Rapid Alert: Presence of Unregistered Tramadol Formulations in the Market

Rapid Alert

DRAP Alert NoNo  I/S/02-25-25
Action Date27th February, 2025
Target Audience1. Regulatory Field Force.
2. Therapeutic Goods Industry
3. Manufactures of Oral liquid preparations
4. Healthcare professionals
Problem StatementThe Federal Government Analyst, CDL, Karachi has notified the Drug Regulatory Authority of Pakistan that samples of the following products, seized by Customs, have been declared ‘Unregistered’ (falsified). The labels of these samples claim ‘Tramadol hydrochloride’ which has been confirmed by the test reports. Moreover, the labels do not provide any information regarding the manufacturer. The details of the reports are as below:

The product identification details are as under: –

Therapeutic Good Affected:-

ProductBatch No*Mfg DateExp. DateManufacturer Name
(as per label)
Remarks
Tramaking 225 TabletsTM-04403-202303-2026Un-Registered (Falsified)
New Tramadol 225 TabletsTRD201502-202202-2027Un-Registered (Falsified)
TramaKing 250 CapsuleTKC200103-202203-2027Un-Registered (Falsified)
New Royal 225mg TabletsTM-03704-202304-2026Un-Registered (Falsified)
Tamral-250 Tablets243NIL03-2026Un-Registered (Falsified)
Tramaking Mega 225 TabletsTRD200205-202205-2027Un-Registered (Falsified)
TramaKing 250 TabletsTRK200103-202203-2027Un-Registered (Falsified)

Risk StatementFalsified products having no identification of manufacturer pose a great risk to the health of patient and can cause adverse drug reactions or may lead to therapy failure that can result in fatal consequences.
Action InitiatedThe Regulatory Field Force has been directed to conduct surveillance activities to confiscate the abovementioned Un-Registered/falsified products. All Pharmacists, chemists, and other healthcare professionals working at distributions, pharmacies, healthcare facilities, and other aspects of the supply chain system should immediately check the stock, and information related to the suppliers of such products should be provided to the Regulatory field force (DRAP, Provincial Drug Control Departments) to ensure the removal of these product from the circulation.
Advice for Healthcare ProfessionalsDRAP requests healthcare professionals to have increased vigilance within the supply chains of institutions/pharmacies/healthcare facilities likely to be affected by above mentioned product. Any adverse events or quality problems experienced with the use of these products should be reported to National or Provincial pharmacovigilance centers using Adverse Event Reporting Form or online through this link.  Further information on reporting problems to DRAP is available on this link.
Advice for ConsumersConsumers should not use these products and should contact their physician or healthcare provider(s) if they have experienced any problem related to taking or using the above mentioned products and should report the incident to the Drug Regulatory Authority of Pakistan / National Pharmacovigilance Centre.

All therapeutic goods must be obtained from licensed pharmacies and other authorized/licensed retail outlets. The authenticity and condition of products should be carefully checked. Seek advice from your pharmacists or other healthcare professionals in case of any doubt.