Dr. Sharon Orrange - July 13, 2016
Tramadol (Ultram) is prescribed for pain more than ever, with new recommendations to limit the use of opioid analgesics. Tramadol is a non-opioid that works on the opiate receptors. Unlike other opioids (like hydrocodone and codeine), tramadol doesn’t affect your breathing or heart. It’s a good option for trying to avoid opioids if NSAIDs (nonsteroidal anti-inflammatory drugs like ibuprofen and naproxen) aren’t recommended for you. See More
Dr. Sharon Orrange - October 16, 2014
Acetaminophen (Tylenol) is one of the most commonly used medications so you should know if it hurts your liver or kidneys. The short answer: acetaminophen is safe on the kidneys and may damage your liver, but only at high doses. Here is what you need to know.
How much Tylenol can I take?
Acetaminophen is the generic name for Tylenol so they are the same thing. The recommended daily maximum is 4 grams per day, which would be 8 extra strength Tylenol (500 mg) or 12 regular (325 mg) Tylenol tablets. See More
Roni Shye - August 13, 2014
Remember—effective Monday, August 18, 2014, tramadol (Ultram) and any products that contain tramadol, including Ultracet (tramadol/acetaminophen), Ultram ER (tramadol ER), or Conzip, will be considered schedule IV substances.
This means ANY medications containing tramadol will now have stricter rules for dispensing. This may affect your current prescription as well as your future prescriptions if you regularly take these medications. See More
Dr. Sharon Orrange - July 16, 2014
The Drug Enforcement Administration (DEA) has officially declared tramadol (Ultram) a Class IV substance. This new scheduling will go into effect August 18, 2014 and means you will need a triplicate prescription to get tramadol. A scheduled drug is one whose use and distribution is tightly monitored.
Roni Shye - June 11, 2014
Ultram (tramadol) is an opioid prescribed for moderate to severe pain in adults. It is different from some other medications that work the same way in that it is not currently considered a controlled substance (a DEA scheduled drug) in some states. However, regulations in Ohio are changing this fall.
Roni Shye - January 17, 2014
What has been discontinued?
All prescription drug products with more than 325 mg of acetaminophen (also known as APAP or paracetamol, and the active ingredient in Tylenol). The FDA has asked that manufacturers limit the amount of acetaminophen in these products to 325 mg to prevent liver injury from overdose.
Some examples of these drugs include Vicodin (hydrocodone/acetaminophen), Percocet (oxycodone/acetaminophen), Fioricet (butalbital/acetaminophen/caffeine), and Fioricet with codeine (butalbital/acetaminophen/caffeine/codeine). See More
Roni Shye - October 11, 2013
Acetaminophen (Tylenol) toxicity has become more of an issue, especially due to the rise of combination products. These include prescription pain medications (such as hydrocodone/acetaminophen, oxycodone/acetaminophen, butalbital/acetaminophen, acetaminophen/codeine and tramadol/acetaminophen) in which acetaminophen is used as a second pain reliever. It is also widely available over the counter, and many over-the-counter combinations that advertise pain or fever relief contain acetaminophen as well. See More
Dr. Sharon Orrange - July 11, 2013
1. Many underestimate its toxicity. In a recent survey of 500 people, 46% reported ingesting excessive amounts because they misunderstood dosing directions or failed to recognize that acetaminophen is found in more than one medication they are using. See More