Tramadol and acetaminophen combination which is available in Ultracet is used to relieve pain by centrally acting on the brain. Ultracet is used to treat moderate to severe pain. Tramadol is a very effective opioid pain killer and acetaminophen is a less potent analgesic that enhances the effects of Tramadol. When both of these drugs are together, this mystic combination provides a better pain relief than when either of the drugs used alone. Ultracet may cause a habit or addiction and thus must be used only by the individual it is prescribed for.
Active working of Ultracet
Ultracet is an opioid analgesic which acts in the central nervous system or brain. Tramadol acts as a pain reliever by binding to the μ-opioid receptors and thus blocking the reuptake of serotonin and norepinephrine. And acetaminophen is used to relieve pain and reduce fever in patients.
Ultracet is used in the short-term (acute) treatment and management of pain which lasts for 5 or less days.
Prescribed dosage of Ultracet
Adults: The maximum intake of this combination is 2 tablets every 4 to 6 hours as required for up to 5 days. Avoid taking more than 8 tablets per day.
Children: The use and dose of Ultracet must be determined by your doctor.
Ultracet can be taken with or without food. You must follow all directions provided on the prescription label.
Risks and Side effects
The common side effects of Ultracet may include drowsiness, dizziness, sweating, sleep disturbances, dry mouth, and itching, blurred vision, feeling nervous, stomach pain, constipation, and weakness.
The serious adverse effects of Ultracet may contain hallucinations, fever, blistering skin rash, bleeding, and confusion, loss of appetite, jaundice, loss of coordination, slow or fast heartbeat, vomiting, and nausea.
Drug - Drug Interactions
Avoid driving and performing physical activity after taking Ultracet.
Avoid alcohol while you are taking acetaminophen and tramadol. Alcohol may increase the risk of liver damage and asthma while taking tramadol with acetaminophen.
Do not take MAO inhibitor (selegiline, isocarboxazid, and phenelzine) along with Ultracet.
Since many combination medicines contain acetaminophen, thus you should be careful while taking other drugs along with Ultracet as you may take a double dose of acetaminophen will cause damage to your liver.
Do not take muscle relaxants, allergy, or cold medications, antidepressant (citalopram, fluoxetine, nefazodone, paroxetine, etc.) and anti-anxiety drugs, sleeping pills, sedatives, and medicines for seizures along with Ultracet, as these can add to sleepiness caused by tramadol.
Breathing disorders like asthma
A history of mental disorders or depression
Liver disease, a history of alcoholism and liver cirrhosis
Keep a track of the quantity of medicine used from each new bottle.
Never share this medicine with another person, especially somebody with a history of drug abuse since this drug may be habit forming. Use the medicine only when you have pain.
Always take the required amounts; never take this medicine in larger quantities. An overdose may lead to liver or renal problems.
The initial symptoms of over dosage of acetaminophen include nausea, sweating, vomiting, stomach pain, weakness, confusion and loss of appetite. Later on, symptoms like seizures, dark urine, abdominal pain, shallow breathing, and jaundice like signs such as yellowing of your skin and eyes, fainting may appear.
Since medicine for relieving pain is taken as needed, a dosing schedule is not necessary. If you are taking Ultracet regularly, as soon as you remember you can take the missed dose. If it is almost the time for your next scheduled dose, you may skip the missed dose as taking extra medicine may lead to undesirable effects and addiction.