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Ultram vs. Vicodin

Are Vicodin and Ultram the Same Thing?

Ultram (tramadol) and Vicodin (hydrocodone and acetaminophen) are both used to treat pain. They are opioids, available by prescription only because of their potential for addiction.

Vicodin is a combination drug which contains acetaminophen as well as the opioid hydrocodone. The acetaminophen works to raise the pain threshold, while the hydrocodone floods the body's opioid receptors to reduce the pain sensation. Ultram is a synthetic opioid (as opposed to hydrocodone, which is only partially synthetic. It acts alone to flood the opioid receptors and kill pain.

A higher dose of Ultram is necessary to treat the same amount of pain as a low dose of Vicodin. Because of its potency, Vicodin tends to be more addictive than Ultram. That doesn't mean Ultram is safe. Both drugs are narcotics, in the same family as morphine, oxycodone, heroin, and opium. All of these are strongly addictive and can have severe withdrawal symptoms if stopped abruptly.

Side effects for both drugs - aside from potential addiction and withdrawal - may include dizziness, confusion, sedation, constipation and others.

Neither tramadol nor Vicodin should be taken with alcohol or other sedatives or tranquilizers because they may potentially magnify the effects. Particularly dangerous is the potential for respiratory depression, which can make you stop breathing if you take too much of either Vicodin or tramadol, or mix either of them with the wrong medication.

QUESTION

Medically speaking, the term "myalgia" refers to what type of pain? See Answer

What Are Possible Side Effects of Ultram?

Ultram is available in generic form. Side effects of Ultram include:

What Are Possible Side Effects of Vicodin?

Common side effects of Vicodin include:

  • lightheadedness,
  • dizziness,
  • anxiety,
  • nausea,
  • vomiting,
  • upset stomach,
  • drowsiness,
  • constipation,
  • headache,
  • mood changes,
  • blurred vision,
  • ringing in your ears,
  • dry mouth, and
  • difficulty urinating.

What is Ultram?

Ultram is a strong prescription pain medicine that contains an opioid (narcotic) that is used for the management pain in adults, when other pain treatments such as non-opioid pain medicines do not treat your pain well enough or you cannot tolerate them. Ultram is 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

What is Vicodin?

Vicodin is a strong prescription pain medicine that contains an opioid (narcotic) that is used to manage pain severe enough to require an opioid pain medicine, when other pain treatments such as non-opioid pain medicines do not treat your pain well enough or you cannot tolerate them. Vicodin is 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.

What Drugs Interact With Ultram?

Ultram is contraindicated in patients receiving MAO inhibitors or who have used them within the previous 14 days.

The use of clozapine and lorazepam may produce marked sedation, excessive salivation, hypotension, ataxia, delirium, and respiratory arrest.

What Drugs Interact With Vicodin?

Patients receiving other narcotics, antihistamines, antipsychotics, antianxiety agents, or other CNS depressants (including alcohol) concomitantly with hydrocodone bitartrate and acetaminophen tablets may exhibit an additive CNS depression. When combined therapy is contemplated, the dose of one or both agents should be reduced.

The use of MAO inhibitors or tricyclic antidepressants with hydrocodone preparations may increase the effect of either the antidepressant or hydrocodone.

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How Should Ultram Be Taken?

Do not change your dose. Take Ultram exactly as prescribed by your healthcare provider. Use the lowest dose possible for the shortest time needed.

Take your prescribed dose as indicated by your health care provider. The maximum dosage is 1 or 2 tablets every 4 to 6 hours, as needed for pain relief. Do not take more than your prescribed dose and do not take more than 8 tablets per day. If you miss a dose, take your next dose at your usual time.

Call your healthcare provider if the dose you are taking does not control your pain.

If you have been taking Ultram regularly, do not stop taking Ultram without talking to your healthcare provider.

After you stop taking Ultram, ask your pharmacist how to dispose of any unused tablets.

How Should Vicodin Be Taken?

Do not change your dose. Take Vicodin exactly as prescribed by your healthcare provider.

Use the lowest dose possible for the shortest time needed.

Take your prescribed dose every four to six hours as needed for pain. Do not take more than your prescribed dose. If you miss a dose, take your next dose at your usual time.

Call your healthcare provider if the dose you are taking does not control your pain. If you have been taking Vicodin regularly, do not stop taking Vicodin without talking to your healthcare provider. After you stop taking Vicodin, the unused tablets should be disposed of by flushing down the toilet.

Disclaimer

All drug information provided on RxList.com is sourced directly from drug monographs published by the U.S. Food and Drug Administration (FDA).

Any drug information published on RxList.com regarding general drug information, drug side effects, drug usage, dosage, and more are sourced from the original drug documentation found in its FDA drug monograph.

Drug information found in the drug comparisons published on RxList.com is primarily sourced from the FDA drug information. The drug comparison information found in this article does not contain any data from clinical trials with human participants or animals performed by any of the drug manufacturers comparing the drugs.

The drug comparisons information provided does not cover every potential use, warning, drug interaction, side effect, or adverse or allergic reaction. RxList.com assumes no responsibility for any healthcare administered to a person based on the information found on this site.

As drug information can and will change at any time, RxList.com makes every effort to update its drug information. Due to the time-sensitive nature of drug information, RxList.com makes no guarantees that the information provided is the most current.

Any missing drug warnings or information does not in any way guarantee the safety, effectiveness, or the lack of adverse effects of any drug. The drug information provided is intended for reference only and should not be used as a substitute for medical advice.

If you have specific questions regarding a drug’s safety, side effects, usage, warnings, etc., you should contact your doctor or pharmacist, or refer to the individual drug monograph details found on the FDA.gov or RxList.com websites for more information.

You may also report negative side effects of prescription drugs to the FDA by visiting the FDA MedWatch website or calling 1-800-FDA-1088.

References

RxList. Vicodin Side Effects Drug Center.
https://www.rxlist.com/vicodin-side-effects-drug-center.htm
RxList. Ultram Side Effects Drug Center.
https://www.rxlist.com/ultram-side-effects-drug-center.htm
DailyMed. Vicodin Prescribing Information.
https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=5fc0e987-61c9-40c4-b0d5-fcea07c8733e&type=display
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