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Generic Ultracet is used in the treatment of Fibromyalgia, Arthritis [considered to be particularly beneficial in the treatment of Osteoarthritis], and for providing relief from moderate to acute pain post-surgery in dental procedures.

Fibromyalgia is characterized by widespread muscle pain and tenderness; it can occur as a primary condition but patients suffering from Rheumatoid Arthritis, Systemic Lupus Erythematosus, or Ankylosing Spondylitis are also at risk of developing Fibromyalgia.

Arthritis, which is a chronic ailment, affecting joints and muscles, causes inflammation of the affected parts and extreme pain especially in Rheumatoid Arthritis [which affects children also] and Osteoarthritis. Since Tramadol does not produce gastrointestinal side affects that are associated with NSAIDs, it has become a popular medicine for providing relief from pain to arthritic patients.

Ultracet has also been found to be successful in giving relief to patients who suffer from pain post-surgery [dental surgery].

The maximum dose recommended is 8 tablets a day. The tablets can be taken with water, with/without food [but it should be taken the same way each time], every 4-6 hours, as advised by the doctor or dentist. Ultracet works best if it is taken at the onset of pain; if it is taken when the pain has worsened, the desired result may not happen.
The dosage differs from patient to patient, depending upon the underlying disorder; it differs from adults to elderly people. Its safety for children below 16 has not been established.

Side effects that commonly result with Ultracet can include:-

Nausea, even Vomiting; Urine retention, or Dark urine; Yellowing of skin and/or eyes; Constipation; Drowsiness; Dryness in mouth; Miosis [contraction of the pupil]; Cold or clammy skin; Stomach-ache.

You should stop taking this drug and contact your doctor immediately if any of the following symptoms, or any other unusual symptoms occur, while you are taking Ultracet:-

Bradycardia [slow heart rate], or Tachycardia [rapid heart rate]; Ureteric or biliary spasm; Confusion, Delirium, or Hallucinations; Hives, or Itching; Hypothermia; Raised intracranial pressure; Muscle rigidity; Flushing; Comatose condition.

In case of overdose, immediately contact your poison control center or emergency room. US residents can call their US national poison hot line at 1-800-222-1222. Symptoms of overdose could include: cardiac arrest, coma, seizures, pallor, profuse sweating, nausea, vomiting, depressed breathing, lethargy, feeling unwell or loss of appetite.

Store Ultracet tablets in a tight container at room temperature, away from heat and moisture. Discard any unused medicine after the expiration period, or at the end of treatment, whichever happens first [check with your pharmacist for safe disposal methods].

The drugs that interact with Ultracet include:-

Tylenol [which also contains Acetaminophen]

Antidepressant [MAO inhibitors like Parnate and Nardil]

Serotonin-boosting antidepressants such as Prozac

Tricyclic antidepressants such as Tofranil and Elavil

Tegretol

Flexeril

Lanoxin

Phenergan

Narcotic pain relievers like Vicodin and Percodan

Sleeping aids like Restoril and Halcion

Tranquilizers like Valium and Xanax

Coumadin.

Take the missed dose if there is a lot of time left for the next dose, otherwise skip the missed dose and take the next one. Never overdose.

Before starting ultracet treatment, inform the doctor about your medical history, any diseases or allergies you have, all the medications [prescription as well as OTC] you are taking, especially if there is a history of epilepsy/head injury, a liver problem, or if you are going through a phase of alcohol/drug withdrawal. This will prevent further complications, as the doctor can decide on the right dosage.

Ultracet should not be taken by those who consume alcohol.

It is not recommended for those with a history of drug dependence.

Anyone suffering from epilepsy, seizures or a head injury, should not take this medicine.

If there is any metabolic disorder, inform your doctor.

It is not given to those suffering from meningitis or encephalitis, as risk of seizure increases.

If you are pregnant, or planning to conceive, or breastfeeding, inform the doctor before starting treatment.

Those who drive or operate heavy machinery have to be very alert when taking Ultracet, as this may cause drowsiness in some patients.

Do not use any medicine without your doctors knowledge as there are over 600 OTC medications which contain Acetaminophen, and an overdose of this can lead to serious side-effects.

This medication has been approved by the FDA for short-term management of acute pain. Dont stop using it suddenly, as it can cause withdrawal symptoms; dont take it on your own either, or more than prescribed by your doctor.

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