Ultracet Indications…Dosage
- arthralgia †
- bone pain †
- dental pain †
- headache †
- moderate pain
- myalgia †
- osteoarthritis †
† non-FDA-approved indication
Ultracet Indications...Dosage
For the short term (5 days or less) treatment of acute moderate pain including arthralgia †, headache †, myalgia †, osteoarthritis †, dental pain † following oral surgery or chronic conditions such as low-back pain †, bone pain † and cancer-related pain †:
Oral dosage:
Adults, the elderly and adolescents >= 16 years: 2 tablets (37.5 mg tramadol and 325 mg acetaminophen per tablet) PO every 4-6 hours as needed, not to exceed 8 tablets/24 hours. Cautious dosage selection in the elderly is recommended.
Adolescents and children < 16 years: Safe and effective use has not been established.
Maximum Dosage Limits:
Adults: 300 mg/day PO tramadol and 2600 mg/day PO acetaminophen.
Elderly: 300 mg/day PO tramadol and 2600 mg/day PO acetaminophen.
Adolescents >= 16 years: 300 mg/day PO tramadol and 2600 mg/day PO acetaminophen.
Adolescents < 16 years: Safe and effective use has not been established.
Children: Safe and effective use has not been established.
Patients with hepatic impairment:
Use in patients with hepatic impairment is not recommended.
Patients with renal impairment:
The following guidelines are for adults and adolescents >= 16 years.
CrCl >= 30 ml/min: No dosage adjustment needed.
CrCl < 30 ml/min: No more than 2 tablets of Ultracet® PO every 12 hours.
Intermittent hemodialysis:
See dosage for CrCl < 30 ml/min. Hemodialysis removes < 7% of a dose of tramadol; supplemental dosing of acetaminophen is not required following hemodialysis. It is unlikely that supplemental dosing with Ultracet® is required following dialysis.
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