. Paracetamol blocks the production of
prostaglandins that cause inflammation and pain.
Together, they work synergistically to provide effective
pain relief.

ORDERED DOSE Dolcet tab, 1 tab, TID = 7 days (6 am, 12pm, 6pm)

SUGGESTED DOSE Adult: Tramadol 37.5mg and paracetamol 325 mg

film-coated tab
Tramadol 75 mg and paracetamol 650 mg conventional
tab
Tramadol 37.5 mg and paracetamol 325 mg effervescent
tab

INDICATIONS Symptomatic treatment of moderate to severe pain

CONTRAINDICATIONS Hypersensitivity to tramadol or paracetamol. Acute

 intoxication with centrally-acting analgesics, opioids,
psychotropic drugs or alcohol <18 years who have
undergone tonsillectomy

SIDE EFFECTS ● Burning

● Headache
● Sweating
● Nausea
● Vomiting
● Constipation
● Nervousness
● Sleep Problems

ADVERSE EFFECTS CNS depression, severe hypotension, seizures,

sleep-related breathing disorders, reversible adrenal
insufficiency, nausea, anorexia.

DRUG INTERACTIONS May increase risk of convulsions with SSRIS, serotonin

epinephrine reuptake inhibitors. Decrease serum
contractions with CYP3AU inducers. Increased risk of
hepatotoxicity when given with other potentially
hepatotoxic agents.

NURSING ● Assessing pain levels before and after medication

RESPONSIBILITIES (10) administration
R: Pain assessment is important to determine the
effectiveness of the medication.
● Verifying the correct medication and dosage
R: To ensure the safe and effective use of the medication
 ● Checking for allergies or hypersensitivity to the
medication
R: This is important to prevent adverse reactions.
● Assess the client's response to the drug 30
minutes after administration.
R : It helps healthcare professionals determine whether
the drug is having the desired effect or not. It also allows
for timely adjustments in the medication regimen if
needed.
● Monitor vital signs specifically, respiratory status.
Withhold drug and contact prescriber if respirations
become shallow or slower than 12 breaths/minute.

R: Shallow or slow respirations (less than 12

breaths/minute) could be a sign of respiratory depression,
which is a potentially life-threatening adverse reaction. If
this occurs, the healthcare professional should withhold
the drug and contact the prescriber for further instructions.

● Do not mix with alcohol

R: Alcohol can increase liver damage when taken with

paracetamol

● Educate patient on potential side effects

R: To let the patient be aware and prevent severe

complications

● Encouraging the patient to report any pain relief or

changes in pain levels

R: This can help assess the effectiveness of the

medication.

● Monitoring for signs of drug dependence

R: Tramadol is an opioid medication and can lead to

dependence if used for prolonged periods.

● Document the administration

R: Accurate documentation is essential for continuity of

care.