flexeril and ultracet
acetaminophen and tramadol (ah see tah MIH no fen and TRA ma doll)
What is the most important information I should know about Ultracet?
• Seizures have been reported as a rare side effect of treatment with Ultracet flexeril and ultracet. The risk of seizures may be increased in patients who take more than the prescribeddose, have a history of seizures or epilepsy, have head trauma, have a metabolicdisorder, have a central nervous system infection, are experiencing alcoholor drug withdrawal, or are taking certain medications flexeril and ultracet. Talk to your doctor aboutfactors that may increase the risk of seizures during treatment flexeril and ultracet.
• Do not drink alcohol while taking Ultracet flexeril and ultracet. Alcohol may cause a dangerousdecrease in breathing and/or liver problems when used during treatment withUltracet flexeril and ultracet.
• Use caution when driving, operating machinery, or performing other hazardousactivities flexeril and ultracet. Ultracet may cause dizziness or drowsiness flexeril and ultracet. If you experience dizzinessor drowsiness, avoid these activities flexeril and ultracet.
• Do not take more of this medication than is prescribed for you flexeril and ultracet. If thepain is not being controlled, talk to your doctor flexeril and ultracet. Taking more than the prescribedamount of this medication could result in seizures or decreased breathing flexeril and ultracet.
• Do not take other prescription or over-the-counter medicines that containacetaminophen (Tylenol, pain relievers, cold and flu medicines, others) duringtreatment with Ultracet flexeril and ultracet. Taking too much acetaminophen may be harmful flexeril and ultracet.
What is Ultracet?
• Acetaminophen and tramadol are both pain relievers flexeril and ultracet. The exact way thatUltracet works is unknown flexeril and ultracet.
• Ultracet is used for the short-term (5 days or less) management of pain flexeril and ultracet.
• Ultracet may also be used for purposes other than those listed in thismedication guide flexeril and ultracet.
What should I discuss with my healthcare provider before taking Ultracet?
• Seizures have been reported as a rare side effect of treatment with Ultracet flexeril and ultracet. The risk of seizures may be increased in patients who have any of the conditionsor are taking any of the medications listed below: Do not take Ultracet withoutfirst talking to your doctor if you
· have a history of seizures or epilepsy;
· have a head injury;
· have a metabolic disorder;
· have a central nervous system infection;
· are experiencing alcohol or drug withdrawal;
· are taking a tricyclic antidepressant such as amitriptyline (Elavil),nortriptyline (Pamelor), doxepin (Sinequan), imipramine (Tofranil), clomipramine(Anafranil), and others;
· are taking a monoamine oxidase inhibitor (MAOI) such as isocarboxazid(Marplan), phenelzine (Nardil), or tranylcypromine (Parnate);
· are taking a psychiatric medication such as chlorpromazine (Thorazine),fluphenazine (Prolixin), haloperidol (Haldol), loxapine (Loxitane), mesoridazine(Serentil), perphenazine (Trilafon), thioridazine (Mellaril), thiothixene (Navane),and others;
· are taking a selective serotonin reuptake inhibitor (SSRI) such asfluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), sertraline(Zoloft), or citalopram (Celexa);
· are taking a narcotic pain reliever such as codeine, fentanyl (Duragesic),hydromorphone (Dilaudid), meperidine (Demerol), hydrocodone (Vicodin, Lorcet,Lortab, others), morphine (MS Contin, MSIR, RMS, Roxanol, others), oxycodone(Roxicodone, Percocet, Percodan, others), propoxyphene (Darvon, Darvocet, others),and others;
· are taking promethazine (Phenergan) or prochlorperazine (Compazine);
· are taking sibutramine (Meridia);
· are taking bupropion (Wellbutrin, Zyban); or
· are taking cyclobenzaprine (Flexeril) flexeril and ultracet.
• Before taking Ultracet, tell your doctor if you have
· kidney disease;
· liver disease; or
· a history of alcohol or drug dependence flexeril and ultracet.
• You may not be able to take Ultracet, or you may require a dosage adjustmentor special monitoring during treatment if you have any of the conditions listedabove flexeril and ultracet.
• Ultracet is in the FDA pregnancy category C flexeril and ultracet. This means that it is notknown whether it will harm an unborn baby flexeril and ultracet. Do not take this medication withoutfirst talking to your doctor if you are pregnant or could become pregnant duringtreatment flexeril and ultracet.
• Ultracet passes into breast milk and may affect a nursing baby flexeril and ultracet. Do nottake Ultracet without first talking to your doctor if you are breast-feedinga baby flexeril and ultracet.
• If you are over 65 years of age, you may be more likely to experienceside effects from Ultracet flexeril and ultracet. Your doctor may prescribe a lower dose or specialmonitoring during treatment flexeril and ultracet.
How should I take Ultracet?
• Take Ultracet exactly as directed by your doctor flexeril and ultracet. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you flexeril and ultracet.
• Take each dose with a full glass of water flexeril and ultracet.
• Ultracet can be taken with or without food flexeril and ultracet.
• For the short-term treatment of pain, the usual dose is 2 tablets takenevery 4 to 6 hours, up to eight tablets per day flexeril and ultracet. People over 65 years of ageand those with other medical conditions such as seizures or epilepsy, liverdisease, kidney disease, and others may need lower daily doses flexeril and ultracet. Follow yourdoctor's directions flexeril and ultracet.
• Do not take more of this medication than is prescribed for you flexeril and ultracet. If thepain is not being controlled, talk to your doctor flexeril and ultracet. Taking more than the prescribedamount of this medication could result in seizures or decreased breathing flexeril and ultracet.
• Store Ultracet at room temperature away from moisture and heat flexeril and ultracet.
What happens if I miss a dose?
• Since Ultracet is taken on an as-needed basis, missing a dose is usuallynot a problem flexeril and ultracet. Take the dose as soon as you remember, and do not take anotherdose for the amount of time prescribed by your doctor flexeril and ultracet. Do not take a doubledose of this medication flexeril and ultracet.
What happens if I overdose?
• Seek emergency medical attention flexeril and ultracet.
• Symptoms of a Ultracet overdose include nausea; vomiting; sweating; difficultybreathing; shallow, weak breathing; and seizures flexeril and ultracet.
What should I avoid while taking Ultracet?
• Use caution when driving, operating machinery, or performing other hazardousactivities flexeril and ultracet. Ultracet may cause dizziness or drowsiness flexeril and ultracet. If you experience dizzinessor drowsiness, avoid these activities flexeril and ultracet.
• Do not drink alcohol while taking Ultracet flexeril and ultracet. Alcohol may cause a dangerousdecrease in breathing and/or liver problems when used during treatment withUltracet flexeril and ultracet.
• Do not take other prescription or over-the-counter medicines that containacetaminophen (Tylenol, pain relievers, cold and flu medicines, others) duringtreatment with Ultracet flexeril and ultracet. Taking too much acetaminophen may be harmful flexeril and ultracet.
• Avoid sleeping pills, tranquilizers, sedatives and antihistamines exceptunder the supervision of your doctor flexeril and ultracet. Ultracet may cause drowsiness and theseagents may worsen this effect flexeril and ultracet.
What are the possible side effects of Ultracet?
• If you experience any of the following serious side effects, stop takingUltracet and seek emergency medical attention or contact your doctor immediately:
· an allergic reaction (difficulty breathing; closing of your throat;swelling of your lips, tongue, or face; or hives); or
· seizures flexeril and ultracet.
• Other, less serious side effects may be more likely to occur flexeril and ultracet. Continueto take Ultracet and talk to your doctor if you experience
· dizziness, drowsiness, or headache;
· nervousness, tremor, or anxiety;
· nausea, constipation, or diarrhea; or
· itching, dry mouth, or sweating flexeril and ultracet.
• The tramadol component of Ultracet may be habit forming flexeril and ultracet. Physical and/orpsychological dependence can occur, and withdrawal effects are possible if themedication is stopped suddenly after prolonged or high-dose treatment flexeril and ultracet.
• Side effects other than those listed here may also occur flexeril and ultracet. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome flexeril and ultracet.
What other drugs will affect Ultracet?
• Ultracet may increase the risk of seizures especially in patients whohave epilepsy or another seizure disorder flexeril and ultracet. Also, Ultracet may increase the riskof seizures if you are taking any of the following drugs:
· a tricyclic antidepressant such as amitriptyline (Elavil), nortriptyline(Pamelor), doxepin (Sinequan), imipramine (Tofranil), clomipramine (Anafranil),and others;
· a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan),phenelzine (Nardil), or tranylcypromine (Parnate);
· an antipsychotic medication such as chlorpromazine (Thorazine), fluphenazine(Prolixin), haloperidol (Haldol), loxapine (Loxitane), mesoridazine (Serentil),perphenazine (Trilafon), thioridazine (Mellaril), thiothixene (Navane), andothers;
· a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine(Prozac), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or citalopram(Celexa);
· a narcotic pain reliever such as codeine, fentanyl (Duragesic), hydromorphone(Dilaudid), meperidine (Demerol), hydrocodone (Vicodin, Lorcet, Lortab, others),morphine (MS Contin, MSIR, RMS, Roxanol, others), oxycodone (Roxicodone, Percocet,Percodan, others), propoxyphene (Darvon, Darvocet, others), and others;
· promethazine (Phenergan) or prochlorperazine (Compazine);
· bupropion (Wellbutrin, Zyban); or
· cyclobenzaprine (Flexeril) flexeril and ultracet.
• Do not take Ultracet without first talking to your doctor if you aretaking any of the medicines listed above flexeril and ultracet.
• Before taking Ultracet, tell your doctor if you are taking any of thefollowing medicines:
· carbamazepine (Tegretol);
· quinidine (Quinaglute Dura-Tabs, Cardioquin, Quinora, others);
· warfarin (Coumadin); or
· digoxin (Lanoxin, Lanoxicaps) flexeril and ultracet.
• You may not be able to take Ultracet, or you may require a dosage adjustmentor special monitoring during treatment if you are taking any of the medicineslisted above flexeril and ultracet.
• Do not take other prescription or over-the-counter medicines that containacetaminophen (Tylenol, pain relievers, cold and flu medicines, others) duringtreatment with Ultracet flexeril and ultracet. Taking too much acetaminophen may be harmful flexeril and ultracet.
• Avoid sleeping pills, tranquilizers, sedatives and antihistamines exceptunder the supervision of your doctor flexeril and ultracet. Ultracet may cause drowsiness and theseagents may worsen this effect flexeril and ultracet.
• Drugs other than those listed here may also interact with Ultracet flexeril and ultracet. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines, including herbal products flexeril and ultracet.
Where can I get more information?
• Your pharmacist has more information about Ultracet written for healthprofessionals that you may read flexeril and ultracet.
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