Zydol SR 200mg Prolonged Release Tablets *
Pharmacy Only: Prescription

  • Company:

    Grunenthal Pharma Ltd.
  • Status:

    No Recent Update
  • Legal Category:

    Product subject to medical prescription which may not be renewed (A)
  • Active Ingredient(s):

    *Additional information is available within the SPC or upon request to the company

Updated on 21 February 2022

File name

m1-3-1-leaflet-2242-5-3-4-5-version-17-ipha clean_1645467878.pdf

Reasons for updating

  • Change to section 2 - what you need to know - warnings and precautions
  • Change to section 2 - interactions with other medicines, food or drink
  • Change to section 4 - possible side effects

Free text change information supplied by the pharmaceutical company

Approval of End of Procedure of two work-sharing procedures as outlined below;

  1. DE/H/XXXX/WS/964 - Grouped Type II and Type IB variations.

Change 1: Type II - to update product information following CCDS update with additions of 3 ADRs and working adaptation of section 5.3 (pre-clinical safety data) with impact on the wording in section 4.6 (fertility).

Change 2: Type IB unforseen - to implementation PSUSA/00003002/202005 outcome.

  1. DE/H/xxxx/WS/1000 – Type IB PRAC change - to implement the PRAC change recommendation on signals based on EMA/PRAC/2050777/2021; EPITT no 19635 (dated 31st May 2021) into the product information (SmPC and PIL).

Updated on 21 February 2022

File name

ie-spc-2242-5-5-sr200mg-tabs-v22-ipha clean_1645466825.pdf

Reasons for updating

  • Change to section 4.4 - Special warnings and precautions for use
  • Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
  • Change to section 4.8 - Undesirable effects
  • Change to section 4.9 - Overdose
  • Change to section 10 - Date of revision of the text

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

Approval of End of Procedure of two work-sharing procedures as outlined below;

  1. DE/H/XXXX/WS/964 - Grouped Type II and Type IB variations.

Change 1: Type II - to update product information following CCDS update with additions of 3 ADRs and working adaptation of section 5.3 (pre-clinical safety data) with impact on the wording in section 4.6 (fertility).

Change 2: Type IB unforseen - to implementation PSUSA/00003002/202005 outcome.

 

  1. DE/H/xxxx/WS/1000 – Type IB PRAC change - to implement the PRAC change recommendation on signals based on EMA/PRAC/2050777/2021; EPITT no 19635 (dated 31st May 2021) into the product information (SmPC and PIL).

 

Updated on 09 March 2020

File name

m1-3-1-leaflet-2242-5-3-4-5-version-12-ipha_1583762776.pdf

Reasons for updating

  • Change to section 2 - what you need to know - warnings and precautions

Free text change information supplied by the pharmaceutical company

Addition of information on sleep related breathing disorders

Updated on 09 March 2020

File name

ie-spc-2242-5-5-sr200mg-tabs-v17-ipha_1583755888.pdf

Reasons for updating

  • Change to section 4.4 - Special warnings and precautions for use

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

Information added on sleep-related breathing disorders

Updated on 08 October 2019

File name

ie-spc-2242-5-5-sr200mg-tabs-v16-clean_1570528178.pdf

Reasons for updating

  • Change to section 4.4 - Special warnings and precautions for use
  • Change to section 4.5 - Interaction with other medicinal products and other forms of interaction

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

Section 4.4: Special Warning and precautions for use

- Text added on the concomitant use of Zydol and sedating medicinal products such as benzodiazepines or related substances.

 

Section 4.5: Interactions with other medicinal products and other forms of interactions

- Text added on the concomitant use of opioids with sedating medicianal products such as benzodiazepines or related substances.

Updated on 13 August 2019

File name

m1-3-1-leaflet-1189-1-6-8-version-10-ipha.pdf

Reasons for updating

  • Individual PILs superseded by joint PIL

Updated on 05 July 2019

File name

ie-spc-2242-5-5-sr200mg-tabs-clean_1562332076.pdf

Reasons for updating

  • File format updated to PDF

Legal category:Product subject to medical prescription which may not be renewed (A)

Updated on 18 June 2018

File name

m1-3-1-leaflet-1189-1-6-8-version-10-ipha.pdf

Reasons for updating

  • New PIL for new product

Updated on 07 June 2018

File name

m1-3-1-leaflet-1189-1-6-8-version-10-ipha.pdf

Reasons for updating

  • Change to section 6 - marketing authorisation holder
  • Change to section 6 - marketing authorisation number

Updated on 05 June 2018

File name

ie-spc-1189-1-8-sr200mg-tabs-clean.docx

Reasons for updating

  • Change to section 7 - Marketing authorisation holder
  • Change to section 8 - Marketing authorisation number(s)

Legal category:Product subject to medical prescription which may not be renewed (A)

Updated on 30 May 2018

File name

ie-spc-1189-1-8-sr200mg-tabs-v14-clean.docx

Reasons for updating

  • Change to section 4.4 - Special warnings and precautions for use
  • Change to section 4.6 - Pregnancy and lactation
  • Change to section 4.8 - Undesirable effects
  • Change to section 5.2 - Pharmacokinetic properties

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

Section 4.4

-          Updated text on dependence and treatment discontinuation

-          Text added on CYP2D6 metabolism

-          Text added on available information on the use in post-operative children

-          Text added on the use in children with compromised respiratory function

Section 4.6

-          Update to breast-feeding section

 

 

Section 5.2

-          Deleted’ Up to now, clinically relevant interactions have not been reported’

Updated on 18 May 2018

File name

m1-3-1-leaflet-1189-1-6-8-version9-ipha.pdf

Reasons for updating

  • Change to section 2 - what you need to know - warnings and precautions
  • Change to section 2 - use in children and adolescents
  • Change to section 2 - pregnancy, breast feeding and fertility
  • Change to section 3 - how to take/use
  • Change to section 4 - possible side effects
  • Change to section 6 - date of revision

Updated on 13 May 2018

File name

m1-3-1-leaflet-1189-1-6-8-version9-clean.pdf

Reasons for updating

  • Change to section 2 - what you need to know - warnings and precautions
  • Change to section 2 - use in children and adolescents
  • Change to section 2 - pregnancy, breast feeding and fertility
  • Change to section 3 - how to take/use
  • Change to section 4 - possible side effects
  • Change to section 6 - date of revision

Updated on 19 October 2016

Reasons for updating

  • New SPC for new product

Legal category:Product subject to medical prescription which may not be renewed (A)

Updated on 19 October 2016

Reasons for updating

  • Change to section 4.2 - Posology and method of administration
  • Change to section 5.1 - Pharmacodynamic properties
  • Change to section 5.2 - Pharmacokinetic properties

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

Section 4.2 Posology and method of administration:
Reference to section 5.1 included

Section 5.1 Pharmacodynamic properties:
Information about paediatric population added

Section 5.2 Pharmacokinetic properties:
Information about paediatric population added

Updated on 14 July 2015

File name

PIL_11147_82.pdf

Reasons for updating

  • New PIL for new product

Updated on 14 July 2015

File name

PIL_11147_82.pdf

Reasons for updating

  • New PIL for new product

Updated on 14 July 2015

Reasons for updating

  • Change to Section 4.8 – Undesirable effects - how to report a side effect
  • Change to section 10 - Date of revision of the text

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

Section 4.8:
IMB details changed to HPRA details

Updated on 14 July 2015

Reasons for updating

  • Addition of information on reporting a side effect.

Updated on 06 June 2014

Reasons for updating

  • Change to section 1 - Name of medicinal product
  • Change to section 2 - Qualitative and quantitative composition
  • Change to section 3 - Pharmaceutical form
  • Change to section 4.2 - Posology and method of administration
  • Change to section 4.3 - Contraindications
  • Change to section 4.4 - Special warnings and precautions for use
  • Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
  • Change to section 4.6 - Pregnancy and lactation
  • Change to section 4.7 - Effects on ability to drive and use machines
  • Change to section 4.8 - Undesirable effects
  • Change to Section 4.8 – Undesirable effects - how to report a side effect
  • Change to section 4.9 - Overdose
  • Change to section 5.2 - Pharmacokinetic properties
  • Change to section 6.5 - Nature and contents of container

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

Section 1 – Name of medicinal product

Editorial changes

 

Section 2 – Qualitative and quantitative composition

Editorial changes

 

Section 3 – Pharmaceutical Form

Rewording of text

 

Section 4.2- Posology and method of administration

Further details added on dosing and dosing interval

Changes in line with current QRD template

 

Section 4.3 – Contraindications

Changes in line with current QRD template

 

Section 4.4 – Special warning and precautions for use

Editorial changes

 

Section 4.5 – Interaction with other medicinal products and other forms of interaction

Deletion of text on combination with mixed agonist/antagonist

 

Section 4.6 – Pregnancy and lactation

Deletion of ‘ teratogenic effects were not observed’

Addition of ‘Post marketing surveillance does not suggest an effect of tramadol on fertility. Animal studies did not show an effect of tramadol on fertility.’

 

Section 4.7 – ffects on ability to drive and use machine

Editorial changes

 

Section 4.8 -Undesirable effects

-          The frequency of ‘speech disorders’ changed from ‘unknown’ to ‘Rare’

-          Delirium added as a ‘rare’ adverse effect

-          The frequency of ‘mydriasis’ changed from ‘unknown’ to ‘Rare’

-          Miosis added as a ‘rare’ adverse effect

-          change to address for reporting adverse reactions to IMB included.

 

Section 4.9 – overdose

Editorial changes

 

Section 5.2 – pharmaceokinetic properties

Editorial changes

 

Section 6.5 – Nature and contents of container

Editorial changes

Updated on 06 June 2014

Reasons for updating

  • Change to instructions about overdose
  • Change to side-effects
  • Change to drug interactions
  • Change to information about pregnancy or lactation
  • Change to date of revision
  • Change to improve clarity and readability
  • Addition of information on reporting a side effect.

Updated on 24 April 2014

Reasons for updating

  • Change to Section 4.8 – Undesirable effects - how to report a side effect
  • Change to section 10 - Date of revision of the text

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

Section 4.8 - Adverse event reporting. IMB address details updated

Updated on 17 April 2014

Reasons for updating

  • Addition of information on reporting a side effect.

Updated on 04 February 2014

Reasons for updating

  • Change to section 10 - Date of revision of the text
  • Change to section 1 - Name of medicinal product
  • Change to section 2 - Qualitative and quantitative composition
  • Change to section 4.2 - Posology and method of administration
  • Change to section 4.3 - Contraindications
  • Change to section 4.4 - Special warnings and precautions for use
  • Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
  • Change to section 4.6 - Pregnancy and lactation
  • Change to section 4.8 - Undesirable effects
  • Change to Section 4.8 – Undesirable effects - how to report a side effect

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

Section 1 - formatting changes

Section 2 - aligning to current QRD template

Section 4.2 - formatting changes

Section 4.3 - aligning to current QRD template

Section 4.4 - formatting changes

Section 4.5 - formatting changes

Section 4.6 - aligning to current QRD template

Section 4.8 - addition of hypoglycaemia is a side effect with unknown frequency
- reporting of side effect

Section 10 - September 2013

Updated on 04 February 2014

Reasons for updating

  • Change to side-effects
  • Change to date of revision
  • Addition of information on reporting a side effect.

Updated on 03 December 2013

Reasons for updating

  • Change to section 4.2 - Posology and method of administration
  • Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
  • Change to section 10 - Date of revision of the text

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

 

Pharmacovigilance working Party recommended changes from July 2012

Section 4.2 (Posology and method of administration)

Geriatric Elderly patients
Editorial changes to text

Patients with renal insufficiency/dialysis and hepatic impairment insufficiency

Rewording of text to state ‘In patients with renal and/or hepatic insufficiency the elimination of tramadol is delayed. In these patients prolongation of the dosage intervals should be carefully considered according to the patient’s requirements.’

Text on initial dosing this this patient population and text relation to dialysis deleted.

Section 4.5 (Interaction with other medicinal products and other forms of interaction)

Text on tramadol induced convulsion in relation to use with SSRIs, SNRIs, TCAs, antipsychotics andother seizure threshold-lowering products modified according to pharmacovigilance Working Party recommendations.

Symptoms of serotonin syndrome added as Spontaneous clonus, Inducible or ocular clonus with agitation or diaphoresis, Tremor and hyperreflexia, Hypertonia and body temperature > 38˚C and inducible ocular clonus.

 

 

Updated on 27 November 2013

Reasons for updating

  • Change to drug interactions
  • Change to date of revision
  • Change to dosage and administration

Updated on 09 September 2013

Reasons for updating

  • Change to section 3 - Pharmaceutical form
  • Change to section 4.2 - Posology and method of administration
  • Change to section 4.8 - Undesirable effects
  • Change to section 6.1 - List of excipients

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

Section 3: Pharmaceutical form

-          Updated to align with Zydol dossier

 

Section 4.2: Posology and method of administration

-          Text reformatted for clarity

 

Section 4.8: Undesirable effects

-          Undesirable effects further separated according to area of body affected.

 

Section 6.1: List of excipients

-          Updated according to Zydol dossier

Updated on 03 September 2013

Reasons for updating

  • Change to, or new use for medicine
  • Change to warnings or special precautions for use
  • Change to side-effects
  • Improved electronic presentation

Updated on 08 July 2011

Reasons for updating

  • Improved electronic presentation

Updated on 27 April 2010

Reasons for updating

  • Change to section 4.2 - Posology and method of administration
  • Change to section 10 - Date of revision of the text

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

In section 4.2, for patients with Renal Insufficiency/dialysis and hepatic insufficiency, the wording of the section has been reformatted for better clarity,

from

"
In patients with severe renal and/or hepatic insufficiency Zydol SR is not recommended. In moderate cases prolongation of the dosage interval should be carefully considered.”

to

"In patients with renal and/or hepatic insufficiency the elimination of tramadol is delayed. In these patients prolongation of the dosage interval should be carefully considered according to the patients requirements. In cases of severe renal and/or severe hepatic insufficiency Zydol SR prolonged-release tablets are not recommended.”

In section 10, the revision date has been updated.

Updated on 02 November 2009

Reasons for updating

  • Change to section 4.8 - Undesirable effects
  • Change to section 10 - Date of revision of the text

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

Section 4.8 Undesirable effects
'Speech disorders' and 'mydriasis' have been added to Nervous system disorders and Eye disorders, respectively. 'CNS symptoms' (i.e. confusion, delusions, depersonalisation, derealisation, paranoia) has been updated with examples in General disorders 
The frequencies in the section have been re-formatted.
 
Section 10 Date of Revision of the text
Approval date ' October 2009' has been included.

Updated on 27 October 2009

Reasons for updating

  • Change to side-effects
  • Change to date of revision
  • Change due to harmonisation of PIL

Updated on 24 February 2009

Reasons for updating

  • Change to section 10 - Date of revision of the text

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

update date to: January 2009

Updated on 04 February 2009

Reasons for updating

  • Change to section 4.9 - Overdose
  • Change to section 10 - Date of revision of the text

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

4.9       Overdose  
Advice on how to treat cases of overdose and cases of intoxication with tramadol.

10.       DATE OF REVISION OF THE TEXT

 Date updated to November 2008

Updated on 07 May 2008

Reasons for updating

  • Change to section 6.5 - Nature and contents of container
  • Change to section 6.6 - Special precautions for disposal and other handling
  • Change to section 9 - Date of renewal of authorisation
  • Change to section 10 - Date of revision of the text

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

section 6.5 - addition of statement 'Not all pack sizes may be marketed.'
section 6.6 - updated to section heading
section 9 - update to date
section 10 - update to date

Updated on 31 October 2007

Reasons for updating

  • Introduction of new strength

Updated on 30 May 2007

Reasons for updating

  • Change to section 1 - Name of medicinal product
  • Change to section 2 - Qualitative and quantitative composition
  • Change to section 3 - Pharmaceutical form
  • Change to section 4.1 - Therapeutic indications
  • Change to section 4.2 - Posology and method of administration
  • Change to section 4.3 - Contraindications
  • Change to section 4.4 - Special warnings and precautions for use
  • Change to section 4.5 - Interaction with other medicinal products and other forms of interaction
  • Change to section 4.6 - Pregnancy and lactation
  • Change to section 4.7 - Effects on ability to drive and use machines
  • Change to section 4.8 - Undesirable effects
  • Change to section 4.9 - Overdose
  • Change to section 5.1 - Pharmacodynamic properties
  • Change to section 5.2 - Pharmacokinetic properties
  • Change to section 5.3 - Preclinical safety data
  • Change to section 6.6 - Special precautions for disposal and other handling
  • Change to section 10 - Date of revision of the text

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

Section 1 – format/harmonisation of text

  Section 2 – format/harmonisation of text and additional information on excipients

  Section 3 – format/harmonisation of text

  Section 4.1 – format/harmonisation of text

  Section 4.2 - – format/harmonisation, change in children age limit

  Section 4.3 - – format/harmonisation of text

  Section 4.4 – format/harmonisation of text

  Section 4.5 – format/harmonisation, INR warning updated, additional information

  Section 4.6 – format/harmonisation of text

  Section 4.7– format/harmonisation of text

  Section 4.8 – format/harmonisation including additions and deletion of adverse reaction details

  Section 4.9 – format/harmonisation with addition advice.

  Section 5.1 – format/harmonisation of text

  Section 5.2 – format/harmonisation of text

  Section 5.3 – format/harmonisation of text

  Section 6.6 – format/harmonisation

  Section 10 – updated date of SPC

Updated on 24 July 2006

Reasons for updating

  • Change to section 4.1 - Therapeutic indications
  • Change to section 10 - Date of revision of the text

Legal category:Product subject to medical prescription which may not be renewed (A)

Free text change information supplied by the pharmaceutical company

  • section 4.1  - indication change to state' Management of moderate to severe pain.'
  • section 10 - date of revision

Updated on 24 July 2006

Reasons for updating

  • New PIL for medicines.ie

Updated on 07 June 2006

Reasons for updating

  • Change to section 2 - Qualitative and quantitative composition
  • Change to section 3 - Pharmaceutical form
  • Change to section 4 - Clinical particulars
  • Change to section 5 - Pharmacological properties
  • Change to section 6 - Pharmaceutical particulars
  • Change to section 7 - Marketing authorisation holder
  • Change to section 8 - MA number
  • Change to section 10 - Date of revision of the text

Legal category:Product subject to medical prescription which may not be renewed (A)

Updated on 03 November 2005

Reasons for updating

  • New SPC for new product

Legal category:Product subject to medical prescription which may not be renewed (A)