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POM-V Prescription Required Companion Animal

Tramatab 20 mg Chewable Tablets for Dogs

Active ingredient: Tramadol Hydrochloride

Form

Chewable

Species

Dogs

Manufacturer

CP Pharma Handelsgesellschaft mbH

VMD MA No.

20916/3011

What it's used for

For the reduction of mild postoperative pain.

Full indications, dosage and side effects ↓
View official SPC (PDF)

The prescription itself has a price. See what practices near you charge for a consultation and the written prescription fee.

Paying less for Tramadol Hydrochloride

  1. 1

    Ask your vet for a written prescription

    They must provide one on request. Under the CMA Order the fee is capped at £21 from 2027.

  2. 2

    Fill it at a registered online retailer

    The CMA found online pharmacies 50–60% cheaper than practice dispensing on common medicines — typically £200–£300 a year.

Prescription required

Your vet must provide a written prescription on request. You can then purchase from any licensed online retailer.

Clinical information

Tramatab 20 mg Chewable Tablets for Dogs — SPC Details

Source: VMD Summary of Product Characteristics (SPC). Last updated 27 Mar 2026.

For the reduction of mild postoperative pain.
For intramuscular or intravenous use: 2 - 4 mg tramadol hydrochloride per kg
bodyweight, corresponding to 0.04 - 0.08 ml product per kg bodyweight. Repeat doses
can be administered every 6 to 8 hours (3 - 4 times daily). The recommended maximum
daily dose is 16 mg/kg.
Intravenous administration must be carried out very slowly.
As the individual response to tramadol is variable, and depends partly on the dosage,
the age of the patient, individual differences in pain sensitivity and general condition, the
optimal dosing regimen should be individually tailored using the above dose and re-
treatment interval ranges. In the event of the product failing to provide adequate
analgesia by 30 minutes following administration or for the duration of any planned re-
treatment interval, a suitable alternative analgesic should be used.
Do not use in cases of hypersensitivity to the active substance or to any of the
excipients.
Do not administer in conjunction with tricyclic antidepressants, monoamine oxidase
inhibitors and serotonin reuptake inhibitors.
Do not use in animals with epilepsy.
Nausea and vomiting have occasionally been observed in dogs after administration of
this product. In rare cases hypersensitivity can occur. In cases of hypersensitivity
reactions the treatment should be discontinued.
The frequency of adverse reactions is defined using the following convention:
- very common (more than 1 in 10 animals treated displaying adverse reaction(s))
- common (more than 1 but less than 10 animals in 100 animals treated)
- uncommon (more than 1 but less than 10 animals in 1,000 animals treated)
- rare (more than 1 but less than 10 animals in 10,000 animals treated)
- very rare (less than 1 animal in 10,000 animals treated, including isolated reports).
The analgesic effects of tramadol hydrochloride may be variable. This is thought to be
due to individual differences in the metabolism of the drug to the primary active
metabolite O-desmethyltramadol. In some dogs (non-responders) this may result in the
product failing to provide analgesia. Dogs should therefore be monitored regularly to
ensure sufficient efficacy.

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Special precautions for use in animals
Use with caution in dogs with renal or hepatic impairment. In dogs with hepatic
impairment the metabolism of tramadol to the active metabolites may be decreased
which may reduce the efficacy of the product. One of the active metabolites of tramadol
is renally excreted and therefore in dogs with renal impairment the dosing regimen used
may need to be adjusted. Renal and hepatic function should be monitored when using
this product. See also section 4.8.
Special precautions to be taken by the person administering the veterinary medicinal
product to animals
People with known hypersensitivity to tramadol or any of the excipients should avoid
contact with the veterinary medicinal product.
This product may cause skin and eye-irritation. Avoid contact with the skin and eyes.
Wash hands after use. In case of accidental eye exposure, rinse with clean water
This product may cause nausea and dizziness following injection. Avoid accidental self-
injection. If you develop symptoms following exposure, seek medical advice and show
the package leaflet or the label to the physician. However, DO NOT DRIVE as sedation
may occur.
There is inadequate evidence available on the safety of tramadol in human pregnancy.
Pregnant women and women of childbearing age should therefore take great care when
handling this product and, in the event of exposure, seek medical advice immediately.
Concomitant administration of this product with central nervous system depressants
may potentiate the effects on C.N.S. and respiratory depressant effects.
When the product is administered together with medicinal products with a sedative
effect, the duration of sedation may be increased.
This product can induce seizures and increase the effect of drugs that lower the
convulsive threshold.
Drugs that inhibit (e.g. cimetidine and erythromycin) or induce (e.g. carbamazepine)
CYP450 mediated metabolism may have an effect on the analgesic effect of tramadol.
The clinical relevance of these interactions has not been studied in dogs. See also
section 4.3.
The combination with mixed agonist/antagonists (e.g. buprenorphine, butorphanol) and
tramadol is not advisable, because the analgesic effect of a pure agonist may be
theoretically reduced in such circumstances.
This medicinal product does not require any special storage conditions.

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Not applicable
5.

This information is sourced from the official Summary of Product Characteristics (SPC) published by the Veterinary Medicines Directorate (VMD). It is provided for informational purposes only and does not replace professional veterinary advice. Always consult your vet before administering any medication.

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