Moderate to moderately severe acute pain (e.g., musculoskeletal pain, dental pain, postoperative pain) when an opioid/non-opioid combination is appropriate
How It Works
Paracetamol reduces pain by inhibiting prostaglandin synthesis in the central nervous system. Tramadol is an opioid analgesic that also inhibits reuptake of serotonin and norepinephrine, enhancing descending pain inhibition. The combination provides additive analgesia.
Directions for Use
Oral tablet. Take exactly as prescribed. Common adult dosing is 1–2 tablets every 4–6 hours as needed for pain; swallow with water, with or without food. Do not exceed the prescribed dose or total daily paracetamol from all sources; use for the shortest duration needed.
May cause drowsiness—avoid driving/operating machinery. Risk of dependence, misuse and withdrawal with tramadol. Do not use with other paracetamol-containing products; overdose can cause severe liver damage. Use caution in liver or kidney disease, elderly, head injury, respiratory disease/asthma, history of seizures, and in patients at risk of serotonin syndrome. Avoid in severe respiratory depression or acute alcohol/other CNS depressant intoxication. Seek urgent help for slow/shallow breathing, severe sleepiness, allergic reactions, or signs of liver injury (yellowing of skin/eyes, dark urine).
Brand
Johnson & Johnson Pvt Ltd
HSN Code
30049069
GST Rate
5%
Drug Interactions
Alcohol and other CNS depressants (benzodiazepines, opioids, sedatives) increase sedation/respiratory depression; SSRIs/SNRIs/TCAs/MAOIs/linezolid/triptans increase risk of serotonin syndrome; drugs lowering seizure threshold (bupropion, antipsychotics) increase seizure risk; warfarin may have increased bleeding risk (reported with paracetamol); CYP2D6 or CYP3A4 inhibitors/inducers (e.g., fluoxetine/paroxetine, ketoconazole, carbamazepine) can alter tramadol effect; other hepatotoxic drugs increase liver risk
Storage Instructions
Store below 25°C, protected from moisture and light. Keep in original pack and out of reach of children.
Substitutes
Tramacet Tablet, Ultracet ER Tablet, Tramadol+Paracetamol 37.5/325 mg (generic), Contramal Plus Tablet, Dolotram P Tablet
Frequently Asked Questions
What is this medicine used for?
Moderate to moderately severe acute pain (e.g., musculoskeletal pain, dental pain, postoperative pain) when an opioid/non-opioid combination is appropriate
Paracetamol reduces pain by inhibiting prostaglandin synthesis in the central nervous system. Tramadol is an opioid analgesic that also inhibits reuptake of serotonin and norepinephrine, enhancing descending pain inhibition. The combination provides additive analgesia.
How should I use this medicine?
Oral tablet. Take exactly as prescribed. Common adult dosing is 1–2 tablets every 4–6 hours as needed for pain; swallow with water, with or without food. Do not exceed the prescribed dose or total daily paracetamol from all sources; use for the shortest duration needed.
How should I store this medicine?
Store below 25°C, protected from moisture and light. Keep in original pack and out of reach of children.
Do I need a prescription for this product?
No, this product is listed as OTC. Follow usage directions and consult a clinician if needed.
Can prices or availability change?
Yes. Prices and availability can change based on inventory and serviceability. The latest details are shown at checkout.
How do I place an order?
Select a variant, add to cart, enter delivery address, upload prescription if required, and pay securely.
Manufacturer & Brand
Brand:Johnson & Johnson Pvt Ltd
Manufacturer:JOHNSON & JOHNSON LIMITED
HSN Code:30049069
Alternatives
Alternatives are suggested by pharmacists after reviewing your order and prescription.
Disclaimer: Product information is for awareness only and does not replace medical advice. For Rx medicines, a valid prescription is required. Consult your doctor or pharmacist for personalized guidance.
Sources: Manufacturer labeling (Ultracet), established medical literature on tramadol and paracetamol, pharmacology references, Indian prescribing/dispensing practices