Uses: Relieves pain-Tension
Chemical Name: Tramadol Hydrochloride, Paracetamol
Quantity: 60 tabs
How does this medication work? What will it do for me?
This combination product contains two medications: tramadol and acetaminophen. Tramadol belongs to a group of medications called opioid analgesics and acetaminophen belongs to a group of medications called analgesics. This combination medication is used to manage moderate to moderately severe pain in adults. It decreases pain by working on the central nervous system.
This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.
Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.
Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.
What form(s) does this medication come in?
Tramacet is no longer being manufactured for sale in Canada. For brands that may still be available, search under tramadol - acetaminophen. This article is being kept available for reference purposes only. If you are using this medication, speak with your doctor or pharmacist for information about your treatment options.
How should I use this medication?
The usual recommended dose of tramadol - acetaminophen is 1 or 2 tablets every 4 to 6 hours as needed for pain relief, up to a maximum of 8 tablets daily.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.
Tramadol – acetaminophen can be taken with or without food. Swallow the tablets whole. Cutting, breaking, chewing, crushing, or dissolving the tablets can result in dangerous side effects, including death. Do not stop taking this medication without talking with your doctor. If this medication is stopped suddenly, you may experience withdrawal symptoms such as anxiety, sweating, trouble sleeping, shakiness, nausea, tremors, diarrhea, or hallucinations. If you plan on stopping the medication, your doctor may want you to reduce the dose gradually to reduce the severity of withdrawal effects.
It is important to take this medication exactly as prescribed by your doctor. If your doctor has told you to take this medication on a regular basis and you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Store this medication at room temperature and keep it out of the reach of children.
Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.
Who should NOT take this medication?
Do not take this medication if you:
are allergic to tramadol, acetaminophen, or any ingredients of the medication
are allergic to other opioid medications (e.g., codeine, morphine)
are experiencing acute alcoholism or delirium tremens
are experiencing acute asthma or other obstructive airway disease
are experiencing acute respiratory depression
have mild pain, which can be treated with other pain medications
have or may have an abdominal condition that may require surgery (appendicitis, pancreatitis)
are intoxicated with alcohol or other medications such as hypnotics, other opioids such as codeine or morphine, or psychotropic medications (i.e., medications for mental health conditions)
are pregnant, in labour, delivering a baby, or breast-feeding
are taking or have taken MAO inhibitors (e.g., phenelzine, tranylcypromine, moclobemide) within the last 14 days
have a blockage of the gastrointestinal tract, particularly paralytic ileus
have a convulsive (seizure) disorder
have a head injury, a brain tumour, or increased pressure inside the head or spinal cord
have severe central nervous system (CNS) depression (e.g., slowed nervous system)
have severely decreased kidney function
have severely decreased liver function
are under 18 years old and have had surgery to treat obstructive sleep apnea
Do not give this medication to children less than 12 years old.
What side effects are possible with this medication?
Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.
The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.
The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.
Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.
constipation
decreased appetite
decreased interest in sexual activity
decreased sexual ability
dizziness
drowsiness
dry mouth
fainting
headache
itching
nausea
sweating
trouble sleeping
vision problems
vomiting
weakness
Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
fast, slow, or irregular heartbeat
low blood pressure (e.g., dizziness, fainting, light-headedness)
poor muscle coordination, read the label
