Država: Združene države Amerike
Jezik: angleščina
Source: NLM (National Library of Medicine)
TRAMADOL HYDROCHLORIDE (UNII: 9N7R477WCK) (TRAMADOL - UNII:39J1LGJ30J), ACETAMINOPHEN (UNII: 362O9ITL9D) (ACETAMINOPHEN - UNII:362O9ITL9D)
Janssen Pharmaceuticals, Inc.
tramadol hydrochloride
tramadol hydrochloride 37.5 mg
ORAL
PRESCRIPTION DRUG
ULTRACET tablets are indicated for the management of acute pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate. Limitations of Use ULTRACET tablets are indicated for short-term use of five days or less. Because of the risks of addiction, abuse, and misuse with opioids, even at recommended doses [see Warnings and Precautions (5.1)] , reserve ULTRACET for use in patients for whom alternative treatment options [e.g., non-opioid analgesics]: - Have not been tolerated, or are not expected to be tolerated, - Have not provided adequate analgesia, or are not expected to provide adequate analgesia. ULTRACET is contraindicated for: - all children younger than 12 years of age [see Warnings and Precautions (5.4)] - post-operative management in children younger than 18 years of age fol
ULTRACET ® (tramadol hydrochloride/acetaminophen) tablets containing 37.5 mg tramadol hydrochloride and 325 mg acetaminophen are light yellow, coated, capsule-shaped tablets debossed with "O-M" on one side and "650" on the other and are available as follows: Dispense in a tight container. Store at 20–25°C (68–77°F); excursions permitted to 15–30°C (59–86°F). [see USP Controlled Room Temperature]. Store ULTRACET securely and dispose of properly [see Patient Counseling Information (17)].
New Drug Application
Janssen Pharmaceuticals, Inc. ---------- This Medication Guide has been approved by the U.S. Food and Drug Administration. Revised: 02/2023 MEDICATION GUIDE ULTRACET ® [UHL-truh-set] (tramadol hydrochloride/acetaminophen) Tablets, C- IV ULTRACET is: • A strong prescription pain medicine that contains an opioid (narcotic) that is used for the short- term (five days or less) management of acute pain, when other pain treatments such as non-opioid pain medicines do not treat your pain well enough or you cannot tolerate them. • An opioid pain medicine that can put you at risk for overdose and death. Even if you take your dose correctly as prescribed you are at risk for opioid addiction, abuse, and misuse that can lead to death. Important information about ULTRACET: • Get emergency help or call 911 right away if you take too much ULTRACET (overdose). When you first start taking ULTRACET, when your dose is changed, or if you take too much (overdose), serious or life-threatening breathing problems that can lead to death may occur. Talk to your healthcare provider about naloxone, a medicine for the emergency treatment of an opioid overdose. • ULTRACET can cause severe drowsiness, breathing problems (respiratory depression), coma and death when taken with benzodiazepines or other medicines that depress consciousness. • Never give anyone else your ULTRACET. They could die from taking it. Selling or giving away ULTRACET is against the law. • Store ULTRACET securely, out of sight and reach of children, and in a location not accessible by others, including visitors to the home. • Get emergency help right away if you take more than 4,000 mg of acetaminophen in 1 day. Taking ULTRACET with other products that contain acetaminophen can lead to serious liver problems and death. Important Information Guiding Use in Pediatric Patients: • Do not give ULTRACET to a child younger than 12 years of age. • Do not give ULTRACET to a child younger than 18 years of age after surgery to remove the tonsils and/or adenoids. Preberite celoten dokument
ULTRACET- TRAMADOL HYDROCHLORIDE AND ACETAMINOPHEN TABLET, COATED JANSSEN PHARMACEUTICALS, INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE ULTRACET SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR ULTRACET. ULTRACET (TRAMADOL HYDROCHLORIDE AND ACETAMINOPHEN) TABLETS, FOR ORAL USE, C-IV INITIAL U.S. APPROVAL – 2001 ® WARNING: ADDICTION, ABUSE, AND MISUSE; RISK EVALUATION AND MITIGATION STRATEGY (REMS); LIFE-THREATENING RESPIRATORY DEPRESSION; ACCIDENTAL INGESTION; ULTRA-RAPID METABOLISM OF TRAMADOL AND OTHER RISK FACTORS FOR LIFE-THREATENING RESPIRATORY DEPRESSION IN CHILDREN; NEONATAL OPIOID WITHDRAWAL SYNDROME; INTERACTIONS WITH DRUGS AFFECTING CYTOCHROME P450 ISOENZYMES; HEPATOTOXICITY; AND RISKS FROM CONCOMITANT USE WITH BENZODIAZEPINES OR OTHER CNS DEPRESSANTS _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ ULTRACET EXPOSES USERS TO THE RISKS OF ADDICTION, ABUSE AND MISUSE, WHICH CAN LEAD TO OVERDOSE AND DEATH. ASSESS EACH PATIENT'S RISK PRIOR TO PRESCRIBING ULTRACET, AND MONITOR REGULARLY FOR THESE BEHAVIORS OR CONDITIONS. ( 5.1) TO ENSURE THAT THE BENEFITS OF OPIOID ANALGESICS OUTWEIGH THE RISKS OF ADDICTION, ABUSE, AND MISUSE, THE FOOD AND DRUG ADMINISTRATION (FDA) HAS REQUIRED A RISK EVALUATION AND MITIGATION STRATEGY (REMS) FOR THESE PRODUCTS. ( 5.2) SERIOUS, LIFE-THREATENING, OR FATAL RESPIRATORY DEPRESSION MAY OCCUR. MONITOR CLOSELY, ESPECIALLY DURING INITIATION OR FOLLOWING A DOSE INCREASE. ( 5.3) ACCIDENTAL INGESTION OF ULTRACET, ESPECIALLY BY CHILDREN, CAN RESULT IN A FATAL OVERDOSE OF TRAMADOL. ( 5.3) LIFE-THREATENING RESPIRATORY DEPRESSION AND DEATH HAVE OCCURRED IN CHILDREN WHO RECEIVED TRAMADOL. SOME OF THE REPORTED CASES FOLLOWED TONSILLECTOMY AND/OR ADENOIDECTOMY; IN AT LEAST ONE CASE, THE CHILD HAD EVIDENCE OF BEING AN ULTRA-RAPID METABOLIZER OF TRAMADOL DUE TO A CYP2D6 POLYMORPHISM ( 5.4). ULTRACET IS CONTRAINDICATED IN CHILDREN YOUNGER THAN 12 YEARS OF AGE AND IN CHILDREN YOUNGER THAN 18 YE Preberite celoten dokument