Ultracet (Generic)

Combination medicines containing narcotic analgesics (nar-KOT-ik an-al-JEE-zicks) such as tramadol (TRA-ma-dole ) and acetaminophen ( a-seat-a-MIN-oh-fen) are used to relieve pain. An opioid analgesic and acetaminophen used together may provide better pain relief than either medicine used alone. In some cases, you may get relief with lower doses of each medicine.

The dose of tramadol and acetaminophen will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of tramadol and acetaminophen. If your dose is different, do not change it unless your doctor tells you to do so.

The number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are taking tramadol and acetaminophen, For oral dosage form (tablets):For pain:Adults and adolescents 16 years and older?Take 2 tablets every 4 to 6 hours as needed for up to 5 days.Children under 16 years of age?use and dose must be determined by your doctor.

* Abdominal pain; aches, pains or weakness of muscles; numbness or tingling of hands, legs, and feet; acid or sour stomach; belching; heartburn; indigestion; stomach discomfort ; anxiety; bloated full feeling; excess air or gas in stomach or intestines; confusion; constipation; dizziness; dry mouth; false or unusual sense of well-being; feeling of warmth; redness of the face, neck, arms, and occasionally the upper chest; headache; increased sweating; increase in bowel movements; loose stools; soft stools; itching skin; loss of appetite; weight loss; loss of strength or energy; muscle pain or weakness; mood or mental changes; nausea; nervousness; painful or difficult urination; rash; sleepiness or unusual drowsiness; sleeplessness; trouble sleeping; unable to sleep; unusual tiredness or weakness; vomiting

If you think you, or someone else may have taken an overdose, get emergency help at once. Get emergency help immediately if any of the following symptoms of overdose occur

* Chest pain or discomfort; convulsions ; difficulty breathing

Take this medicine only as directed by your medical doctor or dentist. Do not take more of it, do not take it more often, and do not take it for a longer time than your medical doctor or dentist ordered. This is especially important for young children and elderly patients, who may be more sensitive than other people to the effects of analgesics. If too much of a analgesic is taken, it may become habit-forming (causing mental or physical dependence) or lead to medical problems because of an overdose. Taking too much acetaminophen may cause liver damage.

# Keep out of the reach of children. Overdose of tramadol and acetaminophen is very dangerous in young children.
# Do not store in the bathroom, near the kitchen sink, or in other damp places. heat or moisture may cause the medicine to break down.
Do not keep outdated medicine or medicine no longer needed. Ask your health care professional how you should dispose of any medicine you do not use. Be sure that any discarded medicine is out of the reach of children.

Opioid analgesics act in the central nervous system (CNS) to relieve pain. Many of their side effects are also caused by actions in the CNS. When opioids are used for a long time, your body may get used to them so that larger amounts are needed to relieve pain. This is called tolerance to the medicine. Also, when opioids are used for a long time or in large doses, they may become habit-forming (causing mental or physical dependence). Physical dependence may lead to withdrawal symptoms when you stop taking the medicine.

Acetaminophen does not become habit-forming when taken for a long time but it may cause other unwanted effects, when taken in large doses including liver damage, if too much is taken.