Ultracet® is used to treat moderate to severe
pain for a period of five days or less. It contains
two pain-relieving agents. Tramadol, known technically
as an opioid analgesic, is a narcotic pain reliever.
Acetaminophen is the active ingredient in the
over-the-counter pain remedy Tylenol.
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Ultracet®
Uses
This medicine is an analgesic combination used to treat
or prevent pain for a short period of time (usually
5 days or less). Ultracet is an invaluable medicine
for many patients. However it is also abused by a few
patients. To control abuse of this medicine, our patients
are limited to two bottles every 30 days of any of the
following medications - Ultram, generic Ultram, Soma,
Fioricet, Ultracet, Robaxin, Flexeril or Parafon Forte.
For example, a patient who orders one bottle of Flexeril
on the 1st of the month will not be able to order any
of the other medicines in the above list until the 15th
of the month. A patient who orders one bottle of Flexeril
and one bottle of Parafon Forte on the 1st of the moth
will not be able to order any of the above medications
until the 1st of the next month.
Before Using
It is important that you mention all prescription and
over-the-counter medicines in our medical questionnaire
and any medical conditions you may have including allergies,
pregnancy, or breast-feeding. DO NOT TAKE THIS MEDICINE
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. USE OF THIS MEDICINE IS NOT
RECOMMENDED if you have liver disease or high levels
of alcohol, depressants, stimulants, or other analgesics
in your blood.
Directions
THIS MEDICINE MAY BE TAKEN on an empty stomach or with
food. Side effects you may experience while taking this
medicine 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 this medicine at room temperature in
a tightly-closed container away from heat and light.
IF YOU MISS A DOSE OF THIS MEDICINE 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 AT ONCE. If your symptoms do not improve
or become worse, check with your doctor.
Cautions
DO NOT TAKE THIS MEDICINE 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 this medicine unless your doctor tells you to do
so. DO NOT EXCEED THE RECOMMENDED DOSE or take this
medicine for longer than prescribed. THIS MEDICINE MAY
BE HABIT FORMING. Use caution driving or operating machinery.
DO NOT DRINK ALCOHOL while taking this medicine. DO
NOT TAKE other products containing acetaminophen (check
labels closely) while you are taking this medicine.
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
this medicine. 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.
THIS MEDICINE IS EXCRETED IN BREAST MILK. DO NOT BREAST-FEED
while taking this medicine.
Overdose
If overdose is suspected, contact your local poison
control center or emergency room immediately. Symptoms
of overdose may include nausea, vomiting, sweating,
unusual drowsiness, slowed breathing, seizures, stomach
pain, dark urine, deep sleep or loss of consciousness,
coma and death.
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