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Common name: acetaminophen and tramadol (SEET MIN MIN and TRAM a dol) Brand
names : Ultracet
What is Ultracet?
Ultracet contains a combination of tramadol and acetaminophen. Tramadol – a drug similar to painkillers. Acetaminophen is a less potent analgesic that increases the effects of tramadol.
Ultracet is used to treat moderate to severe pain.
Ultracet can also be used for purposes not listed in this manual.
ABUSE OF ULTRACTECT MAY RESULT IN ADVENTURE, OVERDOSE OR DEATH, especially in a child or other person who uses an over-the-counter medicine.
Do not take more than the recommended dose.
Slideshow View scary (but dead serious) side effects of drugs
You should not use this medicine if you have severe breathing problems, blockage in the stomach or intestines, or if you have recently used a MAO inhibitor.
Ultracet is not approved for use by anyone under 18 years of age.
Taking Ultracet during pregnancy can lead to dangerous withdrawal symptoms in newborns.
Deadly side effects can occur if you use Ultracet with alcohol or other drugs that cause drowsiness or slow breathing.
Before taking this medicine
You should not use Ultracet if you are allergic to acetaminophen (Tylenol) or tramadol (Ultram), or if you have:
- Severe asthma or breathing problems;
- Occlusion of the stomach or intestines; or
- If you have used MAO inhibitors (such as isocarboxazid, linezolid, fenelzin, rasagiline, selegiline, tranylcypromine) in the last 14 days.
Ultracet is not approved for use by anyone under 18 years of age.
Seizures have occurred in some people taking this medicine. Your risk of seizure may be higher if you have ever had:
- Alcoholism or drug addiction;
- Epilepsy or another violation of seizures;
- Metabolic disorder;
- Head injury or brain tumor; or
- If you have recently used sedatives, tranquilizers or narcotic drugs.
To make sure Ultracet is safe for you, tell your doctor if you have ever had:
- Liver disease, or if you drink alcohol;
- Kidney disease, urination problems;
- Problems with your pancreas, gall bladder or thyroid gland;
- Depression, mental illness, or suicide attempt; or
- If you are using a sedative, such as Valium (diazepam, alprazolam, lorazepam, ativan, klonopin, restoril, tranxin, verse, xanak, etc.).
If you use Ultracet during pregnancy, your baby may become addicted to tramadol. This can cause life-threatening withdrawal symptoms in a child after birth. Addictive babies may need to be treated for a few weeks. Tell your doctor if you are pregnant.
Do not breastfeed. This medicine may pass into breast milk and cause drowsiness, breathing problems, or death in nursing babies.
How do I get an Ultracet?
Take Ultracet exactly as prescribed by your doctor. Follow all directions on the recipe label. Never take this medicine in large quantities or for longer than prescribed. Overdose can damage your liver or cause death. Tell your doctor if the medicine seems to stop working and relieves your pain.
The maximum dose of Ultracet is 2 tablets per dose or 8 tablets per day. Do not take this medicine for more than 5 days in a row.
Ultracet can be a familiar form, even with regular doses. Never share it with another person. INCORRECT USE OF NARCOTIC MEDICINAL MEDICINES MAY RESULT IN ADVENTURE, OVERDOSE OR DEATH, especially in a child or other person using the medicine without a prescription. Selling or distributing this drug is against the law.
You can take Ultracet with or without food, but take it the same way every time.
You should not stop using Ultracet suddenly after prolonged use. Follow your doctor’s instructions for dose reduction.
Store at room temperature away from moisture and heat.
Watch your medicine. Ultracet is a drug of abuse, and you need to know who is using your medicine incorrectly or without a prescription.
Information for dosing Ultracet
Usual Ultracet Adult Dose for Pain:
Usual dose: 2 tablets every 4-6 hours if necessary for pain.
Maximum dose: 8 tablets per day.
Maximum duration: 5 days.
-Which tablet contains tramadol 37.5 mg and acetaminophen 325 mg. The maximum daily dose is Tramadol: 300 mg per day and acetaminophen 2600 mg per day.
– Using more than 1 product at a time point containing acetaminophen is not recommended.
Use: for short-term treatment of acute pain; Use should be limited to 5 days or less.
Usual Geriatric Dose for Pain:
The choice of dose must be careful because of the possibility of greater sensitivity to adverse events.
See Also: Dosing Information (in more detail)
What happens if I miss a dose?
Since Ultracet is used for pain, you are unlikely to miss a dose. Skip any missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to replenish the missed dose.
What happens if I overdose?
Get emergency medical help or call the Poison Helpline at 1-800-222-1222. Overdose of this medication can be fatal, especially in a child or other person using the drug without a prescription.
Overdose symptoms may include shallow breathing, slow heartbeat, severe weakness, cold or sticky skin, a feeling of lightheadedness, fainting, seizure, or coma.
Read also about the drug Augmentin .
What should I avoid while using Ultracet?
Do not drink alcohol. Dangerous side effects or death may occur.
Avoid driving or driving until you know how this medicine will affect you. Dizziness or severe sleepiness may cause falls or other accidents.
Ask a doctor or pharmacist before using any other medicine that may contain acetaminophen (sometimes abbreviated as APAP). Taking some drugs together can lead to a fatal overdose.
Ultracet side effects
Get emergency medical help if you have signs of an allergic reaction to Ultracet: hives; labored breathing; Swelling of the face, lips, tongue or throat.
Like other narcotic drugs, tramadol can slow down your breathing. Death can occur if breathing becomes too weak.
In rare cases, acetaminophen can cause a strong skin reaction, which can be fatal. This could happen even if you took acetaminophen in the past and did not react. Stop taking this medicine and call your doctor right away if you have reddening of the skin or a rash that spreads and causes swelling and flaking.
A person caring for you should seek emergency medical care if you have slow breathing with long pauses, blue lips, or if you have difficulty waking up.
Stop using Ultracet and consult your doctor immediately if you have:
- Noisy breathing, sigh, shallow breathing;
- Slow pulse or weak pulse;
- Frivolous feeling like you might disappear;
- Seizure (convulsions);
- chest pain;
- Sexual problems, loss of interest in sex;
- Low cortisol levels – nausea, vomiting, loss of appetite, dizziness, worsening fatigue or weakness;
- Liver problems – pain in the upper stomach, loss of appetite, dark urine, jaundice (yellowing of the skin or eyes); or
- High levels of serotonin in the body – agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, syncope.
Serious side effects may be more likely in older people and people who are overweight, malnourished or weakened.
Long-term use of opioids may affect fertility (the ability to have children) in men or women. It is not known whether the opioid effects on fertility are permanent.
Common side effects of Ultracet may include:
- Dizziness, drowsiness, feeling tired;
- Stomach pain, nausea, loss of appetite;
- Diarrhea, constipation; or
This is not a complete list of side effects, and others may occur. Ask your doctor about side effects. You can report FDA side effects at 1-800-FDA-1088.
See Also: Side Effects (in more detail)
What other drugs will affect Ultracet?
A narcotic (opioid) drug can interact with many other drugs and cause dangerous side effects or death. Make sure your doctor knows if you also use:
- Other drugs are opioid pain or prescription cough medicine;
- Medications that make you sleep or slow your breathing – sleeping pills, muscle relaxation, soothing, sedative, or antipsychotic medicine; or
- Medications that affect the level of serotonin in your body – medicine for depression, Parkinson’s disease, migraine headaches, serious infections or the prevention of nausea and vomiting.
This list is not complete. Other drugs can interact with acetaminophen and tramadol, including prescription and over-the-counter medicines, vitamins and herbal products. Not all possible interactions are listed in this medication guide.
Where can I get more information?
- Your pharmacist can provide more information about Ultracet.
Tramadol (Ultra / Ultram and Ultracet) increases the risk of serotonin syndrome
The US Food and Drug Administration (FDA) approved changes to the packaging and instructions for tramadol (Ultra) and tramadol in combination with paracetamol (Ultraset). Now the packaging and instructions contain warnings about the increased risk of developing serotonin syndrome – a rare but dangerous and even life-threatening condition.
Serotonin syndrome may develop with the use of only tramadol, but most often with the simultaneous administration of serotonergic drugs such as serotonin reuptake inhibitors, serotonin and norepinephrine reuptake inhibitors, tricyclic antidepressants, MAO inhibitors, triptan drugs that inhibit the metabolism of serotonotone. disrupting serotonin metabolism, incl. cytochrome P 450 isoenzyme 2D6 (CYP 2D6) and inhibitors of CYP 3A4.
Adverse reactions may develop with dosing regimen.
Symptoms of serotonin syndrome include: disorientation, confusion, agitation, hypomania, anxiety, incoordination, fever, chills, tremor, increased sweating, diarrhea, nausea, vomiting, ataxia, hyperreflexia, myoclonia (sudden short-term twitching of muscles,), ataxia (hyperreflexia, myoclonia (sudden short-term twitching of muscles,), ataxia, hyperreflexia, myoclonia (sudden short-term twitching of muscles,); in the abdomen, hyperthermia, arterial hypertension, tachycardia, etc.
Tramadol is an opioid analgesic used to treat moderate to severe pain in adults.