Ultracet is a unique pain medication that combines tramadol, a leading prescription pain reliever, and acetaminophen, the most commonly recommended over-the-counter analgesic in the U.S. Ultracet has been approved for the short-term (five days or less) management of acute pain. Ultracet provides powerful relief from many kinds of acute pain, including joint pain, strains and sprains, post-operative recuperation, joint pain flares (i.e., associated with osteoarthritis) and muscle aches.

The following information is a summary. It is not intended to replace a doctor's instructions.

About Ultracet

Ultracet Directions

Ultracet may be taken on an empty stomach or with food. Side effects you may experience while taking Ultracet include drowsiness, dizziness, and constipation. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE IF you develop a skin rash, itching, confusion, changes in mood or behavior, hallucinations, dark urine or pale stools, yellowing of the skin or eyes, or unusual tiredness. CONTACT YOUR DOCTOR IMMEDIATELY IF you experience seizures, difficulty breathing or swallowing, or swelling of face or mouth. Store Ultracet at room temperature in a tightly-closed container away from heat and light. If your symptoms do not improve or become worse, check with your doctor.

Ultracet Side Effects

If you experience any of the following serious side effects, stop taking acetaminophen / tramadol and seek emergency medical attention: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); slow, weak breathing; liver damage (yellowing of the skin or eyes, nausea, abdominal pain or discomfort, unusual bleeding or bruising, severe fatigue); blood problems (easy or unusual bleeding or bruising); or low blood sugar (fatigue, increased hunger or thirst, dizziness, or fainting). These side effects are very rare and are not likely to occur during proper treatment with acetaminophen and caffeine. If you experience any unusual reactions, stop taking this medicine and seek the advice of your doctor. Other, less serious side effects may be more likely to occur. Continue to take acetaminophen / butalbital / caffeine and talk to your doctor if you experience drowsiness; dizziness, confusion or lightheadedness; shortness of breath; dry mouth; nausea, vomiting, abdominal pain, or decreased appetite; tiredness, leg pain, or muscle weakness; agitation, irritability, nervousness, anxiety or excitability; rash or itching; feeling of intoxication; headache; or constipation. Butalbital may be habit forming. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

Ultracet Precautions

DO NOT TAKE ULTRACET IF YOU HAVE HAD A SEVERE ALLERGIC REACTION to codeine, hydrocodone, dihydrocodeine, oxycodone (such as Tylox, Tylenol with Codeine, Vicodin). A severe allergic reaction includes a severe rash, hives, breathing difficulties, or dizziness. IF YOU EXPERIENCE difficulty breathing, tightness of chest, swelling of eyelids, face, or lips, or if you develop a rash or hives, tell your doctor immediately. Do not take any more doses of Ultracet unless your doctor tells you to do so. DO NOT EXCEED THE RECOMMENDED DOSE or take Ultracet for longer than prescribed. ULTRACET MAY BE HABIT FORMING. Use caution driving or operating machinery. DO NOT DRINK ALCOHOL while taking Ultracet. DO NOT TAKE other products containing acetaminophen (check labels closely) while you are taking Ultracet. IF DIZZINESS OCCURS, sit or stand up slowly. BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, EMERGENCY CARE, OR SURGERY, tell the doctor that you are taking Ultracet. IF YOU EXPERIENCE WITHDRAWAL SYMPTOMS (nervousness, sweating, nausea, diarrhea, tremor, trouble sleeping), check with your doctor . FOR WOMEN: Discuss with your doctor is you are planning on getting pregnant. ULTRACET IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED while taking Ultracet.

Drug Interactions with Ultracet

DO NOT TAKE ULTRACET if you are also taking carbamazepine, cyclobenzaprine, an amphetamine, opiate analgesic, tricyclic antidepressant, serotonin reuptake inhibitor (SSRI), monoamine oxidase inhibitor (MAOI), promethazine, or medicine for appetite suppression, sleep, or a nervous, mood, or behavior condition. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITIONS may be needed if you are taking isoniazid, guanidine, or an oral anticoagulant.

Ultracet Overdose

If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of Ultracet overdose may include nausea, vomiting, sweating, unusual drowsiness, slowed breathing, seizures, stomach pain, dark urine, deep sleep or loss of consciousness, coma and death.

Missed Dose ofUltracet

IF YOU MISS A DOSE OF ULTRACET and you are taking it regularly, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. DO NOT TAKE TWO DOSES OF ULTRACET AT ONCE.

Notes about Ultracet

Do not share you prescription of Ultracet with anyone, even if their symptoms are similar to your own. Always keep this medication out of reach of children.

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