Combination medicines containing narcotic analgesics nar-KOT-ik an-al-JEE-zicks such as tramadol TRA-ma-dole and acetaminophen a-seat-a-MIN-oh-fen are used to relieve pain. An opioid analgesic and acetaminophen used together may provide better pain relief than either medicine used alone. In some cases, you may get relief with lower doses of each medicine.
The number of doses you take every day, the time allowed between doses, and the length of time you take the medicine depend on the health problem for which you are taking tramadol and acetaminophen. The dose is dependent on individual medical condition. Follow your doctors orders or the directions on the label. It is usually 2 tablets a dose, to be taken 4 times daily. The medicine may be taken with a glassful of water, with/without meals, but take it the same way each time.
If you think you, or someone else may have taken an overdose, get emergency help at once. Get emergency help immediately if any of the following symptoms of overdose occur - Chest pain or discomfort convulsions - difficulty in breathing.
This medicine is for short-term treatment of moderate or severe pain, which may be due to Fibromyalgia, Arthritis, and post-surgery [including dental procedures]. For use in children, consult the pediatrician. Do not take more of it, do not take it over and over again, and do not take it for a longer time than your medical doctor or dentist prearranged. This is especially important for young children and elderly patients, who may be more sensitive than other people to the effects of analgesics.
Use of too much acetaminophen may cause liver damage.
- Store medicine out of the reach of children. Overdose of tramadol and acetaminophen is very dangerous in young children.
- Do not store in the bathroom, near the kitchen sink, or in other damp places. heat or moisture may cause the medicine to break down.
- Do not keep outdated medicine or medicine no longer needed. Ask your health care professional how you should dispose of any medicine you do not use. Be sure that any discarded medicine is out of the reach of children.
Opioid analgesics act in the central nervous system CNS to relieve pain. Many of their side effects are also caused by actions in the CNS. When opioids are used for a long time, your body may get used to them so that larger amounts are needed to relieve pain. This is called tolerance to the medicine. Also, when opioids are used for a long time or in large doses, they may become habit-forming causing mental or physical dependence. Physical dependence may lead to withdrawal symptoms when you stop taking the medicine.
Acetaminophen does not become habit-forming when taken for a long time but it may cause other unwanted effects, when taken in large doses including liver damage, if too much is taken.
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