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Tramadol/Acetaminophen Information
What is Tramadol/Acetaminophen?
Tramadol/Acetaminophen is a compound medication that is usually sold under the name Ultracet and it is pretty much as it name suggests, a combination of tramadol and acetaminophen. Tramadol is the more potent part of the combination. It is an opioid analgesic which acts on certain receptors in the brain, but also causes increased release of certain chemicals. All of this leads to the main effect of Tramadol being alleviation of pain. This analgesic property of Tramadol is further enhanced by acetaminophen, which is a much less potent painkiller, but which can increase the efficiency of tramadol through drug synergy. It also holds certain antipyretic properties, meaning that it is efficient against fevers. As a combination, these two medications are extremely efficient in treating pain ranging from moderate to severe. However, due to some of the properties of the two medications in the combination, Tramadol/Acetaminophen is usually used only as a short-term treatment for pain, rarely lasting for more than 5 days.
What you should discuss with your physician about Tramadol/Acetaminophen
Due to the fact that Tramadol/Acetaminophen is a combination of two distinct drugs, it is very important that you and your doctor cover all the possibilities of either of the two affecting your health in an adverse way or making any of your conditions worse. For one, you could be allergic to either of the ingredients, which will prevent you from taking Tramadol/Acetaminophen in the first place. You must also never take this medication if you are intoxicated as alcohol can interact very severely with Tramadol found in the combination. You should also steer clear of Tramadol/Acetaminophen in case you have recently taken any of the following: tramadol, other narcotic painkillers, antipsychotics, street drugs, antidepressants, sedatives, anti-anxiety drugs, tranquilizers. You should also let your doctor know in case you have ever suffered from cirrhosis or if you have a habit of drinking more than 3 drinks daily. There have been some cases reported, albeit very rare, of Tramadol/Acetaminophen causing convulsions. You will be at greater risk of experiencing convulsions if you have any infection of the spinal cord or the brain, any metabolic disorder, if you have a history of alcohol and/or drug addiction, epilepsy or head injury or if you are using MAO inhibitors, as well as other drugs that were mentioned above. In the cases you have any of the following conditions, your doctor will want to make sure that you can safely take Tramadol/Acetaminophen and they will want to check your progress more often than usually: stomach disorders, breathing disorders like asthma, liver and kidney disease and history of mental illness, suicidal tendencies or depression.
Tramadol/Acetaminophen and pregnancy
As both of these medications can cross the blood-placenta barrier and affect the health of the fetus, Tramadol/Acetaminophen is not indicated for use in pregnant women, or during labor. In fact, when you start taking Tramadol/Acetaminophen, you should take all precautions necessary to avoid becoming pregnant, as your treatment will need to be discontinued. Breastfeeding and taking Tramadol/Acetaminophen at the same time is also inadvisable as Tramadol/Acetaminophen passes into milk and can harm the nursing child.
How is Tramadol/Acetaminophen properly taken?
Tramadol/Acetaminophen is a medication that needs to be taken in accordance with the prescribed regimen as it can otherwise cause severe side effects and unwanted consequences. For example, you should never exceed your prescribed dosage, as this may lead to an overdose on Tramadol/Acetaminophen which is potentially fatal. Also, Tramadol/Acetaminophen should never be taken for longer than five days at once, as it may cause dependency and other unwanted side effects. You should never drink alcohol when taking Tramadol/Acetaminophen as these two can interact and cause severe slowing down of your breathing. Furthermore, Tramadol/Acetaminophen is known to have caused drowsiness and other sedative side effects, which might impair your reaction time and your thinking. If this should happen, make sure that you do not participate in anything dangerous. You should also take precaution when taking any over-the-counter medications as they are known to contain acetaminophen.
Which side effects can be caused by Tramadol/Acetaminophen?
If taken properly, Tramadol/Acetaminophen very rarely causes any serious side effects, However, if it does; you need to consult your physician straight away. These serious side effects of Tramadol/Acetaminophen may include: weak pulse, peeling skin rash, shallow breathing, agitation, fainting, loss of coordination, hallucinations, diarrhea, fever, vomiting, fast heart rate, nausea, seizures and overactive reflexes. Some less serious side effects are more probable and these include: sleep disturbances, itching, sweating, anxiety, nervousness, blurred vision, dry mouth, tiredness, loss of appetite, weakness, constipation, drowsiness, stomach pain and dizziness.
Drugs which may interact with Tramadol/Acetaminophen
Drugs that might interact with Tramadol/Acetaminophen include: carbamazepine, St. John's wort, erythromycin, warfarin, ketoconazole, digoxin, rifampin, sumatriptan, quinidine, certain antidepressants, hypertension drugs, prostate disorder medications, as well as other medications which can cause sedation.
Tramadol/Acetaminophen overdose
An overdose on Tramadol/Acetaminophen is potentially fatal and you should immediately seek emergency medical help if you suspect one. Symptoms of a Tramadol/Acetaminophen overdose might include: shallow breathing, drowsiness, slow heartbeat, sweating, extreme weakness, clammy of cold skin, loss of appetite, stomach pain, dark urine, lightheadedness, jaundice, fainting, convulsions and coma.