Ultracet Information
COMMON BRAND NAME(S):
Ultracet
GENERIC NAME:
TRAMADOL + APAP
INGREDIENTS:
TRAMADOL HCL + ACETAMINOPHEN ORAL
(TRAH-muh-dall/uh-seet-uh-MEE-no-fen)
ORDERING INSTRUCTIONS AND PRICING:
Get a prescription for brand
or generic Ultracet online
USES: This product is used to
treat moderate short-term pain (5 days or
fewer). It contains 2 medications, tramadol and
acetaminophen. Tramadol is similar to narcotic
pain relievers (opiate-type). It acts on certain
centers in the brain to give you pain relief.
Acetaminophen is a non-narcotic pain reliever.
HOW TO USE: Take this
medication by mouth with or without food as
directed by your doctor. If you have nausea, it
may help to take this drug with food. Consult
your doctor or pharmacist about other ways to
decrease nausea (such as taking antihistamines,
lying down for 1 to 2 hours with as little head
movement as possible).
ULTRACET DOSAGE:
The dosage of Ultracet is based on your medical condition
and response to treatment. In adults who do not
have kidney disease, the maximum recommended
dose for this product is 300 milligrams of tramadol a day. Do not increase your dose, take
the medication more frequently, or take it for a
longer time than prescribed. Properly stop the
medication when so directed. This product also
contains acetaminophen. Do not take more
acetaminophen than recommended. (See also Side
Effects and Precautions sections.)
This medication may cause dependence, especially
if it has been used regularly for a long time or
in high doses. In such cases, withdrawal
reactions (such as anxiety, sweating, trouble
sleeping, shaking) may occur if you suddenly
stop this drug. To prevent withdrawal reactions,
your doctor may reduce your Ultracet dose gradually.
Consult your doctor or pharmacist for more
details, and report any withdrawal reactions
immediately.
When this medication is used for a long time, it
may not work as well. Your doctor may need to
increase your dose or change your medication.
Talk with your doctor if this medication stops
working well.
Along with its benefits, this medication may
rarely cause abnormal drug-seeking behavior
(addiction). This risk may be increased if you
have abused alcohol or drugs in the past. Take
this medication exactly as prescribed to lessen
the risk of addiction.
Tell your doctor if your pain persists or
worsens.
SIDE EFFECTS OF ULTRACET: Nausea, vomiting,
constipation, lightheadedness, dizziness,
drowsiness, increased sweating, or dry mouth may
occur. If any of these effects persist or
worsen, tell your doctor or pharmacist promptly.
To prevent constipation, maintain a diet
adequate in fiber, drink plenty of water, and
exercise. Consult your pharmacist for help in
selecting a laxative (such as a stimulant type
with stool softener).
Remember that your doctor has prescribed this
medication because he or she has judged that the
benefit to you is greater than the risk of side
effects. Many people using this medication do
not have serious side effects from Ultracet.
This is not a complete list of possible side
effects. If you notice other effects not listed
above, contact your doctor or pharmacist.
Contact your doctor for medical advice about
Ultracet side effects. The following numbers do not
provide medical advice, but in the US you may
report side effects to the Food and Drug
Administration (FDA) at 1-800-FDA-1088.
PRECAUTIONS: Before taking this
product, tell your doctor or pharmacist if you
are allergic to tramadol or acetaminophen; or to
narcotic pain medications (such as codeine); or
if you have any other allergies.
This medication should not be used if you have
certain medical conditions. Before using this
medicine, consult your doctor or pharmacist if
you have: certain bowel diseases (paralytic
ileus, infectious diarrhea).
This drug may make you dizzy or drowsy. Use
caution while driving, using machinery, or doing
any activity that requires alertness. Avoid
alcoholic beverages because they may increase
the risk of this drug's side effects.
Acetaminophen may cause liver damage. Daily use
of alcohol may increase your risk for liver
damage, especially when combined with
acetaminophen. Ask your doctor or pharmacist for
more information.
Before having surgery, tell your doctor or
dentist that you are using this medication.
To lower your risk of dizziness and
lightheadedness, get up slowly when rising from
a sitting or lying position.
Older adults may be more sensitive to the
effects of this drug, especially slow/shallow
breathing and drowsiness.
During pregnancy, this medication should be used
only when clearly needed. Using it for long
periods or in high doses near the expected
delivery date is not recommended because of
possible harm to the unborn baby. Discuss the
risks and benefits with your doctor. Infants
born to mothers who have used this medication
for a long time may have seizures or withdrawal
symptoms such as irritability,
abnormal/persistent crying, vomiting, or
diarrhea. Tell your doctor immediately if you
notice any of these symptoms in your newborn.
This product passes into breast milk, and the
effect on a nursing infant is unknown. Discuss
the risks and benefits with your doctor before
breast-feeding.
DRUG INTERACTIONS: Your doctor
or pharmacist may already be aware of any
possible drug interactions and may be monitoring
you for them. Do not start, stop, or change the
dosage of any medicine before checking with your
doctor or pharmacist first.
This product should not be used with the
following medications because very serious
(possibly fatal) interactions may occur: MAO
inhibitors (such as furazolidone, isocarboxazid,
linezolid, moclobemide, phenelzine, procarbazine,
rasagiline, selegiline, tranylcypromine).
Avoid taking MAO inhibitors within 2 weeks
before, during, and after treatment with this
product.
Before using this product, report the use of
other drugs that increase serotonin, such as
dextromethorphan, lithium, St. John's wort,
sibutramine, street drugs such as
MDMA/"ecstasy," tryptophan, certain
antidepressants including SSRIs (such as
citalopram, paroxetine) and SNRIs (such as
duloxetine, venlafaxine), "triptans" used to
treat migraine headaches (such as eletriptan,
sumatriptan), among others. The risk of
serotonin syndrome may be more likely when you
start or increase the dose of these medications.
Also report the use of drugs which might
increase seizure risk when combined with
tramadol including isoniazid (INH),
phenothiazines (such as thioridazine),
theophylline, or tricyclic antidepressants (such
as amitriptyline), among others. Consult your
doctor or pharmacist for details.
The risk of serious side effects (such as
slow/shallow breathing, severe
drowsiness/dizziness) may be increased if this
medication is taken with other products that may
also affect breathing or cause drowsiness.
Therefore, tell your doctor or pharmacist if you
are taking other products such as alcohol,
medicine for sleep or anxiety (such as
alprazolam, diazepam, zolpidem), muscle
relaxants, narcotic pain relievers (such as
codeine), and psychiatric medicines (such as
risperidone, trazodone). Your medications or
their doses may need to be changed.
Check the labels on all your medicines (such as
cough-and-cold products) because they may
contain ingredients that cause drowsiness. Ask
your pharmacist about using these products
safely.
Acetaminophen is an ingredient in many
nonprescription products and in some combination
prescription medications. Read the labels
carefully before taking other pain relievers,
fever reducers, or cold products to see if they
also contain acetaminophen. Consult your
pharmacist if you are uncertain whether your
other prescription or nonprescription products
contain acetaminophen. (See also Side Effects
section.)
This document does not contain all possible
interactions. Therefore, before using this
product, tell your doctor or pharmacist of all
the products you use. Keep a list of all your
medications with you, and share the list with
your doctor and pharmacist.
OVERDOSE: If overdose is
suspected, contact your local poison control
center or emergency room immediately. US
residents can call the US National Poison
Hotline at 1-... . Canada residents can call a
provincial poison control center. Symptoms of
overdose may include: slow/shallow breathing,
seizures, persistent nausea/vomiting, yellowing
eyes/skin, dark urine, severe stomach/abdominal
pain, extreme tiredness.
NOTES: Do not share this
medication with others.
STORAGE: Store at room
temperature at 77 degrees F (25 degrees C) away
from light and moisture. Brief storage between
59-86 degrees F (15-30 degrees C) is permitted.
Do not store in the bathroom. Keep all medicines
away from children and pets. |
