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TRAMADOL/ACETAMINOPHEN - ORAL (TRAH-muh-dall/uh-seet-uh-MEE-no-fen) COMMON BRAND NAME(S): Ultracet USES: This product is used to treat moderate short-term pain (5 days or fewer). It contains 2 medications, tramadol and acetaminophen. Tramadol is similar to narcotic pain relievers (opiate-type). It acts on certain centers in the brain to give you pain relief. Acetaminophen is a non-narcotic pain reliever. HOW TO USE: Take this medication by mouth with or without food as directed by your doctor. If you have nausea, it may help to take this drug with food. Consult your doctor or pharmacist about other ways to decrease nausea (such as taking antihistamines, lying down for 1 to 2 hours with as little head movement as possible). The dosage is based on your medical condition and response to treatment. In adults who do not have kidney disease, the maximum recommended dose for this product is 300 milligrams of tramadol a day. Do not increase your dose, take the medication more frequently, or take it for a longer time than prescribed. Properly stop the medication when so directed. This product also contains acetaminophen. Do not take more acetaminophen than recommended. (See also Side Effects and Precautions sections.) Pain medications work best if they are used when the first signs of pain occur. If you wait until the pain has worsened, the medication may not work as well. This medication may cause dependence, especially if it has been used regularly for a long time or in high doses. In such cases, withdrawal reactions (such as anxiety, sweating, trouble sleeping, shaking) may occur if you suddenly stop this drug. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Consult your doctor or pharmacist for more details, and report any withdrawal reactions immediately. When this medication is used for a long time, it may not work as well. Your doctor may need to increase your dose or change your medication. Talk with your doctor if this medication stops working well. Along with its benefits, this medication may rarely cause abnormal drug-seeking behavior (addiction). This risk may be increased if you have abused alcohol or drugs in the past. Take this medication exactly as prescribed to lessen the risk of addiction. Tell your doctor if your pain persists or worsens.

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