Product image of Kolibri (Tramadol Hydrochloride, Paracetamol) supplied by GNH India

Kolibri

Active Ingredient:
Tramadol Hydrochloride, Paracetamol
Origin:
EU

Kolibri (Tramadol Hydrochloride, Paracetamol)

Tramadol Hydrochloride/Paracetamol, the active ingredient in Kolibri, is a combination analgesic presented as an oral tablet for oral use. It is indicated for the management of moderate to severe pain in adult patients and is available in the European Union market, formulated to provide rapid onset of analgesia.

GNH India supplies Kolibri as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to Good Distribution Practice and provides regulatory‑compliant documentation for importers.

Manufacturer / TM Owner

Alfasigma S.P.A.

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Indications & Clinical Uses

Kolibri, a combination analgesic, is used to treat pain conditions that involve both nociceptive and neuropathic pathways.

  • Moderate to severe pain: provides effective relief when single‑component analgesics are insufficient.
  • Postoperative pain: helps control pain after surgical procedures.
  • Acute pain: reduces pain intensity in sudden onset conditions such as injury or dental procedures.

How It Works

  • Tramadol acts as a weak μ‑opioid receptor agonist and inhibits the reuptake of norepinephrine and serotonin, enhancing descending inhibitory pain pathways. Paracetamol contributes analgesia and antipyresis, likely through central inhibition of cyclooxygenase enzymes, reducing prostaglandin synthesis. The combined actions produce synergistic pain relief with lower opioid exposure.

Side Effects

Kolibri may cause a range of adverse reactions, which are classified by frequency and severity.

Common Side Effects

  • Nausea
  • Dizziness
  • Constipation
  • Headache
  • Somnolence
  • Dry mouth

Serious or Rare Side Effects

  • Respiratory depression
  • Seizures
  • Serotonin syndrome
  • Severe allergic reactions (anaphylaxis)
  • Hepatotoxicity
  • Stevens‑Johnson syndrome

Precautions & Warnings

When prescribing Kolibri, clinicians should consider several safety measures.

  • Assess renal and hepatic function: adjust use in patients with impairment.
  • Avoid in patients with known hypersensitivity to tramadol or paracetamol.
  • Monitor for signs of respiratory depression, especially in opioid‑naïve individuals.
  • Caution when combined with serotonergic drugs: risk of serotonin syndrome.
  • Pregnancy and breastfeeding: use only if benefit outweighs risk.
  • Store at ambient temperature below 25 °C: keep in original container, protect from moisture and light.

Avoid Interactions

Kolibri interacts with several drug classes; awareness of the interaction level guides clinical decisions.

Major Interactions (Avoid)

  • MAO inhibitors: risk of hypertensive crisis.
  • CNS depressants (benzodiazepines, alcohol): additive sedation and respiratory depression.
  • Serotonergic agents (SSRIs, SNRIs, triptans): potential serotonin syndrome.

Moderate Interactions (Monitor Closely)

  • CYP2D6 inhibitors (fluoxetine, quinidine): increase tramadol plasma levels.
  • Warfarin: paracetamol may enhance anticoagulant effect.
  • Diuretics: may reduce analgesic efficacy of tramadol.

Frequently Asked Questions

Kolibri is a prescription combination analgesic containing tramadol hydrochloride and paracetamol. It is used to treat moderate to severe pain, postoperative pain, and acute pain conditions when single‑component analgesics do not provide sufficient relief.

Tramadol provides weak μ‑opioid receptor agonism and blocks the reuptake of norepinephrine and serotonin, enhancing descending pain inhibition. Paracetamol adds analgesic and antipyretic effects, likely by centrally inhibiting cyclooxygenase enzymes, resulting in synergistic pain control.

The dosage of Kolibri is determined by the prescribing clinician based on the patient’s pain severity, medical history, and response to therapy. The prescriber will select the appropriate strength and dosing schedule in accordance with local regulations.

Safety in pregnancy and lactation has not been definitively established. Kolibri should only be used if the potential benefit justifies the potential risk to the fetus or infant, and this decision must be made by a qualified healthcare professional.

To place an order, submit an enquiry on the Kolibri product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any required import documentation.

Compared with single‑component opioids, Kolibri combines a weak opioid with paracetamol, offering comparable analgesia with potentially lower opioid‑related side effects. It is often preferred over higher‑dose opioids for moderate pain and provides faster onset than paracetamol alone.

Kolibri tablets should be stored at ambient temperature below 25 °C, in the original packaging, protected from moisture and light. Keep the product out of reach of children and do not use after the expiry date printed on the label.

Kolibri is taken orally with a full glass of water. It may be taken with or without food, but patients should follow the prescribing clinician’s instructions regarding timing and any specific dietary considerations.

Serious risks include respiratory depression, seizures, serotonin syndrome when combined with serotonergic agents, severe allergic reactions such as anaphylaxis, and rare hepatic injury. Patients should be monitored closely for these events, especially when initiating therapy or adjusting doses.

Kolibri is contraindicated in individuals with known hypersensitivity to tramadol, paracetamol, or any excipients, as well as in patients taking monoamine oxidase inhibitors. Caution is also advised for patients with severe respiratory disorders, uncontrolled epilepsy, or significant hepatic or renal impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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