Ultracet Tablet is a prescription painkiller used for the short-term treatment of moderate to severe pain. It contains two pain-relieving medicines: tramadol and paracetamol (acetaminophen). Tramadol works on pain pathways in the brain and spinal cord, while paracetamol helps reduce pain through a different mechanism.

Ultracet can be useful for pain after surgery, injuries, and certain types of severe muscle or joint pain. Because tramadol is an opioid pain medicine, Ultracet can cause sleepiness, dependence, breathing problems, and seizures, especially when taken incorrectly or combined with alcohol or certain medicines.

Important: Ultracet is a prescription medicine. Do not take it without medical advice, increase the dose yourself, or combine it with other tramadol- or paracetamol-containing medicines.

Ultracet Tablet: Quick Overview

Information	Details
Brand name	Ultracet Tablet
Main use	Moderate to severe pain
Active ingredients	Tramadol + Paracetamol
Common formulation	Tramadol 37.5 mg + Paracetamol 325 mg
Medicine type	Combination analgesic
Drug class	Opioid analgesic + non-opioid analgesic
Route	Oral
Prescription	Required
Common pack	10–15 tablets, depending on formulation
Storage	Below 30°C
Price	Varies by strength, pack size and pharmacy

Note: Ultracet is available in different strengths and formulations in India. One current Indian listing for Ultracet 37.5 mg/325 mg contains tramadol 37.5 mg plus paracetamol 325 mg, while another listing for Ultracet 50 mg/325 mg contains tramadol 50 mg plus paracetamol 325 mg. Always check the strength printed on your medicine strip.

What Is Ultracet Tablet?

Ultracet is a combination pain-relieving medicine. It contains tramadol, an opioid analgesic, and paracetamol, also called acetaminophen.

The combination can provide stronger pain relief than either ingredient alone for certain types of acute pain.

Because tramadol affects the central nervous system, Ultracet should be used carefully and only for the duration recommended by your doctor.

Ultracet Tablet Uses

The main Ultracet Tablet use is the treatment of moderate to severe pain.

It may be prescribed for short-term pain such as:

• Pain after surgery
• Pain following an injury
• Severe muscle pain
• Certain joint or musculoskeletal pain
• Other acute pain conditions when a doctor considers the combination appropriate

The official U.S. labeling describes Ultracet as a treatment for short-term management of acute pain, while Indian medicine listings describe it as being used for moderate to severe pain.

Does Ultracet Treat Fever?

Paracetamol can reduce fever, but Ultracet should not normally be chosen simply to treat fever because it also contains tramadol, an opioid medicine with important risks.

For ordinary fever or mild pain, a doctor may recommend a simpler medicine instead.

Ultracet Tablet Composition

The composition depends on the specific Ultracet formulation.

A commonly listed formulation contains:

• Tramadol – 37.5 mg
• Paracetamol – 325 mg

Another current Indian formulation is listed as:

• Tramadol – 50 mg
• Paracetamol – 325 mg

Therefore, always check the strength on your prescription and medicine strip rather than assuming every Ultracet tablet contains the same amount.

How Does Ultracet Tablet Work?

Ultracet contains two medicines that relieve pain in different ways.

Tramadol

Tramadol is an opioid pain medicine. It changes how the brain and spinal cord perceive pain and also affects certain chemical messengers involved in pain processing.

Paracetamol

Paracetamol is a non-opioid pain reliever that helps reduce pain and fever.

Together

The two medicines can provide combined pain relief for moderate to severe acute pain.

Ultracet Tablet Dosage

The correct Ultracet dosage depends on the formulation, your age, kidney and liver function, other medicines, and the severity of pain.

Do not copy another person’s prescription.

For the original U.S. Ultracet formulation containing tramadol 37.5 mg + acetaminophen 325 mg, the labeled adult dose for short-term acute pain was 2 tablets every 4–6 hours as needed, with a maximum of 8 tablets in 24 hours. However, formulations and prescribing recommendations can differ by country and product.

Important Dosage Warning

Because Ultracet contains tramadol and paracetamol:

• Do not take more than your prescribed dose.
• Do not take it more frequently than recommended.
• Do not combine it with another tramadol-containing medicine.
• Do not combine it with other paracetamol-containing medicines without medical advice.
• Never increase the dose because your pain has not improved.

Taking too much tramadol can cause serious breathing problems, seizures, unconsciousness, and death. Excessive paracetamol can cause severe liver damage.

How to Take Ultracet Tablet

Take Ultracet exactly as prescribed.

General instructions include:

1. Swallow the tablet with water.
2. Take it at the prescribed time.
3. It may be taken with or without food depending on your doctor’s advice.
4. If it causes stomach discomfort, taking it with food may help.
5. Do not crush or alter the tablet unless your pharmacist or doctor tells you to.
6. Do not take an extra tablet if your pain is not controlled.

An Indian medicine listing states that Ultracet 37.5 mg/375 mg can be taken with or without food.

What If You Miss an Ultracet Dose?

Ultracet is generally used when needed for pain rather than as a medicine that must always be taken at a fixed daily time.

If your doctor has prescribed it on a regular schedule and you miss a dose, follow your prescription instructions.

Do not double the next dose.

If you are unsure what to do, contact your doctor or pharmacist.

Ultracet Tablet Side Effects

Like other medicines, Ultracet can cause side effects.

Common Ultracet Side Effects

Commonly reported effects include:

• Nausea
• Vomiting
• Constipation
• Dizziness
• Sleepiness
• Dry mouth
• Diarrhea
• Abdominal discomfort
• Headache
• Indigestion
• Trembling
• Anxiety
• Itching
• Sleep problems

These effects may be more noticeable when you first start treatment.

Does Ultracet Cause Sleepiness?

Yes. Ultracet can cause sleepiness and dizziness.

Tramadol affects the central nervous system and can reduce alertness.

Until you know how Ultracet affects you:

• Do not drive.
• Do not operate machinery.
• Avoid activities requiring full concentration.

The official prescribing information warns that Ultracet may impair the mental and physical abilities needed for driving and operating machinery.

Can Ultracet Cause Constipation?

Yes. Constipation is a common side effect of tramadol-containing medicines.

Drink adequate fluids if your doctor has not restricted your fluid intake, eat fiber-rich foods, and remain physically active when appropriate.

If constipation becomes severe or persistent, contact your healthcare professional.

Serious Ultracet Side Effects

Ultracet can cause serious side effects, particularly because it contains tramadol.

Seek urgent medical attention if you develop:

• Slow or difficult breathing
• Extreme sleepiness
• Loss of consciousness
• Severe confusion
• Seizure
• Severe allergic reaction
• Swelling of the face or throat
• Severe weakness
• Signs of liver injury

Tramadol can cause respiratory depression, seizures, and serious central nervous system effects, while excessive paracetamol can cause severe liver injury.

Ultracet and Liver Damage

One of the important safety concerns with Ultracet is paracetamol-related liver toxicity.

Taking excessive amounts of paracetamol can cause serious liver damage, and the risk is higher when multiple paracetamol-containing medicines are taken together.

Check the labels of all pain, cold, and fever medicines you use for paracetamol, acetaminophen, or APAP.

Do not combine Ultracet with another paracetamol-containing medicine unless your doctor specifically tells you to do so.

Ultracet and Seizures

Tramadol can increase the risk of seizures.

The risk can be higher in people with a history of seizures and when tramadol is combined with certain medicines, including some antidepressants.

Tell your doctor if you have:

• Epilepsy
• A history of seizures
• Head injury
• A neurological condition
• A history of alcohol or drug withdrawal seizures

Ultracet and Serotonin Syndrome

Tramadol can affect serotonin levels.

Taking tramadol with certain antidepressants and other serotonergic medicines may increase the risk of serotonin syndrome, a potentially serious condition.

Possible warning symptoms include:

• Agitation
• Confusion
• Excessive sweating
• Fast heartbeat
• Tremor
• Muscle stiffness
• Fever
• Abnormal muscle movements

Seek urgent medical care if these symptoms develop, especially after starting or increasing a medicine that affects serotonin.

Ultracet and Alcohol

Avoid alcohol while taking Ultracet.

Alcohol can increase the sedative effects of tramadol and may increase the risk of dangerous breathing problems, excessive sleepiness, and other serious complications.

Do not combine Ultracet with alcohol even if you think you can tolerate the medicine.

Who Should Not Take Ultracet?

Ultracet may not be suitable for people with certain health conditions.

Tell your doctor if you have:

• Liver disease
• Kidney disease
• Epilepsy or seizures
• Breathing problems
• Sleep apnea
• Head injury
• Alcohol or substance-use problems
• Severe stomach or abdominal problems
• A history of opioid dependence
• Allergy to tramadol, paracetamol, or other opioids

People with severe liver disease require particular caution because of the paracetamol component. Indian medicine information also advises caution in kidney and liver disease.

Ultracet Drug Interactions

Ultracet can interact with several medicines.

Tell your doctor if you take:

• Antidepressants
• Sleeping tablets
• Anti-anxiety medicines
• Sedatives
• Other opioid painkillers
• Medicines for seizures
• Muscle relaxants
• MAO inhibitors
• Other medicines containing tramadol
• Other medicines containing paracetamol

Combining tramadol with certain antidepressants can increase the risk of seizures and serotonin syndrome. Combining it with alcohol, sedatives, or other central nervous system depressants can increase sedation and breathing problems.

Ultracet Tablet in Pregnancy

Tell your doctor if you are pregnant, planning pregnancy, or think you may be pregnant.

Tramadol crosses the placenta, and opioid exposure during pregnancy can cause risks to the baby, particularly with prolonged use.

Your doctor will decide whether Ultracet is appropriate based on your condition and available alternatives.

Ultracet Tablet and Breastfeeding

Tramadol can pass into breast milk and may cause serious effects in a breastfed infant.

Talk to your doctor before taking Ultracet while breastfeeding. Your doctor can recommend a safer pain-relief option when appropriate.

Ultracet Tablet Price in India

The price of Ultracet varies according to the strength, pack size, pharmacy, and manufacturer.

One current Indian listing shows Ultracet 37.5 mg/325 mg as a 15-tablet product with a listed MRP of about ₹295.60. Another listing for Ultracet 50 mg/325 mg shows an MRP of about ₹224.06 for 10 tablets.

Important

These prices can change. Always check the current MRP printed on the medicine pack or ask a licensed pharmacy.

Ultracet Tablet Storage

Store Ultracet according to the instructions on the package.

Generally:

• Keep it below 30°C.
• Store it in a dry place.
• Protect it from excessive heat and moisture.
• Keep it away from children.
• Do not use expired tablets.

Is Ultracet an Opioid?

Yes. Ultracet contains tramadol, which is an opioid analgesic.

Because of tramadol, Ultracet can cause tolerance, dependence, misuse, and withdrawal symptoms, particularly with prolonged or inappropriate use.

Take it only as prescribed and do not share it with another person.

Can Ultracet Be Used for Long-Term Pain?

Ultracet is generally intended for short-term pain treatment, and the appropriate duration depends on the patient’s condition and the specific product.

The official U.S. label for Ultracet describes its use for short-term treatment of acute pain for five days or less.

For chronic pain, a doctor should evaluate the cause of pain and consider appropriate long-term treatment options.

Ultracet vs Paracetamol

Ultracet and plain paracetamol are not the same.

Paracetamol contains only one pain-relieving ingredient.

Ultracet combines paracetamol with tramadol, an opioid medicine.

Because tramadol has additional risks, Ultracet should not be used for mild pain when a simpler treatment may be appropriate.

Ultracet Tablet Benefits

When appropriately prescribed, Ultracet may provide:

• Relief from moderate to severe acute pain
• Combined pain relief from two active ingredients
• Short-term relief after certain surgeries or injuries
• An option when a doctor considers a combination analgesic appropriate

It is not appropriate for every type of pain, and stronger pain relief does not always mean better treatment.

Frequently Asked Questions About Ultracet Tablet

What is Ultracet Tablet used for?

Ultracet is used for moderate to severe pain, particularly short-term acute pain. It contains tramadol and paracetamol.

What is the composition of Ultracet?

Depending on the formulation, Ultracet may contain tramadol 37.5 mg + paracetamol 325 mg or another labeled strength such as tramadol 50 mg + paracetamol 325 mg. Check your strip for the exact strength.

Does Ultracet make you sleepy?

Yes. Sleepiness and dizziness are common possible effects because Ultracet contains tramadol.

Can I take Ultracet with alcohol?

No. Avoid alcohol while taking Ultracet because it can increase dangerous sedation and breathing problems.

Can I take Ultracet with paracetamol?

Do not add another paracetamol-containing medicine unless your doctor specifically advises you to. Ultracet already contains paracetamol, and excessive total intake can cause serious liver damage.

Can Ultracet cause addiction?

Because it contains tramadol, an opioid, Ultracet can cause dependence and misuse. Use it only as prescribed.

Can Ultracet cause constipation?

Yes. Constipation is a commonly reported side effect of tramadol-containing medicines.

Can Ultracet cause seizures?

Yes. Tramadol can cause seizures, and the risk can increase with higher doses or certain medicines and medical conditions.

How much does Ultracet cost in India?

The price depends on the formulation and pack size. Current listings show examples ranging from approximately ₹224 for a 10-tablet 50 mg/325 mg formulation to ₹296 for a 15-tablet 37.5 mg/325 mg formulation.

Important Safety Tips for Ultracet

Before taking Ultracet:

1. Take it only if prescribed by a healthcare professional.
2. Check the exact strength on the medicine strip.
3. Never exceed the prescribed dose.
4. Do not combine it with other tramadol-containing medicines.
5. Check other medicines for paracetamol or acetaminophen.
6. Avoid alcohol.
7. Avoid driving if you feel sleepy or dizzy.
8. Tell your doctor if you have liver or kidney disease.
9. Tell your doctor if you have epilepsy or a history of seizures.
10. Inform your doctor about antidepressants and sleeping medicines.
11. Keep the medicine away from children.
12. Seek emergency help if you develop severe breathing problems, a seizure, or loss of consciousness.

Final Words

Ultracet Tablet is a prescription combination painkiller containing tramadol and paracetamol. It is mainly used for moderate to severe acute pain, including certain pain following surgery, injury, or severe muscle and joint problems.

Common side effects include nausea, vomiting, constipation, dizziness, sleepiness, dry mouth, diarrhea, abdominal discomfort, and headache.

Because Ultracet contains an opioid, it has important safety risks. Excessive tramadol can cause respiratory depression, seizures, dependence, and overdose, while excessive paracetamol can cause severe liver damage.

The price varies by formulation and pack size. Current Indian listings show examples around ₹224–₹296, but patients should check the latest MRP on the pack before purchasing.

Do not self-medicate with Ultracet or use it for longer than prescribed. If your pain continues or becomes worse, consult a doctor to identify and treat the underlying cause.

Medical Disclaimer

This article is for general educational purposes only and does not replace medical advice. Ultracet contains tramadol, an opioid medicine, and can cause serious side effects and drug interactions. Always consult a qualified doctor or pharmacist before starting, stopping, or changing the dose of Ultracet.