Review Article

Tramadol Extended-Release for the Management of Pain due to Osteoarthritis

Table 2

Extended-release formulations technologies available in commerce [89, 91].

Formulation technologyChemical descriptionProducts

ContramidControlled release tablets consisting of cross-linked high-amylose starch with tramadol that forms semipermeable outer gel layer generating zero-order release. Compression coded tablet provides biphasic release (25% rapidly released; 75% released within 24 h)Contramal UNO®, NOAX® UNO, Dolpar®, Monalgic®, Monotramal®, Unitrama®, Tradorec® XL, Tramadolor®, Unitrama®, Tidural®, Rysolt®, and Durotram® XR

SmartcoatPolymer diffusion-based film technology (drug released by osmosis). Semipermeable coating composed of water permeable film-forming polymer but not water solubleUltram® ER

MundipharmaHydrophobic matrix system using hydrogenated castor oilDolzam®, Zitram® XL, Tramagetic®, Travex®, Tiparol® OD, Tradonal® One, Zydol® XL, and Zamadol® 24 h

SMB PelletsPharmaceutical microgranules composed of a core containing tramadol and a porous membrane made of insoluble methacrylic polymersMonocrixo® LP, Tramium®, Tralodie®, T-Long®, and Dolodol®

Cipher technologyCapsules consisting of extended-release film-coated white beads and an immediate release tablet encapsulated (75% released within 7-8 h and 24 h; 25% rapidly released).Cip Tramadol® ER