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Buy Ultracet or Generic Ultracet

WHAT IS ULTRACET, ULTRACET DRUG INFORMATION

COMMON BRAND NAME: ULTRACET®

Opioid analgesics affect the central nervous system (CNS) to relieve pain. Actions in the CNS also cause many of their side effects.

Using opioids for a long time causes your body may get used to them. Larger amounts are needed to relieve pain. This results in "tolerance" to the medicine. Opioids also become habit-forming when they are used for a long time or in large doses. Dependence may result in withdrawal symptoms when you stop taking them.

Acetaminophen is not habit-forming when taken for a long time. However, when taken in large doses, it may cause other unwanted side effects, including liver damage.

Ultracet is available only with a doctor's prescription, in the following dosage form:

Oral Tablets ( U.S.)

PRECAUTIONS

Before deciding to use Ultracet, the risks of taking it must be weighed against the good it will do. This is a decision you need to make with your doctor.

For Ultracet (tramadol and acetaminophen in combination), the following should be considered:

ALLERGIES

Tell your health care professional if you have ever had any unusual or allergic reaction to acetaminophen, tramadol or other opioid analgesics. Also tell your doctor if you are allergic to any other substances, such as foods, dyes or preservatives.

CHILDREN

Studies of Ultracet have only been done in adult patients. There is no specific information comparing use of tramadol and acetaminophen in children younger than 16 years of age as compared to other age groups.

OLDER ADULTS

Ultracet has been tested and has not been shown to cause any different side effects or problems in older adults than it does in younger adults.

ULTRACET and PREGNANCY

Ultracet has not been studied in pregnant women. Studies conducted with animals have shown that tramadol and acetaminophen combination causes birth defects and other problems. Before taking Ultracet, telll your doctor if you are pregnant or if you may become pregnant.

Using too much of an opioid during pregnancy may result in the fetus becoming dependent on the medicine. This may cause withdrawal side effects in the baby when it is born. The following have been reported:

• seizures
• symptoms of withdrawal from opioids
• death of the baby
• still birth

ULTRACET and BREAST FEEDING

Tramadol and acetaminophen both pass into breast milk which may cause unwanted side effects in nursing babies. It may be necessary for you to change medicines or to stop breast-feeding if you continue with Ultracet. Discuss the risks and benefits of using Ultracet with your doctor.

ULTRACET DRUG INTERACTIONS

Certain drugs should not be used together at all. But other cases two different drugs may be used together even if an interaction might occur. In that case, your doctor may want to adjust your dose. Or other precautions may be necessary. When you are taking Ultracet, it is especially important that your doctor knows if you are taking any of the following:

TRAMADOL AND ACETAMINOPHEN IN COMBINATION (ULTRACET)

• Anticoagulants ("blood thinners), e.g., Coumadin. -- Tramadol and acetaminophen may cause the amount of blood thinners in your blood to increase, which can result in bleeding problems.
  
  

  IMPORTANT NOTE: This information is intended to be supplemental only and not a substitute for the expertise and judgment of your pharmacist, physician or other healthcare provider. It should not be seen as an indication that use of the medicine is appropriate, effective or safe for you. Consult your physician before you use this medication

• Alcohol and products containing alcohol. -- May cause problems with your liver.

ACETAMINOPHEN

Products which contain acetaminophen (e.g., Tylenol, Chlor-Trimeton Sinus, Nyquil) -- Taking additional acetaminophen may cause an increase in the risk of liver problems.

TRAMADOL

• Analgesics, opioid (e.g., morphine, codeine)
  
  
• Antidepressants like
  
  
  • tricyclic antidepressants, e.g.,
    
    
    • amitriptyline [Elavil]
    • doxepin [Sinequan]
      
      
  • selective serotonin reuptake inhibitors, e.g.,
    
    
    • citalopram [Celexa]
    • fluvoxamine [Luvox]
    • sertraline [Zoloft])

    Taking tramadol and acetaminophen with these drugs may increase the possibility of convulsions or seizures.

  • medicines with Monoamine oxidase (MAO) inhibitor activity, (taken currently or within the past 2 weeks), e.g.,
    
    
    • isocarboxazid (e.g., Marplan)
    • phenelzine (e.g., Nardil)
    • procarbazine (e.g., Matulane)
    • selegiline (e.g., Eldepryl)
    • tranylcypromine (e.g., Parnate)

    Taking these medicines with tramadol may result in more seizures. It may also cause unusual heartbeats, high blood pressure, or headache.

• Neuroleptics (e.g., Prolixin, Thorazine) -- Taking tramadol with these medicines may increase the possibility of convulsions or seizures.
  
  
• Alcohol and products containing alcohol
  
  
• Anesthetic medicines
  
  
• Central nervous system (CNS) depressants like
  
  
  • narcotic pain relievers (e.g., Darvon, Codeine)
  • phenothiazines (e.g., Prolixin, Thorazine)
  • sedative hypnotics (e.g., Xanax, Valium)
  • tranquilizers (e.g., Haldol, Ativan)

  Taking tramadol with these drugs may increase the chance of serious side effects.

• Carbamazepine (e.g., Tegretol) -- May lower the blood levels of tramadol, increasing the chance of serious side effects

OTHER MEDICAL PROBLEMS

If you have other medical problems, they may affect the use of Ultracet (tramadol and acetaminophen). Tell your doctor if you have any other medical problems, especially:

• Alcohol and/or other drug abuse, now or history of
• Convulsions (seizures), now or history of
• Hormonal problems
• Head injury
• Infections of the central nervous system
• Liver disease
• Kidney disease
• Severe abdominal problems
• Respiratory difficulty or troubled breathing

The chance of serious side effects may be increased.

PROPER USE OF ULTRACET

Take Ultracet only as directed by your doctor or dentist. Do not take it more often, do not take more of it, and do not take it for a longer time than your doctor or dentist ordered. This is especially important for the elderly or young children, who may be more sensitive than others to the effects of analgesics. If too much analgesic is taken, the patient may become addicted (causing physical or mental dependence). It could also lead to medical problems because of an overdose.

Taking too much acetaminophen may cause liver damage.

ULTRACET DOSING

The dose of Ultracet will be different for different patients. Follow your doctor's instructions or the directions on the prescription label. The following information includes only the average doses of Ultracet. Your prescribed dose may be different. Do not change it unless your doctor instructs you to do so.

The daily dose, the time between doses, and the length of time you take Ultracet depend on the medical problem for which you are taking it.

• For oral form (tablets)
  • For pain
    • Adults and adolescents 16 years and older -- Take 2 tablets every 4–6 hours, only as needed for up to 5 days.
      
      
    • Children under 16 years of age -- Dose must be determined by your doctor.

PRECAUTIONS

The analgesic in Ultracet will add to the effects of alcohol and other Central Nervous System (CNS) depressants (medicines which slow down your nervous system and can cause drowsiness). CNS depressants examples:

• anesthetics, including some dental anesthetics
• antihistamines
• medicine for colds, hay fever, or other allergies
• barbiturates
• sedatives, tranquilizers, or sleeping pills
• other prescription pain medicine or narcotics
• opioids
• muscle relaxants
• medicine for seizures

ALCOHOL -- There may be an increased risk of liver damage if you drink three or more alcoholic beverages while you are taking acetaminophen. Do not drink alcoholic beverages while you are using Ultracet.

Talk to your doctor or dentist before taking any of the medicines listed above, while you are using Ultracet.

Ultracet medicine may cause some people to become dizzy, drowsy, or less alert than they are normally. Lying down for a while may also help relieve this side effect. Make sure you know how you react to Ultracet before you drive, use machines, or do anything else that could be dangerous if you are dizzy, drowsy, or not alert.

Getting up suddenly from a lying or sitting position may cause dizziness, lightheadedness, or fainting. Getting up slowly may help lessen this problem.

Vomiting or nausea may occur, especially after the first couple of doses. This side effect may go away if you lie down for a while. If vomiting or nausea continues, call your doctor or dentist.

Before having any kind of emergency treatment or surgery (this includes dental surgery), tell the medical doctor or dentist that you are taking Ultracet.

Analgesics may cause dryness of the mouth. For temporary relief, melt bits of ice in your mouth, use sugarless gum or candy, or use a saliva substitute. If dry mouth continues for more than 2 weeks, call your doctor or dentist. Continued dryness of the mouth increases the risk of dental disease, including gum disease, tooth decay, and fungal infections.

If you have been taking Ultracet regularly, do not suddenly stop taking it without first discussing it with your doctor. You may need to gradually reduce the amount you are taking before stopping completely. This will lessen the chance of withdrawal side effects. How you stop taking Ultracet will depend on the amount you have been taking every day.

ULTRACET SIDE EFFECTS

If any of these Ultracet side effects occur they may need medical attention. Call your doctor immediately if you experience any of the following:

• Rare Ultracet side effects
  • burning, itching, and redness of skin
  • chest pain
  • cough
  • difficulty swallowing
  • dizziness
  • fast heartbeat
  • fatigue or weakness
  • hives
  • itching
  • puffiness or swelling of the eyelids or around the eyes, face, lips or tongue
  • shortness of breath
  • tightness in chest
  • skin rash
  • seizures 
  • vomiting
  • wheezing

Some Ultracet side affects are common, but do not usually need medical attention. As you body adjusts, these side effects may go away. However, if any of the following side effects continue or are bothersome, check with your doctor.

• Less common
  • anxiety
  • confusion
  • abdominal pain
  • aches, pains or weakness of muscles
  • acid or sour stomach
  • belching
  • heartburn
  • indigestion
  • stomach discomfort
  • bloated, full feeling
  • excess air or gas in stomach or intestines
  • constipation
  • increase in bowel movements
  • loose stools
  • soft stools
  • dizziness
  • dry mouth
  • false or unusual sense of well-being
  • mood or mental changes
  • feeling of warmth
  • redness of the face, neck, arms, and occasionally the upper chest
  • headache
  • increased sweating
  • itching skin
  • loss of appetite
  • weight loss
  • loss of strength or energy
  • unusual tiredness or weakness
  • muscle pain or weakness
  • nausea
  • vomiting 
  • nervousness
  • numbness or tingling of feet, legs, and hands
  • painful or difficult urination
  • rash
  • sleepiness or unusual drowsiness
  • sleeplessness
    
    
• Rare
  • abnormal thinking
  • confusion
  • dizziness
  • faintness, or light-headedness when getting up from lying or sitting position
  • crying
  • depersonalization
  • dysphoria (abnormal depression and discontent)
  • euphoria
  • depression
  • paranoia
  • rapidly changing moods
  • loss of memory; problems with memory
  • loss of sense of reality
  • morbid dreaming
  • seeing, hearing, or feeling things that are not there
  • quick to react or overreact emotionally
  • decreased awareness or responsiveness
  • bloody or black, tarry stools
  • vomiting of blood or material that looks like coffee grounds
  • sever stomach pain
  • shortness of breath
  • difficult or labored breathing
  • tightness in chest; wheezing
  • slow, fast, pounding, or irregular heartbeat or pulse
  • palpitations
  • high or low blood pressure
  • unusual tiredness or weakness
  • constipation
  • dizziness or lightheadedness
  • feeling of constant movement of self or surroundings
  • sensation of spinning
  • fainting
  • clumsiness, unsteadiness, trembling, or other problems with muscle control or coordination
  • decrease in urine volume
  • decrease in frequency of urination
  • painful urination
  • trouble in holding or releasing urine
  • loss in sexual ability, desire, drive, or performance
  • continuing ringing, pounding buzzing or other unexplained noise in ears
  • chills or shivering
  • cold sweats
  • increased muscle tone
  • involuntary muscle contractions
  • difficulty swallowing
  • swelling of tongue
  • severe or continuing, dull headache
  • migraine headache
  • change in vision
  • drug abuse and dependence
  • weight loss
  • yellow eyes or skin 

After you stop using Ultracet, your body may need time to adjust. The length of time this takes depends on the amount of medicine you were using, and how long you used it. During this time call your doctor if you notice any of the following side effects:

• anxiety
• diarrhea
• difficulty in sleeping 
• fever, runny nose, or sneezing
• gooseflesh
• hearing, seeing or feeling things that are not there
• increased sweating
• nausea or vomiting
• pain
• restlessness, nervousness or irritability
• trembling or shivering

You may experience other side effects not listed above. If you notice any other side effects, check with your doctor.

ULTRACET OVERDOSE

If you suspect an overdose of Ultracet, get emergency help at once.

SYMPTOMS OF ULTRACET OVERDOSE

• chest pain or discomfort
• convulsions
• difficulty breathing 

ULTRACET STORAGE

Keep Ultracet out of the reach of children. An overdose of tramadol and acetaminophen is very dangerous in young children.

Do not store Ultracet in the bathroom, near the kitchen sink, above the dishwasher or in other damp places heat or moisture may cause the medicine to break down.

Discard medicine that is outdated or no longer needed. Ask your pharmacist how you should dispose of any medicine you do not use. Make sure any discarded medicine is out of the reach of children.

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