Is it safe for elderly people?
It can be used, but older adults are more sensitive to tramadol.
⚠️ Important cautions for a grandma:
Higher risk of side effects, such as:
Dizziness
Drowsiness or confusion
Nausea or vomiting
Constipation
Risk of falls
Kidney or liver problems (common in older age) can make the drug stay longer in the body
Can affect breathing if taken in high doses
Can interact with other medicines (BP drugs, antidepressants, sleeping pills, seizure meds)
When should it be avoided or used only under strict medical advice?
If the grandma has:
Kidney or liver disease
History of seizures
Breathing problems (e.g. asthma, COPD)
Is taking sedatives, alcohol, or antidepressants
History of confusion or frequent falls
Safe use tips (very important)
Start with the lowest effective dose
Do not take more often than prescribed
Avoid alcohol
Do not combine with other tramadol-containing medicines
Stop and seek help if there is confusion, severe sleepiness, or difficulty breathing
Safer alternatives
For mild pain, plain paracetamol alone is usually safer for elderly people than Doreta.