Understanding TDRONA FORTE

TDRONA FORTE is a prescription medication used to treat moderate to severe pain. It contains a combination of paracetamol and tramadol hydrochloride.

What is TDRONA FORTE Used For?

TDRONA FORTE helps relieve moderate to severe pain symptoms when other pain medications have not fully managed the pain on their own. It works by modifying the body’s response to pain.

Some examples of conditions where TDRONA FORTE may be prescribed include:

  • Back pain
  • Arthritis
  • Migraine headaches
  • Cancer pain
  • Pain after surgery

TDRONA FORTE is considered a step II pain medication on the WHO pain ladder. This means it contains a weak opioid (tramadol) combined with a non-opioid analgesic (paracetamol) for better pain relief.


TDRONA FORTE tablets contain two active ingredients – paracetamol and tramadol hydrochloride:

  • Paracetamol works by blocking pain signals in the brain and spinal cord. It also acts to reduce body temperature in cases of fever.
  • Tramadol works in the brain to change how the body senses and responds to pain. It blocks pain signals from being sent to the brain.

When combined, paracetamol and tramadol work together to provide stronger pain relief than either medication alone. The multifaceted approach targets pain from different angles for maximum effect.

Before Taking TDRONA FORTE

  • Tell your doctor about any medical conditions, especially liver or kidney problems
  • List all medications and supplements you currently take
  • Inform your doctor if you have a history of seizures
  • Let your doctor know if you have ever had an allergic reaction to tramadol, paracetamol, or other pain medications
  • Caution should be taken during pregnancy and breastfeeding

TDRONA FORTE should not be used if you have severe liver impairment or recently took monoamine oxidase inhibitors (MAOIs – certain antidepressants).


  • Take TDRONA FORTE tablets exactly as prescribed by your doctor
  • The recommended starting dose is 2 tablets, followed by 1-2 tablets every 6 hours as needed
  • Do not exceed 8 tablets (300 mg tramadol/2,600 mg paracetamol) per day
  • Swallow tablets whole with a glass of water – do not crush, break, or chew them
  • TDRONA FORTE works best when taken at regular intervals, not just when pain strikes
  • Never take more than prescribed or double up doses if a dose is missed

Treatment with TDRONA FORTE should be limited to 5 days maximum, unless directed otherwise by your doctor. Taking TDRONA FORTE for longer periods can increase the risk of side effects or dependence.

Always follow the dosage instructions from your doctor. Never adjust or stop TDRONA FORTE without medical supervision.


  • Avoid driving vehicles or operating heavy machinery after taking TDRONA FORTE as it may cause dizziness or drowsiness
  • Limit alcohol use, as it can increase drowsiness and worsen some side effects
  • Tell your doctor if pain gets worse or if new symptoms develop
  • Do not stop taking TDRONA FORTE suddenly – tapering off is necessary to avoid withdrawal symptoms
  • Seek emergency care if you experience serious side effects like difficulty breathing, seizures, or fainting.


TDRONA FORTE can cause mild to moderate side effects in some people including:

Common side effects:

  • Nausea, upset stomach
  • Dizziness, drowsiness
  • Headache
  • Confusion
  • Nervousness/anxiety

Less common side effects:

  • Difficulty sleeping
  • High blood pressure
  • Ringing in the ears
  • Sweating or chills
  • Hallucinations
  • Loss of appetite

Severe allergic reactions and breathing issues can occur in rare cases. Seek immediate medical care if you experience serious side effects.

Talk to your doctor if side effects do not go away over time or are severely impacting daily function. A dosage adjustment or alternative treatment may be recommended.

Safe Storage of TDRONA FORTE

  • Store tablets at room temperature below 30°C
  • Keep TDRONA FORTE in the original packaging and protect from light and moisture
  • Do not use expired tablets – check the expiry date on packs before taking
  • Keep all medications safely out of reach of children and pets

Properly disposing leftover or expired tablets prevents misuse and protects the environment. Check with your local pharmacy about drop-off locations for safe medication disposal.

More Patient Information

TDRONA FORTE is manufactured in India by Ronak Exim Private Limited and contains the active ingredients paracetamol and tramadol hydrochloride.

Each light yellow TDRONA FORTE tablet is capsule-shaped with a break line on one side for splitting when necessary. Tablets are packaged in blister packs of 10 tablets, with 10 packs per carton.

When used responsibly under medical supervision, TDRONA FORTE can provide effective relief for moderate to severe pain symptoms. Maintaining open communication with your healthcare provider is key for achieving good treatment outcomes.

Frequently Asked Questions About TDRONA FORTE

Q: How long does it take for TDRONA FORTE to work?

A: Effects set in within 60-90 minutes after taking a dose. It may take several doses to experience the full pain-relieving effects. Always follow medical advice on dosage and timing instructions.

Q: Can I drink alcohol while using TDRONA FORTE?

A: Alcohol should be avoided, as it increases drowsiness and worsens certain side effects. Check with your doctor before consuming any amount of alcohol during treatment.

Q: Is TDRONA FORTE safe while pregnant or breastfeeding?

A: No – tramadol can cause withdrawal in infants and should be avoided unless a doctor advises that benefits outweigh the risks. Speak to your OBGYN about pain relief options if pregnant or nursing.

Q: How does TDRONA FORTE interact with other drugs?

A: TDRONA FORTE interacts with many medications, especially antidepressants (MAO inhibitors), narcotics, sedatives, and supplements. Provide your complete medication list to avoid complications.

Q: Can TDRONA FORTE be abused or lead to addiction?

A: Yes – tramadol does carry a risk of physical and psychological dependence. Use only as prescribed and do not share tablets with others. Dependence can occur with prolonged use.

Q: What should I avoid while using TDRONA FORTE?

A: Avoid driving, operating machinery, making big decisions, alcohol use, and taking other medications without checking for interactions first. Stay vigilant for side effects impacting mental sharpness.

Q: How can I safely stop taking TDRONA FORTE after regular use?

A: Suddenly stopping opioid pain medication can cause withdrawal symptoms. To safely taper off TDRONA FORTE, follow the gradual reducing schedule provided by your healthcare provider.

Q: What do I do if I miss a dose of TDRONA FORTE?

A: Do not double up on doses to try catching up if you miss one. Simply take the normal amount at the next scheduled interval, at least 6 hours apart. Set phone alarms to help remember doses.

Q: How do I obtain more TDRONA FORTE refills from the pharmacy?

A: You must get a new prescription from your doctor’s office before the pharmacy can provide refills. Call your clinic ahead of running out to arrange a refill appointment if pain symptoms persist.