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    Generic Name: Acetaminophen/Tramadol (a-seet-a-MIN-oh-fen/TRA-ma-dole)
    Brand Name: Ultracet

    Ultracet is used for:

    Short-term treatment (5 days or less) of pain.

    Ultracet is an analgesic combination. It works in confident areas of the brain as well as nervous system to decrease pain. The combination might provide better pain relief than either medicine alone.

    Do NOT take Ultracet if:

    • you are allergic to any ingredient in Ultracet or any other codeine or morphine related medicine (eg, codeine, oxycodone, hydrocodone, dihydrocodeine, hydromorphone)
    • you possess severe diarrhea due to taking an antibiotic
    • you are intoxicated with alcohol, other opioids or narcotics (eg, morphine, codeine), sedatives or sleeping medicines (eg, temazepam, zolpidem), or other medicines
    • you are taking nefazodone or carbamazepine
    • you possess liver problems
    • you are taking any other medicine containing tramadol or acetaminophen

    Contact your doctor or health care provider fair away incase any of these apply to you.

    Before taking Ultracet :

    Some health examination conditions might work with Ultracet . Tell your doctor or pharmacist incase you possess any health examination conditions, especially incase any of the following apply to you:

    • incase you are pregnant, planning to become pregnant, or are breast-feeding
    • incase you are taking any prescription (especially depression medicines) or nonprescription medicine, herbal preparation, or dietary supplement
    • incase you possess allergies to medicines, foods, or other substances
    • incase you possess a history of alcoholism, substance abuse, or incase you consume more than 3 alcoholic drinks per day
    • incase you possess considered or attempted suicide
    • incase you possess or recently possess had any head injury, brain injury or tumor, increased pressure in the brain, infection of the brain or nervous system, epilepsy, or seizures
    • incase you possess asthma or other lung or breathing problems
    • incase you possess or possess a history of stomach or intestinal problems, chronic inflammation or ulceration of the bowel, or incase you possess had recent abdominal surgery
    • incase you possess heart problems, liver problems (eg, hepatitis), kidney problems, thyroid problems, enlargement of the prostate gland, or urinary problems

    Some MEDICINES MIGHT WORK with Ultracet . Tell your health care provider incase you are taking any other medicines, especially any of the following:

    • Carbamazepine because the effectiveness of Ultracet might be decreased as well as the risk of seizures might be increased
    • Confident medicines for mental or mood disorders (eg, olanzapine, haloperidol), cyclobenzaprine, isoniazid, other opioid pain medicine (eg, codeine, hydrocodone), phenothiazines (eg, promethazine), sleeping medicines (eg, zolpidem), tricyclic antidepressants (amitriptyline), or weight loss medicines (eg, phentermine) because side effects, including excessive drowsiness, trouble breathing, liver problems, or seizures might be increased
    • Linezolid, monoamine oxidase (MAO) inhibitors (eg, phenelzine), nefazodone, selegiline, or SSRIs (eg, fluoxetine) because they might cause humorless as well as sometimes fatal reactions including restlessness, fever, excessive sweating, confusion, twitching, as well as seizures
    • Oral anticoagulants (eg, warfarin) because side effects, including bleeding, might be increased by Ultracet
    • Digoxin because the risk of side effects, including nausea, vomiting, or unhurried heartbeat, might be increased by Ultracet

    This might not be a total list of all interactions that might occur. Ask your health care provider incase Ultracet might interact with other medicines that you take. Check with your health care provider before you start, halt, or change the dose of any medicine.

    How to take Ultracet :

    Take Ultracet as directed by your doctor. Check the label on the medicine for exact dosing instructions.

    • Take Ultracet by mouth with or without food.
    • Do not take Ultracet for more than 5 days unless advised to do so by your doctor.
    • Do not take more than 8 tablets per day. Do not take more than 4 tablets per day incase you possess kidney problems.
    • Incase you miss a dose of Ultracet , take it as soon as likely. Incase it is almost time for your next dose, skip the missed dose as well as go back to your normal dosing schedule. Do not take 2 doses at once.

    Ask your health care provider any questions you might possess about how to take Ultracet .

    Substantial safety information:

    • Ultracet might cause drowsiness as well as dizziness. These effects might be worse incase you take it with alcohol or confident medicines. Take Ultracet with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
    • Do not drink alcohol or take medicines that might cause drowsiness (eg, sleep aids, muscle relaxers) while you are taking Ultracet ; it might add to their effects. Ask your pharmacist incase you possess questions about which medicines might cause drowsiness.
    • Ultracet might cause dizziness; alcohol, hot weather, exercise, or fever might increase this effect. To halt them, sit up or stand slowly, especially in the morning. Sit or lie down at the earliest sign of any of this effect.
    • Tell your doctor or dentist that you take Ultracet before you receive any health examination or dental care, emergency care, or surgery.
    • Ultracet has acetaminophen in it. Before you start any recent medicine, check the label to see incase it has acetaminophen in it too. Incase it does or incase you are not sure, check with your doctor or pharmacist.
    • Talk to your doctor before you take Ultracet incase you drink more than 3 drinks with alcohol per day. Ultracet might cause stomach bleeding. Your risk might be greater incase you drink alcohol while you are taking Ultracet .
    • Take Ultracet with caution in the ELDERLY; they might be more sensitive to its effects.
    • Ultracet should not be used in CHILDREN; safety as well as effectiveness in children possess not been confirmed.
    • PREGNANCY as well as BREAST-FEEDING: Ultracet has been shown to cause harm to the fetus. Incase you think you might be pregnant, contact your doctor. You will need to discuss the benefits as well as risks of taking Ultracet while you are pregnant. Ultracet is found in breast milk. Do not breast-feed while taking Ultracet .

    When used for extended periods of time or at high doses, this medicine might not work as well as well as might require higher doses to obtain the alike effect as when originally taken. This is known as TOLERANCE. Talk with your doctor incase Ultracet stops working well. Do not take more than prescribed.

    Some people who take Ultracet for a extended time without a break might develop a material need to continue taking it. This is known as material DEPENDENCE. Incase you suddenly halt taking Ultracet , you might experience WITHDRAWAL symptoms including anxiety; diarrhea; fever, runny nose, or sneezing; goose bumps as well as abnormal skin sensations; nausea as well as vomiting; pain; rigid muscles; seeing, hearing, or feeling things that are not there; shivering or tremors; sweating; and trouble sleeping.

    Likely side effects of Ultracet :

    All medicines might cause side effects, however many people possess no, or minor, side effects. Check with your doctor incase any of these most ORDINARY side effects persist or become bothersome:

    Constipation; diarrhea; dizziness; drowsiness; increased sweating; loss of appetite; nausea.

    Seek health examination attention fair away incase any of these SEVERE side effects occur:

    Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); severe seizures (convulsions).

    This is not a total list of all side effects that might occur. Incase you possess questions or need health examination advice about side effects, contact your doctor or health care provider. You might report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

    Incase OVERDOSE is suspected:

    Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms might include bluish skin; chilly clammy skin; difficult or unhurried breathing; drowsiness leading to unresponsiveness or coma; excessive sweating; loss of function in the heart as well as lungs; nausea as well as vomiting; pinpoint pupils; seizure (convulsions); stomach or intestinal pain.

    Proper storage of Ultracet :

    Store Ultracet at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 as well as 86 degrees F (15 as well as 30 degrees C) is permitted. Store away from heat, moisture, as well as light. Do not store in the bathroom. Keep Ultracet out of the reach of children as well as away from pets.

    Common information:

    • Incase you possess any questions about Ultracet , please talk with your doctor, pharmacist, or other health care provider.
    • Ultracet is to be used only by the patient for whom it is prescribed. Do not share it with other people.
    • Incase your symptoms do not improve or incase they become worse, check with your doctor.

    This information is a summary only. It does not contain all information about Ultracet . Incase you possess questions about the medicine you are taking or would similar more information, check with your doctor, pharmacist, or other health care provider.

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    News Articles about Ultracet:
    FDA Warns of Acetaminophen in Prescription Pain Drugs
    UltracetAcetaminophen; Tramadol HydrochlorideTablet; Oral325mg; 37.5mgSOURCES: News releases, FDAFDA news teleconference, Jan. 13, 2011.Sandra Kweder, deputy director,office of recent drugs, FDA.FDA web site.News release, Community Citizen.Transcript of the June 29-30 joint meeting of the dru