ULTRACET
Ultracet is an atypical opioid which is a centrally acting analgesic, used to treat or prevent pain for a short period of time (usually 5 days or less). It is a synthetic agent, unrelated to other opioids, and appears to have actions on the GABAergic, noradrenergic and serotonergic systems. Ultracet is available in both injectable (intravenous and/or intramuscular) and oral preparations. It is usually marketed as the hydrochloride salt (tramadol hydrochloride).
Prescription Ultracet can be taken either with food, or on an empty stomach. You may experience side effects such as constipation, dizziness, or drowsiness while using Ultracet. Tell your doctor if you develop yellowing of the skin or eyes, skin rash, itching, changes in mood or behavior, confusion, hallucinations, dark urine or pale stools, or unusual tiredness. Get immediate medical attention if you have difficulty breathing or swallowing, seizures, or swelling of face or mouth. Always store Ultracet in a cool dry location. If you miss a schedule Ultracet dose, do not try to make it up. Simply skip that dose and resume your usual schedule. If you donít notice an improvement in your symptoms, let your doctor know. If you have a reaction to acetaminophen or tramadol, your doctor may recommend that you not take Ultracet. Your doctor can also give you an customized dose or set up additional monitoring for you. Be careful to avoid taking any other medicines that also have acetaminophen in them, such as Tylenol, cold and flu medicines, and other pain relievers. It can be dangerous to take too much acetaminophen. You should also avoid sedatives, antihistamines, sleeping pills, and tranquilizers when taking Ultracet. The medicine can make you feel drowsy, and these will make the drowsiness worse.  Seizures have been reported as a rare side effect of treatment with acetaminophen and tramadol. The risk of seizures may be increased in patients who have any of the conditions or are taking any of the medications listed below: Do not take acetaminophen and tramadol without first talking to your doctor if you: have a history of seizures or epilepsy; have a head injury; have a metabolic disorder; have a central nervous system infection; are experiencing alcohol or drug withdrawal. |
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The prescription Ultracet is to treat pain as needed, so missing a dose isnít a problem. Take your pills as you need them, and donít take them closer together than directed by your doctor. You should never take a double dose of 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. Do not use Ultracet if you have an allergy to dihydrocodeine, hydrocodone, codeine, oxycodone (such as Tylox, Tylenol with Codeine, Vicodin). Allergic symptoms include a severe rash, hives, breathing difficulties, or dizziness. If you have swelling of eyelids, face, or lips, tightness of chest, difficulty breathing, or if you develop a rash or hives, call your health care provider immediately. Stop taking Ultracet unless your he or she advises you otherwise. Use caution to avoid taking more Ultracet than prescribed or to take it longer than directed. This prescription can be habit forming. Avoid consuming alcohol while taking Ultracet. This prescription contains acetaminophen. Never take Ultracet at the same time as any other product that also contains acetaminophen. If you feel dizzy, be careful when getting up from lying or sitting down. If you are scheduled for any type of surgery, make sure your doctor knows that you take Ultracet. Let your doctor know about any withdrawal symptoms you have, including tremor, sweating, nausea, nervousness, diarrhea, or trouble sleeping. If you plan to become pregnant, discuss the pros and cons of using Ultracet with your doctor. Women who are breastfeeding an infant should not take Ultracet. This medication is excreted in breast milk. Always store Ultracet in a cool dry location. It should never be stored within reach of children.
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