Pain Centre

19 October 2007

Moderate efficacy opioids

These opioids are effective against moderate pain, and in adequte doses also against more severe pain.

They are dihydrocodeine (e.g. DF118®), tilidine (Valoron®) and tramadol (Tramal®). They are effective against moderate pain, and in adequate doses also against more severe pain. They can be taken orally, which is an advantage over the high efficacy opioids, which are most efficient if injected.

The side effects are as mentioned in the introduction on opioids.

Tramadol causes less sedation and respiratory depression. None of these agents should be taken together with other central nervous system depressants like sleeping tablets, sedatives, or even alcohol.

Read more:
Don't ignore chest pain
Breast lumps & breast pain

Arthritis Foundation of South Africa
Multiple Sclerosis South Africa
The South African Society of Physiotherapy


Read Health24’s Comments Policy

Comment on this story
Comments have been closed for this article.

Ask the Expert

Pain expert

Dr Raath originally specialised and worked as an anaesthesiologist in private practice. In 2008 he obtained his Fellowship In Interventional Pain Practice and since then has operated the the Pain Clinic at the Netcare Jakaranda Hospital in Pretoria which treats all forms of chronic pain.

Still have a question?

Get free advice from our panel of experts

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

* You must accept our condition

Forum Rules