What is Ultracet: Uses, Warnings & Interactions

How to take Ultracet

• Your doctor will tell you how much medicine to use. Do not use more than directed.

• This medicine is not for long-term use.

• Swallow the tablet whole. Do not crush, break, or chew it.

• Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

• Drop off any unused narcotic medicine at a drug take-back location right away. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Check your local drug store and clinics for take-back locations. You can also check the DEA web site for locations. Here is the link to the FDA safe disposal of medicines website: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm

• This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.

• Swallow the tablet whole. Do not crush, break, or chew it.

• Your doctor will tell you how much medicine to use. Do not use more than directed.

• Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

• Drop off any unused narcotic medicine at a drug take-back location right away. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Check your local drug store and clinics for take-back locations. You can also check the DEA web site for locations. Here is the link to the FDA safe disposal of medicines website: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm

• This medicine should come with a Medication Guide. Ask your pharmacist for a copy if you do not have one.

• This medicine is not for long-term use.

What to do if you miss a dose of Ultracet

Ultracet contraindications

• This medicine is not right for everyone. Do not use if you had an allergic reaction to acetaminophen, tramadol, or other narcotic pain medicines, or if you have stomach or bowel blockage (including paralytic ileus).

Ultracet warnings

• Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, adrenal problems, lung or breathing problems (including sleep apnea), pancreas problems, depression, mental health problems, or a history of head injury or seizures, or you have been addicted to drugs or alcohol.

• This medicine may cause the following problems:High risk of overdose, which can lead to deathRespiratory depression (serious breathing problem that can be life-threatening)Sleep-related breathing problems (including sleep apnea, sleep-related hypoxemia)Serotonin syndrome (when used with certain medicines)Liver damageSerious skin reactions

• This medicine may make you dizzy or drowsy, or may cause trouble with thinking or controlling body movements, which may lead to falls, fractures or other injuries. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.

• This medicine can be habit-forming. Do not use more than your prescribed dose. Call your doctor if you think your medicine is not working.

• This medicine may cause constipation, especially with long-term use. Ask your doctor if you should use a laxative to prevent and treat constipation.

• Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.

• This medicine could cause infertility. Talk with your doctor before using this medicine if you plan to have children.

• Keep all medicine out of the reach of children. Never share your medicine with anyone.

• Drop off any unused narcotic medicine at a drug take-back location right away. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Check your local drug store and clinics for take-back locations. You can also check the DEA web site for locations. Here is the link to the FDA safe disposal of medicines website: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm

• Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.

Ultracet interactions

• Do not use this medicine if you are using or have used an MAO inhibitor within the past 14 days.

• This combination medicine contains acetaminophen. Carefully check the labels of all other medicines you are using because they may also contain acetaminophen. It is not safe to take more than 4 grams (4,000 milligrams) of acetaminophen in one day (24 hours).

• Some medicines can affect how tramadol/acetaminophen works. Tell your doctor if you are using any of the following:Amiodarone, carbamazepine, cyclobenzaprine, digoxin, erythromycin, ketoconazole, lithium, metaxalone, mirtazapine, rifampin, ritonavir, phenytoin, promethazine, St John's wort, trazodoneBlood thinner (including warfarin)Diuretic (water pill)Medicine for depression (including bupropion, fluoxetine, paroxetine, quinidine)Phenothiazine medicineTriptan medicine for migraine headaches

• Tell your doctor if you use anything else that makes you sleepy. Some examples are allergy medicine, narcotic pain medicine, and alcohol. Tell your doctor if you are using buprenorphine, butorphanol, nalbuphine, pentazocine, or a muscle relaxer.

• Do not drink alcohol while you are using this medicine. Acetaminophen can damage your liver, and alcohol can increase this risk.

• Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.

• Keep all medicine out of the reach of children. Never share your medicine with anyone.