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Compare Tramadol vs. Tylenol With Codeine

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Tramadol (Conzip, Qdolo) is a prescription opioid that treats pain that isn't relieved by non-opioid pain medications. Tylenol #3 contains an opioid (codeine), but it also contains acetaminophen (Tylenol). It’s used for mild-to-moderate pain. Tramadol and Tylenol #3 also have shared possible side effects, such as drowsiness, dizziness, and constipation. More seriously, they’re controlled substances and taking them can sometimes lead to misuse and overdose.

  • Tramadol
    Tylenol with codeine
  • Tramadol
    Tylenol with codeine

  • Summary of Tramadol vs. Tylenol With Codeine

    Summary for Opioid
    Prescription only

    Tramadol is an opioid pain medication used when non-opioid medications aren't working well enough to control pain. Compared to other opioids, tramadol might have a lower risk of misuse and dependency. But tramadol is a controlled substance and has a lot of potentially serious risks, so it must be used with caution.

    Summary for Analgesic / Opioid
    Prescription only

    Tylenol with Codeine (acetaminophen / codeine), also known as Tylenol #3, is a combination opioid medication. Both acetaminophen and codeine treat mild-to-moderate pain by blocking pain signals in the body. This medication is taken by mouth, typically every 4 hours as needed. Tylenol with Codeine is available as a tablet and liquid. Like other opioids, Tylenol with Codeine can cause common side effects like sleepiness, dizziness, and constipation. It also has a warning for dangerous breathing problems and risk of dependence and misuse.

  • Indications of Tramadol vs. Tylenol With Codeine

    Indications for
    •Pain that isn't relieved by non-opioid pain medications alone
    Indications for
    •Treatment of mild-to-moderate pain that isn't relieved by non-opioid pain medications alone

  • Pros and Cons of Tramadol vs. Tylenol With Codeine

    Pros and Const for Opioid
    Pros
    •Extended-release tablets and ConZip capsules are taken once per day and last throughout the day.
    •Immediate-release tablets are available as a lower-cost generic.
    •Possible lower risk of misuse and dependency compared to other opioids
    Cons
    •A controlled medication, so there are special requirements to get a prescription filled
    •Must slowly lower the dose to stop the medication after long-term use to avoid withdrawal symptoms
    •Can't use in some children due to higher risk of potentially severe and life-threatening side effects
    •Not recommended while breastfeeding
    Pros and Const for Analgesic / Opioid
    Pros
    •Works well for treating mild-to-moderate pain
    •Combines 2 medications with different modes of pain relief into a single pill
    •Available in a liquid form for people who have trouble swallowing tablets
    •Available as a generic medication
    Cons
    •For short-term pain relief only
    •Can be habit-forming
    •Not recommended to take with other medications containing acetaminophen, since it can raise the risk of liver damage
    •Liquid solution contains alcohol

  • Common Side Effects of Tramadol vs. Tylenol With Codeine

    Common Side Effects for
    •Constipation (up to 46%)
    •Nausea (up to 40%)
    •Dizziness (up to 33%)
    •Headache (up to 32%)
    •Sleepiness (up to 25%)
    •Vomiting (up to 17%)
    Common Side Effects for
    •Drowsiness
    •Lightheadedness
    •Dizziness
    •Sleepiness
    •Trouble breathing
    •Nausea
    •Vomiting
    •Constipation
    •Sweating

  • Warnings of Tramadol vs. Tylenol With Codeine

    Common Side Effects for
    •Potential for addiction and misuse
    •Dangerously slow breathing (respiratory depression)
    •Overdose
    •Harm to newborn babies
    •Drug interactions
    •Difficulty concentrating and extreme sleepiness
    •Serotonin syndrome
    •Seizures
    •Low blood pressure
    •Low adrenal hormone levels
    •Physical dependence and withdrawal
    •Low blood sodium levels
    Common Side Effects for
    •Potential for dependence and misuse
    •Dangerously slow breathing (respiratory depression)
    •Risk of accidental overdose
    •Harm to newborn babies
    •Serious medication interactions
    •Difficulty concentrating and extreme sleepiness
    •Liver damage
    •Severe allergic and skin reactions
    •Seizures
    •Low blood pressure
    •Low adrenal hormone levels
    •Caution in certain medical conditions
    •Withdrawal

  • Prices with our coupons for Tramadol vs. Tylenol With Codeine

    Learn more about Tramadol
    Learn more about Tylenol with codeine

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