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Ryzolt (Tramadol Hydrochloride) - Side Effects and Adverse Reactions

 
 



Adverse Reactions

RYZOLT® was administered to a total of 2707 subjects (2406 patients and 301 healthy volunteers) during clinical studies, including four randomized double-blind studies (treatment ≥ 12 weeks) and two open-label long-term studies (treatment up to 12 months) in patients with moderate to severe pain due to osteoarthritis of the knee. A total of 844 patients were exposed to RYZOLT® for 12 weeks, 493 patients for 6 months and 243 patients for 12 months. Treatment emergent adverse events increased with dose from 100 mg to 300 mg in the three twelve-week, randomized, double-blind, placebo-controlled studies (Table 2).

Table 2. Percentage of Patients with Incidence of Adverse Events ≥2% from Three 12-week Placebo-Controlled Studies (MDT3-002, MDT3-003 and MDT3-005).
ADVERSE EVENTS (MEDRA Preferred terms) RYZOLT® Placebo
100 mg 200 mg 300 mg TotalDue to the difference in study design of MDT3-005, only the results of the double-blind phase of the study are presented and the dose specific results include maintenance period data only.  
N=216 N=311 N=530 N=1095 N=668
Nausea 28 (13%) 42 (14%) 76 (14%) 179 (16%) 37 (6%)
Constipation 21 (10%) 36 (12%) 52 (10%) 140 (13%) 26 (4%)
Dizziness 16 (7%) 28 (9%) 52 (10%) 106 (10%) 18 (3%)
Somnolence 11 (5%) 22 (7%) 23 (4%) 77 (7%) 12 (2%)
Vomiting 7 (3%) 16 (5%) 31 (6%) 58 (5%) 4 (1%)
Pruritus 9 (4%) 15 (5%) 18 (3%) 51 (5%) 7 (1%)
Headache 10 (5%) 9 (3%) 15 (3%) 41 (4%) 21 (3%)
Sweating increased 1 (0%) 9 (3%) 14 (3%) 35 (3%) 5 (1%)
Dry mouth 7 (3%) 13 (4%) 6 (1%) 32 (3%) 8 (1%)
Fatigue 6 (3%) 7 (2%) 9 (2%) 26 (2%) 6 (1%)
Anorexia 4 (2%) 4 (1%) 10 (2%) 25 (2%) 2 (0%)
Vertigo 2 (1%) 3 (1%) 6 (1%) 21 (2%) 3 (0%)
Insomnia 2 (1%) 6 (2%) 9 (2%) 18 (2%) 8 (1%)

The majority of patients who experienced the most common adverse events (≥5%) reported mild to moderate symptoms. Less than 3% of adverse events were rated as severe. Overall, onset of these adverse events usually occurred within the first two weeks of treatment.

Adverse reactions with an incidence of 1.0% to <5.0%

Ear and labyrinth disorders: vertigo

Gastrointestinal disorders: abdominal pain, diarrhea, dry mouth, dyspepsia, upper abdominal pain

General disorders: fatigue, weakness

Investigations: weight decreased

Metabolism and nutrition disorders: anorexia

Musculoskeletal and connective tissue disorders: arthralgia

Nervous system disorders: headache, tremor

Psychiatric disorders: anxiety, insomnia

Skin and subcutaneous tissue disorders: pruritus, sweating increased

Vascular disorders: hot flushes

Adverse reactions with an incidence of <1.0%

Blood and lymphatic system disorders: anemia, thrombocytopenia

Cardiac disorders: bradycardia

Eye disorders: blurred vision, visual disturbance

Gastrointestinal disorders: abdominal discomfort, abdominal distension, abdominal tenderness, change in bowel habit, constipation aggravated, diverticulitis, diverticulum, dyspepsia aggravated, dysphagia, fecal impaction, gastric irritation, gastritis, gastrointestinal hemorrhage, gastrointestinal irritation, gastro-esophageal reflux disease, lower abdominal pain, pancreatitis aggravated, rectal hemorrhage, rectal prolapse, retching

General disorders: asthenia, malaise

Hepatobiliary disorders: biliary tract disorder, cholelithiasis

Immune system disorders: hypersensitivity

Investigations: alanine aminotransferase decreased, alanine aminotransferase increased, aspartate aminotransferase decreased, aspartate aminotransferase increased, blood amylase increased, blood creatinine increased, blood in stool, blood potassium abnormal, blood pressure increased gamma glutamyltransferase increased

Metabolism and nutrition disorders: appetite decreased, dehydration

Nervous system disorders: ataxia, disturbance in attention, dysarthria, gait abnormal, headache aggravated, mental impairment, sedation, seizure, sleep apnea syndrome, syncope, tremor

Psychiatric disorders: abnormal behavior, agitation, anxiety, confusion, depression, emotional disturbance, euphoric mood, indifference, irritability, libido decreased, nervousness, sleep disorder

Renal and urinary disorders: difficulty in micturition, urinary hesitation, urinary retention

Reproductive system and breast disorders: erectile dysfunction, sexual dysfunction

Respiratory, thoracic and mediastinal disorders: dyspnea

Skin and subcutaneous tissue disorders: allergic dermatitis, cold sweat, dermatitis, night sweats, pallor, generalized pruritus, urticaria

Vascular disorders: flushing, hypertension, hypotension, orthostatic hypotension



REPORTS OF SUSPECTED RYZOLT SIDE EFFECTS / ADVERSE REACTIONS

Below is a sample of reports where side effects / adverse reactions may be related to Ryzolt. The information is not vetted and should not be considered as verified clinical evidence.

Possible Ryzolt side effects / adverse reactions in 46 year old female

Reported by a consumer/non-health professional from United States on 2011-10-10

Patient: 46 year old female

Reactions: Spinal Fusion Surgery, Staphylococcal Infection, Blood Test Abnormal

Adverse event resulted in: hospitalization

Suspect drug(s):
Ryzolt

Other drugs received by patient: Soma; Ambien; Klonopin; Lyrica; Cymbalta; Xanax



See index of all Ryzolt side effect reports >>

Drug label data at the top of this Page last updated: 2012-03-22

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