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  • Seizures have been reported as a rare side effect of treatment with Ultracet. The risk of seizures may be increased in patients who take more than the prescribed dose, have a history of seizures or epilepsy, have head trauma, have a metabolic disorder, have a central nervous system infection, are experiencing alcohol or drug withdrawal, or are taking certain medications. Talk to your physician about factors that may increase the risk of seizures during treatment.
  • NOT drink alcohol while taking Ultracet. Alcohol may cause a dangerous decrease in breathing and/or liver problems when used during treatment with Ultracet.
  • Use caution when driving, operating machinery, or performing other hazardous activities. Ultracet may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities.
  • NOT take more of this medication than is prescribed for you. If the pain is not being controlled, talk to your physician. Taking more than the prescribed amount of this medication could result in seizures or decreased breathing.
  • NOT take other prescription or over-the-counter medicines that contain acetaminophen (Tylenol, pain relievers, cold and flu medicines, others) during treatment with Ultracet. Taking too much acetaminophen may be harmful.
  • Acetaminophen and tramadol are both pain relievers. The exact way that Ultracet works is unknown.
  • Ultracet is used for the short-term (5 days or less) management of pain.
  • Ultracet may also be used for purposes other than those listed in this medication guide.




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  • Ultracet - Drug dosage. Dosage information on Ultracet

  • Take Ultracet exactly as directed by your physician. If you NOT understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
  • Take each dose with a full glass of water.
  • Ultracet can be taken with or without food.
  • For the short-term treatment of pain, the usual dose is 2 tablets taken every 4 to 6 hours, up to eight tablets per day. People over 65 years of age and those with other medical conditions such as seizures or epilepsy, liver disease, kidney disease, and others may need lower daily doses. Follow your physician's directions.
  • NOT take more of this medication than is prescribed for you. If the pain is not being controlled, talk to your physician. Taking more than the prescribed amount of this medication could result in seizures or decreased breathing.
  • Store Ultracet at room temperature away from moisture and heat.

    Ultracet side effects

  • If you experience any of the following serious side effects, stop taking Ultracet and seek emergency medical attention or contact your physician immediately:
    -- an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); or
    -- seizures.
  • Other, less serious side effects may be more likely to occur. Continue to take Ultracet and talk to your physician if you experience
    -- dizziness, drowsiness, or headache;
    -- nervousness, tremor, or anxiety;
    -- nausea, constipation, or diarrhea; or
    -- itching, dry mouth, or sweating.
  • The tramadol component of Ultracet may be habit forming. Physical and/or psychological dependence can occur, and withdrawal effects are possible if the medication is stopped suddenly after prolonged or high-dose treatment.
  • Side effects other than those listed here may also occur. Talk to your physician about any side effect that seems unusual or that is especially bothersome.

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