GENERIC NAME(S): TRAMADOL-ACETAMINOPHEN
Ultracet is used to treat moderate to moderately severe pain. It contains 2 drugs: tramadol and acetaminophen.
See also the Warning section.
Tramadol is similar to opioid analgesics. It functions in the brain to alter the way your body feels and responds to pain.
Acetaminophen is used to relieve pain, and it can also reduce a fever.
How to utilize Ultracet:
See also the Warning section. In case you have any questions, ask your doctor or pharmacist.
Take this medicine by mouth as directed by your doctor, usually every 4 to 6 hours as needed for pain relief. You can take this drug with or without food.
When you have nausea, it might help to take this medication with meals.
Ask your doctor or pharmacist about other techniques to reduce nausea (for example, lying down to 1 to 2 hours with as small a head motion as you can ).
The dosage is based on your medical condition and response to therapy.
To reduce your risk of side effects, your doctor may direct you to begin this Ultracet medication at a very low dose and gradually increase your dose. Follow your doctor’s instructions carefully.
The maximum recommended dose is 8 tablets per day. Do not increase your dose, take the medication more often, or take it for a longer time than prescribed.
Pain medications work best if they’re used as the first signs of pain occur. If you wait until the pain has worsened, the medicine may not work as well.
If you’ve got ongoing pain (such as because of arthritis), your physician may direct you to also choose long-acting opioid medications.
In that case, this medication might be used for sudden (breakthrough) pain only as needed. Other pain relievers (such as naproxen, ibuprofen) may also be prescribed.
Consult your doctor or pharmacist about using tramadol safely along with different drugs.
Suddenly stopping this medicine can cause withdrawal, especially if you have used it for a long time or in large doses.
To prevent withdrawal, your doctor may decrease your dose slowly.
Tell your doctor or pharmacist straight away if you have any withdrawal symptoms like restlessness, mental/mood changes (like anxiety, trouble sleeping, thoughts of suicide), flushing eyes, runny nose, nausea, nausea, sweating, muscle aches, or sudden changes in behavior.
When this Ultracet medication is used for quite a while, perhaps it doesn’t operate also. Talk to your doctor if this medicine stops working well.
Though it helps many people, this medicine may sometimes cause dependence.
This risk might be greater if you have a substance use disorder (such as overuse of or addiction to drugs/alcohol). Take this medicine exactly as prescribed to reduce the danger of addiction.
Ask your doctor or pharmacist for additional information.
Tell your doctor if your pain doesn’t get better or if it becomes worse.
Nausea, vomiting, constipation, lightheadedness, dizziness, nausea, or sweating may occur. Some of those side effects can decrease after you have been using this Ultracet medication for some time.
If any of these effects persist or worsen, tell your doctor or pharmacist immediately.
To stop constipation, consume dietary fiber, drink sufficient water, and exercise. You may also need to have a laxative.
Ask your pharmacist which sort of laxative is right for you.
To decrease the possibility of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
Do not forget that your doctor has prescribed this medication because he or she has judged the benefit to you is greater than the risk of side effects.
Many people using this medication do not have serious side effects.
Inform your physician straight away if you have some serious side effects, including interrupted breathing during sleep (sleep apnea), mental/mood effects (such as agitation, hallucinations), severe stomach/abdominal pain, difficulty urinating, signs of your adrenal glands not functioning well (such as loss of appetite, unusual tiredness, weight reduction ).
Get medical help straight away if you have any very serious unwanted effects, such as fast/irregular heartbeat, severe dizziness, fainting, seizure.
This medicine may increase serotonin and infrequently cause a very serious condition called serotonin syndrome/toxicity.
The risk increases if you are also taking other medications that increase serotonin, thus inform your physician or pharmacist of all the medications you choose.
Get medical help straight away in the event that you develop a number of the following symptoms: rapid heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, and unusual agitation/restlessness.
Tramadol is changed to a strong opioid medication in your system.
In some individuals, this change occurs faster and more fully than normal, which increases the possibility of very serious unwanted effects.
Get medical help right away in the event that you notice any of these: slow/shallow breathing, severe drowsiness/difficulty waking up, confusion.
A very serious allergic reaction to this drug is rare. However, seek medical help right away in the event that you notice any of these symptoms: rash, and itching/swelling (especially of this face/tongue/throat), severe dizziness, trouble breathing.
This is not a comprehensive list of potential side effects. If u see other symptoms ask your doctor.
In the US –
Telephone your physician for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada – Telephone your physician for medical advice about side effects.
This item could contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this Ultracet medication, tell your doctor or pharmacist your medical history, especially of: brain disorders (for example, head injury, tumor, seizures), breathing problems (for example, asthma, sleep apnea, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (such as confusion, depression, suicidal thoughts), personal or family history of a substance use disorder (for example, overuse of addiction to drugs/alcohol), stomach/intestinal issues (such as nausea, nausea, diarrhea due to disease, paralytic ileus), difficulty urinating (such as because of enlarged prostate), gallbladder disease, disease of the pancreas (pancreatitis), obesity.
This medication may make you dizzy or drowsy. Do not drive, use machines, or do anything which requires alertness until you can do it securely.
Avoid alcoholic beverages. Talk to your physician if you’re using marijuana (cannabis).
Tramadol/acetaminophen may give rise to a condition that affects the heart rhythm (QT prolongation).
QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other ailments (such as severe dizziness, fainting) that need medical care right away.
The risk of QT prolongation may be raised if you have specific medical conditions or are taking other drugs which may cause QT prolongation.
Low levels of magnesium or potassium in the blood can also increase your risk of QT prolongation. This risk may increase if you use certain medications (like diuretics/”water pills”) or if you have conditions such as severe perspiration, nausea, or vomiting.
Speak to your physician about using tramadol/acetaminophen safely.
Before having surgery, tell your health care provider or dentist about all the products that you use (such as prescription medications, nonprescription medications, and herbal products).
Some children might be more sensitive to quite serious side effects of tramadol, for example, extreme sleepiness, confusion, or slow/shallow/noisy breathing. (See also Warning section.)
Older adults may be more sensitive to the negative effects of this drug, especially confusion, nausea, drowsiness, slow/shallow breathing, and QT prolongation (see previously ).
Older adults may also be more inclined to develop a sort of salt imbalance (hyponatremia) while using this medication. It might harm an unborn baby.
This medicine passes into breast milk and might have undesirable effects on a nursing infant, such as unusual sleepiness, difficulty feeding, or difficulty breathing.
Breast-feeding whilst using this medication is not recommended. Consult your doctor before breastfeeding.
Medication interactions can change how your medications work or increase your risk for serious side effects. This record does not contain all possible drug interactions.
Maintain a list of all the products that you use (such as prescription/nonprescription medications and herbal remedies ) and discuss it with your health care provider and pharmacist.
Do not start, stop, or change the dose of any medicines without your doctor’s approval.
Some products that may interact with this drug include specific pain medications (mixed opioid agonist-antagonists such as pentazocine, nalbuphine, butorphanol), naltrexone.
Taking MAO inhibitors with this medication may lead to a serious (potentially fatal) drug interaction. Avoid taking MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Many MAO inhibitors should likewise not be taken for 2 weeks before therapy with this medicine. Ask your doctor when to start or stop taking this medication.
If somebody has overdosed and contains severe signs such as passing out or trouble breathing, give them naloxone if accessible, then call 911.
If the person is awake and has no outward symptoms, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222.
Canada residents can predict a provincial poison control center.
Signs of overdose may include:
Slow/shallow nausea, nausea, vomiting, loss of appetite, sweating, slow/irregular heartbeat, stomach/abdominal pain, extreme tiredness, yellowing eyes/skin, dark urine, seizure, coma.
Don’t share this medication with others. Sharing it is against the law.
This Ultracet medication has been prescribed for your current condition only.
Don’t use it later for another condition unless told to do so by your physician. A different medicine may be necessary for that situation.
Ask your physician or pharmacist if you ought to have naloxone available to treat opioid overdose.
Teach your family or family members concerning the signals of an opioid overdose and how to treat it.
Store at room temperature between 59-86 degrees F (15-30 degrees C) away from moisture. Keep all medicines away from children and pets.
Don’t flush drugs down the toilet or put them in a drain unless instructed to do so. Properly discard this product when it’s expired or no longer desired.
Ask your pharmacist or local waste disposal company for more details about how to safely discard your merchandise.
Warnings for taking Ultracet:
Tramadol/acetaminophen includes a danger for abuse and addiction, which can result in overdose and death.
Tramadol/acetaminophen may also lead to severe, potentially deadly, breathing problems.
To reduce your risk, your physician should have you choose the lowest dose of tramadol/acetaminophen which works and choose it for the shortest possible time.
See also the How to Use section to learn more concerning dependence.
The risk for acute breathing difficulties is greater when you begin this medicine and after a dose increase, or when you choose the wrong dose/strength.
Taking this Ultracet medicine with alcohol or other medications that can lead to drowsiness or breathing problems may cause very serious side effects, such as death.
Also, other medications can affect the removal of tramadol/acetaminophen from your entire body, which might affect how tramadol/acetaminophen functions.
Make certain that you are aware of how to take tramadol/acetaminophen and what other medications you should avoid taking with it.
See also Drug Interactions section. Get medical help right away if any of these very serious side effects occur: slow/shallow breathing, odd lightheadedness, acute drowsiness/dizziness, difficulty waking up.
Keep this medicine in a secure place to prevent theft, misuse, or abuse. If someone accidentally swallows this medication, get medical help right away.
Don’t use any other drug containing acetaminophen without asking your doctor or pharmacist.
Get medical help straight away if you take too much acetaminophen (overdose), even in the event that you feel good.
Overdose symptoms may include nausea, vomiting, loss of appetite, sweating, stomach/abdominal pain, extreme tiredness, yellowing eyes/skin, and dark urine.
Children younger than 12 years should not use products that contain tramadol.
Children between 12 and 18 years old should not use tramadol after certain surgeries (like tonsil/adenoid removal).
Also, tramadol usage isn’t suggested for children between 12 and 18 years old who are obese or have breathing problems.
Talk with your doctor or pharmacist concerning the dangers and benefits of this Ultracet drug.
Ask your friends and loved ones for support.
If you’re feeling anxious or depressed, consider joining a support group or seeking counseling. Believe in your ability to take control of the pain…
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