What is this medicine?

ACETAMINOPHEN; TRAMADOL (a set a MEE noe fen; TRA ma dole) is a pain reliever. It is used to treat short term moderate pain.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• brain tumor
• drink more than 3 alcohol-containing drinks per day
• drug abuse or addiction
• head injury
• kidney disease or problems going to the bathroom
• liver disease
• lung disease, asthma, or breathing problems
• seizures or epilepsy
• an unusual or allergic reaction to acetaminophen, tramadol, codeine, other opioid analgesics, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

Take this medicine by mouth with a full glass of water. Follow the directions on the prescription label. If the medicine upsets your stomach, take it with food or milk. Do not take more than you are told to take.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

• alcohol or medicines that contain alcohol
• antihistamines
• bupropion
• carbamazepine or oxcarbazepine
• clozapine
• cyclobenazeprine
• digoxin
• furazolidone
• isoniazid
• linezolid
• medicines for depression, anxiety, or psychotic disturbances
• medicines for pain including pentazocine, buprenorphine, butorphanol, nalbuphine, tramadol, and propoxyphene
• medicines for sleep
• muscle relaxants
• naltrexone
• phenobarbital
• procarbazine
• warfarin

What should I watch for while using this medicine?

Tell your doctor or health care professional if your pain does not go away, if it gets worse, or if you have new or a different type of pain.

You may get drowsy or dizzy when you first start taking the medicine or change doses. Do not drive, use machinery, or do anything that may be dangerous until you know how the medicine affects you. Stand or sit up slowly.

Too much acetaminophen can be very dangerous. Do not take Tylenol (acetaminophen) or medicines that contain acetaminophen with this medicine. Many non-prescription medicines contain acetaminophen. Always read the labels carefully.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
• breathing problems
• confusion
• feeling faint or lightheaded, falls
• redness, blistering, peeling or loosening of the skin, including inside the mouth
• seizures
• stomach pain
• yellowing of the eyes or skin

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• constipation
• diarrhea
• nausea, vomiting
• stomach upset
• sweating