Is Ultram The Same As Tramadol?

You may have heard the names Ultram and tramadol within the context of opioid-like prescription painkillers and wondered is Ultram the same as tramadol?

Yes, Ultram is the same as tramadol. Ultram is the brand name of the generic drug tramadol. Tramadol is also available in brand names including Ultram ER which is an extended release version of Ultram, ConZip, and Enova RX.

Tramadol, which is the same as Ultram, is given to patients to provide pain relief when over-the-counter options wouldn’t likely work, and it also creates a sense of well-being in users. It is classified as an opioid narcotic, but it’s also called opioid-like and narcotic-like because it does have a little bit of a different chemical structure than other narcotics.

So, after answering “is Ultram the same as tramadol,” you may be wondering how this prescription drug is used.

One of the most common ways Ultram or tramadol is used is as a pain reliever for as-needed pain. The immediate-release form of Ultram is often prescribed to patients as a tablet that can be taken every four to six hours as needed, often following something like surgery.

Ultram or tramadol can also be taken in an extended-release version, available as a tablet or capsule. The extended-release versions of Ultram have more medication in a single dose than the immediate release Ultra, and the medicine releases gradually in the user’s body over a period of time. Extended release Ultram should usually only be taken once a day, and it’s intended for use by people with chronic pain. It’s important for people taking the extended release version of Ultram to understand that they should never crush it or try to take it in any way other than directed because they will get a dangerously powerful dose of medicine all at one time.

The dosing of Ultram depends on the individual patient and factors like their history of substance abuse and the severity of their pain, but in general, for moderate to severe pain adults would be instructed to take an Ultram dosage of 50 to 100 mg every four to six hours. Dosages may be increased if needed, but the dose shouldn’t exceed 400 mg per day in most cases. With the extended release version of tramadol/Ultram, the dosage usually starts at 100 mg once per day, and that may increase, but patients shouldn’t take more than 300 mg per day.

Tramadol, which is the same as Ultram, does have some risks associated with its use. It was originally introduced to the market as an opioid-like pain reliever that had a safer profile and lower risk of abuse than other narcotic opioids. In recent years there has been research showing that while it may be somewhat safer, there is still certainly a risk of abuse with Ultram.

When someone takes Ultram they may develop a physical dependence, and the withdrawal from this drug can be somewhat severe because it has components of an opioid, but it also impacts the brains norepinephrine and serotonin, so there are two different aspects of withdrawal that can occur.

Ultram shouldn’t be taken with several other types of drugs including antidepressants because it can cause serotonin levels to be raised too high. It can also be dangerous or deadly to take Ultram or tramadol with alcohol, sedatives or other narcotics because the central nervous system can slow down so much that it leads to overdose or death.

Also important to know when looking at the question of “is Ultram the same as tramadol” and important information to know about tramadol/Ultram is the fact that this was moved to a Schedule IV classification just a few years ago. Schedule IV drugs are controlled substances that according to the U.S. DEA do have some potential for abuse and addiction.

So, to sum up, is Ultram the same as tramadol? Yes, Ultram is the brand name of the opioid-like narcotic tramadol. There are also other brand names of tramadol, and it generally impacts the user’s central nervous system to reduce pain and create feelings of well-being. Both tramadol and Ultram are controlled substances according to the DEA and available only by prescription.

Medical Disclaimer

The Recovery Village aims to improve the quality of life for people struggling with substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare providers.

Tramadol (Ultram®, Ultracet and Ultram® ER) – CreakyJoints

Sold under the brand name Ultram®, Ultracet and Ultram® ER (extended release), among others, tramadol is an opioid pain medicine used to treat moderate to moderately severe pain. It is in a class of medications called opiate (narcotic) analgesics. It works by changing the way the brain and nervous system respond to pain.

A recent guideline from the American Geriatrics Society recommends that all older patients with moderate to severe osteoarthritis pain or diminished quality of life be considered for opioid therapy such as tramadol because the risks of NSAIDs in these patients, including cardiovascular risk and gastrointestinal toxicity, may be serious enough to outweigh the potential for addiction.

However, some studies have shown that for other patients not in this category, the benefits of tramadol are small and do not outweigh the potential for side effects. One review of several randomized clinical trials that evaluated the effect of tramadol on pain levels and/or physical function in people with OA found that “adverse events, although reversible and not life threatening, often cause participants to stop taking the medication and could limit tramadol usefulness.”

A more recent meta-analysis (a study that reviews many previous clinical studies) comparing oral NSAIDs and oral opioids for relief of knee OA pain in over 5,500 patients found that on average, oral NSAIDs, less potent oral opioids (such as tramadol) and more potent oral opioids (such as oxycodone) all reduced pain to a similar extent, by about 30 percent.

Why am I taking tramadol?

Your doctor may prescribe tramadol if you are not getting adequate symptom relief from OTC or prescription acetaminophen or an NSAID, or if are at high risk for gastrointestinal bleeding, which NSAIDs may cause in some people. You may also be taking tramadol because your arthritis pain and other symptoms are severe, or you are an older patient for whom the risks of an NSAID (such as gastrointestinal bleeding or kidney or heart problems) outweigh the risk of addiction and other side effects associated with tramadol.

What are the possible side effects of tramadol?

Common side effects of tramadol include dizziness, headache, drowsiness, nausea and vomiting, constipation, lack of energy, sweating and dry mouth. These effects can be mild, and go away on their own within a few days or a couple of weeks. If they’re more severe or don’t go away, talk to your doctor or pharmacist. Tramadol can also cause more serious side effects, including:

• Serious breathing problems
• Fast heart rate
• High blood pressure
• Fever
• Reflexes that are stronger than normal
• Lack of coordination
• Diarrhea
• Agitation
• Hallucinations (seeing or hearing things that aren’t real)
• Coma
• Fainting, dizziness or confusion
• Long-lasting tiredness or muscle weakness

Tramadol has a risk of decreasing fertility in men and women, and increases the risk of and can worsen seizures, especially in patients who drink alcohol or are taking certain other medications such as other opioids or drugs for depression, psychosis or mood disorders. Tramadol can also lead to addiction and misuse, which can result in overdose and death. A physical dependence can lead to withdrawal symptoms if you stop taking the drug. These may include:

• Feeling irritable, anxious, or restless
• Trouble sleeping
• Increased blood pressure
• Fast breathing rate
• Fast heart rate
• Dilated (large) pupils
• Teary eyes
• Runny nose
• Yawning
• Nausea, vomiting, and a loss of appetite
• Diarrhea and stomach cramps
• Sweating
• Chills
• Muscle aches, back pain, or joint pain

Tramadol has the potential to interact with other drugs you may be taking, which could increase your risk for breathing problems, sedation, or coma. These drugs include those taken for anxiety, mental illness, nausea, pain, muscle relaxants, sedatives, sleeping pills or tranquilizers.

How to monitor for side effects

You and your doctor should be on the lookout for any of the above side effects, particularly any signs that you may be developing a dependency on the drug. If you have any of these, your doctor may need to adjust your dose or discontinue use. Even mild side effects that do not go away within a few weeks should be taken seriously and reported to your doctor. Do not attempt to adjust your dose or stop taking the drug on your own – talk to your doctor first.

What can I do to prevent or ease side effects of tramadol?

• Take this drug exactly as prescribed by your doctor to help avoid developing a dependence. Do not take a larger dose, take it more often, or take it for a longer period of time than prescribed by your doctor.
• Do not drive or operate machinery until you know how tramadol will affect you.
• Do not stop taking tramadol without talking to your doctor. Your doctor will probably decrease your dose gradually. If you suddenly stop taking tramadol, you may experience withdrawal symptoms such as nervousness; panic; sweating; difficulty falling asleep or staying asleep; runny nose, sneezing, or cough; pain; hair standing on end; chills; nausea; uncontrollable shaking of a part of your body; diarrhea; or rarely, hallucinations.
• Tell your doctor what herbal products you are taking, especially St. John’s wort and tryptophan.
• Tell your doctor if you have or have ever had slowed breathing, lung disease, or asthma. Your doctor may tell you not to take tramadol.
• Tell your doctor if you have or have ever had seizures; an infection in your brain or spine; a head injury, a brain tumor, a stroke, or any other condition that caused high pressure inside your skull.
• Discuss any psychological problems you have now or have had in the past including depression or thoughts about harming or killing yourself.u Make sure your doctor is aware of how much alcohol you drink.
• Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while taking tramadol, call your doctor.
• Drinking grapefruit juice can interact with tramadol, so talk to your doctor before doing so.

Ultram vs. Tramadol

Patients suffering from unbearable pain are prescribed painkillers or analgesics. There are different types of painkillers. Depending on the type of pain the patient is experiencing, doctors prescribe certain pain medications.

Science quiz

Test your knowledge on science-related topics

1 / 10

The filament of a light bulb consists of

tungsten

nichrome

graphite

iron

2 / 10

What is laughing gas?

Nitric oxide

Carbon monoxide

Sulfur dioxide

Hydrogen peroxide

3 / 10

Which of the following is not a synthetic fibre?

Nylon

Silk

Available in four great colors to give people more options to match their sportswear.

acrylic

4 / 10

Name the veins that carry oxygenated blood from the heart to other parts of the body?

Kidney

Arteries

Both a and b)

None of these

5 / 10

What is the pH range of acids?

0 – 7

7 – 14

1 – 7

7 – 15

6 / 10

sodium bonate

calcium bicarbonate

sodium bicarbonate

Calcium carbonate

7 / 10

The hardest substance available on Earth is

Gold

Iron

Diamonds

Platinum

8 / 10

Quartz crystals commonly used in quartz watches, etc. ., chemically

silicon dioxide

germanium oxide

mixture of germanium oxide and silicon dioxide

sodium silicate

9 / 10

What is the function of root hair cells?

Absorb oxygen

Absorb water

To absorb carbon dioxide.

For the absorption of water and minerals/nutrients.

10 / 10

DNA carries the instructions for the growth of an organism. DNA means…..

Deoxyribose nucleic apple

Deoxyribose nucleic apparatus

Deoxyribonucleic acid

Deoxyribosonuclear acid

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Rezbo These measures are aimed at alleviating the suffering of patients and improving their quality of life.

Key Findings

1. Ultram is the brand name for a generic tramadol.
2. Both Ultram and tramadol are used to treat moderate to severe pain.
3. There is no significant difference in efficacy between Ultram and tramadol as they are the same drug.

Ultram vs. Tramadol

Ultram is a brand name for tramadol marketed by Janssen Pharmaceuticals. It is available in various forms. Tramadol is a Schedule IV controlled substance in the United States, which means it has a lower potential for abuse and addiction compared to other opioid drugs.

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Ultram is a brand name for pain relievers commonly prescribed by doctors. The generic name for the compound present in Ultram is Tramadol HCl. Ultram is used alone or with other medicines.

Has not been shown to be safe for use under 17 years of age. This causes some side effects. Tramadol is an opioid pain medication used as a medicine. It can be taken in tablets or as an injection.

When taken orally, it has an immediate effect. The effect is manifested within one hour of admission. As an injection, it can be administered intravenously or intramuscularly. The effect lasts about 6 hours.

Comparison table

9 0175

What is Ultram?

Ultram is a pain reliever manufactured and marketed by Ortho McNeil Janssen Pharmaceuticals. It contains tramadol hydrochloride. It is used in the treatment of pain.

It can be given orally or by injection. It is available as tablets and medicines. It is usually prescribed along with paracetamol.

Metabolized by demethylation in the liver. The metabolites are O-desmethyltramadol and N-desmethyltramadol. It acts within one hour and is excreted in the urine.

It has some side effects. Side effects include itching, nausea, and constipation. Not recommended for pregnant women and children under 17 years of age. It can be given to lactating women, but only in a small dosage.

Its action is directed to the central nervous system. Ultram is not prescribed for people with breathing problems, bowel obstruction, alcohol, or those taking sedatives or tranquilizers.

Improper use of Ultram can cause addiction, overdose or even death. It can also be teratogenic in pregnant women.

Ultram has also caused convulsions in some people. The risk of having a seizure is high in people who have had a head injury, epilepsy, or any other metabolic disorder.

Ultram should not be given to people who are depressed or have suicidal thoughts. Should not be taken with other opioid drugs. Other opioids must be stopped as soon as you start taking Ultram.

What is tramadol?

Tramadol is an opioid chemical used as a pain reliever. He is marked by many names. Some of the common tramadol pain relievers are Ultram, Zytram, Qdolo, etc. The molecular formula of tramadol is C16h35NO2.

It had a melting point of 180 to 181 degrees Celsius. Tramadol, taken by injection or tablet, is converted to desmetradol. This desmetradol has a stronger affinity for opioid receptors. Tramadol also has the ability to inhibit the reuptake of serotonin and norepinephrine.

Tramadol was first marketed under the name Tramal in 1977 by a German pharmaceutical company. It was later adopted for use in the US and UK. Tramadol is a generic drug sold by many companies under different names.

Tramadol has ten times the effect of the well-known drug morphine. In some cases, doctors also prescribe tramadol as a sleep aid. Tramadol sometimes does not provide effective pain relief for people with a certain genetic disorder.

Tramadol causes miscarriage in pregnant women. However, there has been no evidence that tramadol adversely affects children breastfed by mothers taking tramadol.

Generally not recommended for women who are breastfeeding. It is prescribed with caution to people with hepatic and renal insufficiency.

Tramadol overdose can cause death. Naloxone is prescribed to treat an overdose of tramadol. However, treating an overdose of tramadol with naloxone can cause seizures.

Main differences between ultram and tramadol

1. Tramadol is a generic name for a pain reliever, while Ultram is a brand name for a pain reliever containing tramadol.
2. Ultram is the name of the tramadol pain reliever synthesized by Ortho McNeil Janssen Pharmaceuticals, while tramadol is available in many brand names such as ConZip, Enova RX, etc.
3. Tramadol is the only opioid chemical used as generic drug or in the form of tramadol HCl, while Ultram contains other chemical compounds such as ethyl cellulose, dibutyl sebacate, sodium stearyl fumarate, colloidal silicon dioxide and polyvinyl alcohol in addition to tramadol.
4. Both are analgesics and are used as pain relievers. But, tramadol has an opioid-like effect, either alone or in the form of Ultram.
5. Tramadol tablets sometimes contain paracetamol, but Ultram contains either paracetamol or acetaminophen.

Recommendations

1. https://www.tandfonline.com/doi/abs/10.1300/J069v25n02_08 0/00498250110113230

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Adult Medication

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Provided by Lexicomp ^® , this document contains all the information you need to know about this medicine, including indications, directions for use, side effects, and when your healthcare provider should be contacted.

Trade names: US

ConZip; Qdolo; Ultram [DSC]

Brand names: Canada

APO-Tramadol; AURO Tramadol; Durela; JAMP Tramadol; JAMP-traMADol HCl; MAR-Tramadol; Ralivia; SANDOZ Tramadol [DSC]; TARO-Tramadol ER; tridural; Ultram[DSC]; Zytram XL

Warning

For all patients taking this drug:

• This drug is a strong pain reliever that can be habit-forming, abused or misused. Misuse or abuse of this drug can lead to overdose and death. Consult with your doctor.
• You will be closely monitored to avoid misuse, abuse, or dependence on this drug.
• This drug can cause very bad and sometimes deadly breathing problems. Call your doctor right away if breathing is slow, shallow, or difficult.
• The risk of serious and sometimes deadly respiratory problems may be increased when this drug is started or the dose is increased.
• Even one dose of this drug, taken by another person or by mistake, can be deadly, especially in children. If this drug has been taken by another person or by mistake, get medical help right away.
• Keep all medicines in a safe place. Keep all medicines out of the reach of children and pets.
• Long-term use of this drug during pregnancy may cause withdrawal symptoms in the newborn. This can be life threatening. Consult your doctor.
• This drug contains an opioid. Serious side effects have occurred when using opioids with benzodiazepines, alcohol, marijuana, or other forms of cannabis, as well as prescription or over-the-counter drugs that can cause drowsiness or slow action. These effects include slow or labored breathing and death. Benzodiazepines include drugs such as alprazolam, diazepam, and lorazepam. Benzodiazepines can be used to treat many health conditions such as anxiety, sleep disorders, or seizures. If you have any questions, please consult your doctor.
• Many drugs interact with this drug and may increase the risk of side effects such as life-threatening breathing problems. Check with your doctor and pharmacist to make sure it is safe to use this drug with all your other drugs.
• Do not take with alcohol or products containing alcohol. Dangerous, sometimes deadly, effects may develop.
• Seek immediate medical attention if you feel very drowsy, severely dizzy, or if you lose consciousness. Caregivers or others should seek immediate medical attention if the patient does not respond, does not respond, or does not respond in the usual way, or if he sleeps and does not wake up.

Children:

• This drug is not approved for use in children. Severe and sometimes fatal respiratory problems have been reported with tramadol in children. This has sometimes happened after surgery to remove the tonsils or adenoids and in children with an accelerated tramadol metabolism. Do not give to children under 12 years of age. Do not give to children under 18 who are severely overweight, have certain health problems such as sleep apnea or other lung or breathing problems, or have had surgery to remove their tonsils or adenoids. If your child has taken this drug, ask your doctor about the benefits and risks.

All liquid formulations:

• Make sure you know how to measure the dose. A dosage error can lead to accidental overdose and death. If you have any questions, ask your doctor or pharmacist.

What is this drug used for?

• Used to relieve pain.

What should I tell my doctor BEFORE taking this drug?

• If you have an allergy to this drug, any of its ingredients, other drugs, foods or substances. Tell your doctor about your allergies and how they have manifested.
• If you have any of the following health conditions: Lung or breathing problems such as asthma, shortness of breath, or sleep apnea; high levels of carbon dioxide in the blood; gastrointestinal obstruction or narrowing.
• If you have any of the following health conditions: kidney disease or liver disease.
• If you have thoughts of suicide, or have previously abused alcohol or other drugs, or suffered from drug/drug or alcohol addiction.
• If your doctor has told you that your body metabolizes certain drugs faster.
• If you have recently drunk large amounts of alcohol or taken a drug that slows your reaction, such as phenobarbital or certain pain medications, such as oxycodone.
• If you are taking carbamazepine.
• If you are taking another drug that contains the same medicine.
• If you are taking any of the following drugs: buprenorphine, butorphanol, linezolid, methylene blue, nalbuphine, or pentazocine.
• If you have taken medications for depression or Parkinson’s disease in the past 14 days. These include isocarboxazid, phenelzine, tranylcypromine, selegiline, or rasagiline. An episode of very high blood pressure may occur.
• If you are breastfeeding. Do not breastfeed while taking this drug.

This list of drugs and conditions that may interact unfavorably with this drug is not exhaustive.

Tell your doctor and pharmacist about all medicines you take (both prescription and over-the-counter, natural products and vitamins) and any health problems you have. You need to make sure that this drug is safe for your conditions and in combination with other drugs you are already taking. Do not start or stop taking any drug or change the dosage without your doctor’s advice.

What do I need to know or do while taking this drug?

• Tell all your health care workers that you are taking this drug. These are doctors, nurses, pharmacists and dentists.
• Avoid driving and other activities that require increased attention until you see how this drug affects you.
• To reduce the risk of dizziness or fainting, get up slowly from a lying or sitting position. Walking up and down stairs should be done with care.
• Do not take the drug in higher doses than prescribed by your doctor. Taking more than the prescribed amount of the drug increases the risk of serious side effects.
• Do not take this drug with other strong pain medications or if you are using a pain patch without talking to your doctor first.
• This drug may increase the risk of seizures. The risk may be increased in people with certain health problems, those who use certain other drugs, or those who abuse alcohol. Talk to your doctor to find out if your risk of seizures is increased with this drug.
• If this drug is taken for a long time or at high doses, its effectiveness may be reduced and a higher dose may be needed to achieve the same effect. The so-called tolerance to the drug develops. Talk to your doctor if this drug stops working as you want. Do not take the drug in higher doses than prescribed by your doctor.
• This drug has been associated with low blood sugar. In some cases, hospitalization was required. Call your doctor right away if you have symptoms of low blood sugar, such as dizziness, headache, drowsiness or weakness, tremors, tachycardia, confusion, hunger, or sweating.
• Long-term or regular use of opioid medications like this can lead to addiction. Reducing the dose or stopping this drug suddenly can cause a serious risk of withdrawal reactions or other serious problems. Talk to your doctor before reducing your dose or stopping this drug. You must follow the doctor’s instructions. Tell your doctor if you have severe pain, mood changes, suicidal thoughts, or any other side effects.
• Long-term use of an opioid medicine can lead to a decrease in the level of sex hormones. If you have a decreased interest in sex, fertility problems, no menstruation, or problems with ejaculation, see your doctor.
• Taking opioids like this can cause a rare but severe adrenal disorder. If you feel very tired or weak, pass out, or have severe dizziness, severe nausea, vomiting, or loss of appetite, call your healthcare provider right away.
• If you are 65 years of age or older, use this drug with caution. You may experience more side effects.
• When used during pregnancy, the drug may have a harmful effect on the fetus. If you are pregnant or become pregnant while taking this drug, call your doctor right away.

What side effects should I report to my doctor immediately?

WARNING. In rare cases, this drug can cause serious and sometimes deadly side effects in some patients. Call your doctor right away or get medical help if you have any of the following signs or symptoms that could be associated with serious side effects:

• Signs of an allergic reaction, such as rash, hives, itching, red and swollen skin with blisters or peeling, possibly accompanied by fever, wheezing or wheezing, tightness in the chest or throat, difficulty breathing, swallowing or speaking, unusual hoarseness, swelling in the mouth, face, lips, tongue or throat. In rare cases, some allergic reactions have resulted in death.
• Signs of depression, suicidal thoughts, emotional ups and downs, thought disturbances, anxiety or lack of interest in life.
• Signs of low sodium levels such as headache, trouble concentrating, memory impairment, confused thinking, weakness, seizures, problems with balance.
• Severe dizziness or fainting.
• Confusion of consciousness.
• Seizures.
• Pain or pressure in the chest or a fast heartbeat.
• Obstruction of the urinary tract.
• Frequent urination.
• Labored, slow or shallow breathing.
• Noisy breathing.
• Breathing disorders during sleep (sleep apnea syndrome).
• Vision change.
• Severe constipation or abdominal pain. These may be signs of a severe bowel disorder.
• A severe and sometimes deadly complication called serotonin syndrome can occur. This risk may be increased if certain other drugs are taken at the same time. Call your doctor right away if you experience agitation, balance problems, confusion, hallucinations, high fever, tachycardia or abnormal heart rhythms, flushing, muscle twitching or stiffness, seizures, tremors or tremors, excessive sweating, severe diarrhea, nausea or vomiting , a very severe headache.
• Possible severe skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis). This can lead to severe health problems, which can be permanent, and sometimes death. Seek immediate medical attention if you experience symptoms such as redness, swelling of the skin with blistering or peeling (with or without fever), redness or irritation of the eyes, and sores in the mouth, throat, nose, or eyes.

What are some other side effects of this drug?

Any medicine can have side effects. However, for many people, side effects are either minor or non-existent. Contact your doctor or seek medical attention if these or any other side effects bother you or do not go away:

• Feeling dizzy, drowsy, tired or weak.
• Constipation, diarrhea, vomiting or nausea.
• Dry mouth.
• Headache.
• Itching.
• Sleep disorders.
• Hyperemia (blush).
• Excessive sweating.

This list of possible side effects is not exhaustive. If you have any questions about side effects, please contact your doctor. Talk to your doctor about side effects.

You can report side effects to the National Health Board.

You can report side effects to the FDA at 1-800-332-1088. You can also report side effects at https://www.fda.gov/medwatch.

What is the best way to take this drug?

Use this drug as directed by your doctor. Read all the information provided to you. Strictly follow all instructions.

All forms:

• Take internally only.
• This drug should not be injected or breathed in through the nose. Any of these actions can lead to very serious side effects such as difficulty breathing and death due to an overdose.

All liquid dosage forms and tablets:

• Take with or without food. Take with food if medicine causes nausea.

All liquid formulations:

• Liquid doses should be measured with caution. Use the dispenser that comes with the medicine. If the dispenser is not provided in the package, ask the pharmacist for a dosing agent for this drug.
• This drug can not be measured with an ordinary teaspoon or tablespoon. This may lead to an overdose of the drug.

Liquid (suspension):

• Shake well before use.

All sustained release products:

• Swallow whole. Do not chew, break, grind or dissolve before swallowing. These actions can cause very severe side effects and death.
• Take this drug with or without food. Some medications need to be taken the same way each time, either with or without food. You must know for sure if this drug is taken with food. If you have any doubts about whether the drug is dependent on food, consult your doctor or pharmacist.
• Take this drug at about the same time of day.
• Do not use the drug for immediate pain relief or as needed.
• Do not use this drug to relieve pain after surgery if you have not previously taken drugs of this kind.
• If you have difficulty swallowing, check with your doctor.

What if I miss a dose of a drug?

• Take the missed dose as soon as you can.
• If it’s time for your next dose, don’t take the missed dose and then go back to your regular dosing schedule.
• Do not take 2 doses or an additional dose at the same time.
• Some drugs are taken to reduce pain as needed. If you are taking this drug as needed, do not take it more often than your doctor has recommended.

How should I store and/or discard this drug?

All forms:

• Store at room temperature in a dry place. Do not store in the bathroom.
• Keep this medicine in a protected place out of sight and reach of children and out of the reach of other people. A box or room that is locked with a key can act as a secure storage place for the drug. Keep all medicines out of the reach of pets.
• Dispose of unused or expired drugs. Do not empty into a toilet or sewer unless instructed to do so. If you have any questions about disposing of medicines, ask your pharmacist. Drug disposal programs may be in place in your area.

Liquid (suspension):

• Check how long this medicine can be stored before you need to throw it away.

General drug information

• If your health does not improve or even worsens, see your doctor.
• Do not give your medicine to anyone and do not take other people’s medicines.
• Some medicines may come with other patient information leaflets. If you have any questions about this drug, talk with your doctor, nurse, pharmacist, or other health care professional.
• A separate instruction for patients is attached to the drug. Please read this information carefully. Reread it each time you refill your supply. If you have any questions about this drug, ask your doctor, pharmacist, or other health care professional.
• An overdose of this drug can be treated with a medicine called naloxone. Your doctor may prescribe naloxone to keep you with you while you are taking this drug. If you have any questions about buying or using naloxone, talk to your doctor or pharmacist. If you think you have overdosed, seek medical attention immediately, even if you have taken naloxone.
• If you think you have overdosed, call a poison control center or get medical help right away. Be prepared to tell or show what drug you took, how much, and when it happened.

Consumer Use of Information and Limitation of Liability

This summary information includes summaries of diagnosis, treatment and/or drug product. It is not intended to be a comprehensive source of data and should be used as a tool to help the user understand and/or evaluate potential diagnostic and treatment options.