Ultra Met Tablet (Tramadol Hydrochloride, Acetaminophen)

Adult dose

Children aged 12 and older and adults: It is recommended to administer 2 tablets as an initial dose, followed by a dosing interval of at least 6 hours, not exceeding 8 tablets per day. The effective minimum dose should be given for as short a duration as possible. Elderly: Administer the usual adult dose, but for those aged 75 and older, administer at intervals of at least 6 hours. Patients with renal impairment: For moderate renal impairment, extend the dosing interval to 12 hours.

Child dose

Children aged 12 and older: It is recommended to administer 2 tablets as an initial dose, followed by a dosing interval of at least 6 hours, not exceeding 8 tablets per day. The effective minimum dose should be given for as short a duration as possible.

This medication can cause liver damage, so individuals who regularly consume more than three alcoholic drinks per day must consult a doctor or pharmacist. Due to the acetaminophen component, serious skin rashes or allergic reactions may occur rarely. If a skin rash or hypersensitivity reaction appears after taking the medication, discontinue use immediately and consult a healthcare professional. The tramadol component increases the risk of seizures if the recommended dose is exceeded, and the risk may also be increased when taken with certain antidepressants or narcotic analgesics, so caution should be exercised in combination therapy. Rarely, a serious allergic reaction known as anaphylaxis may occur. If symptoms such as shortness of breath, hives, or swelling appear while taking this medication, seek medical attention immediately. Administering this medication to patients with severely impaired respiratory function can be life-threatening, so it should only be used under professional monitoring in individuals with respiratory issues such as asthma. Taking this medication with alcohol or central nervous system depressants may cause severe drowsiness, respiratory depression, or coma, so it should be taken with extreme caution in these cases. Patients with head injuries or those with elevated intracranial pressure should be careful as the respiratory depressant effect of this medication may worsen their symptoms. This medication may cause psychological and physical dependence, so when used for a prolonged period, the risk of dependence should be considered, and it should be used according to a doctor's instructions. Patients with impaired liver function may have a risk of liver damage due to the acetaminophen component, so it is imperative to consult a doctor before taking. In some patients, the metabolism of this medication may be significantly accelerated, increasing the risk of respiratory depression; in such cases, dosage adjustments and careful monitoring are necessary. This medication should not be used in children under 12 years of age or in teenagers under 18 years who have undergone tonsillectomy and adenoidectomy, as the risk of respiratory depression is particularly high in this age group. Patients with sleep apnea or hypoxia may experience worsening symptoms while taking this medication, so continuous monitoring of symptom changes is necessary, and dosage adjustments or discontinuation may be required. Elderly patients or those at risk of hyponatremia may develop hyponatremia, so monitoring of symptoms is necessary. This medication should not be administered to certain patients, including those with hypersensitivity, central nervous system drug abuse, severe respiratory depression, head injuries, those taking MAO inhibitors, those with severe liver, kidney, or heart disease, nursing mothers, and children under 12 years of age. Side effects such as drowsiness or dizziness may occur, so caution should be exercised when driving or operating hazardous machinery. In case of overdose, severe respiratory depression, seizures, liver damage, and other dangerous symptoms may occur, so immediate emergency treatment should be sought if suspected. Before taking this medication, caution should be taken to avoid overlapping with other analgesics or acetaminophen-containing medications, as there are risks of dependence and abuse; the duration and dosage should be strictly followed according to a doctor's instructions.

Serious side effects

Hives, severe swelling (edema), tightness in the chest, difficulty breathing, cold sweat, pallor, severe rash with fever, blisters, peeling skin, pain in mucous membranes of the mouth/eyes, severe skin reactions, shortness of breath or difficulty breathing, asthma attacks, respiratory abnormalities accompanied by cough and fever, yellowing of the skin or eyes (jaundice), general lethargy, liver abnormalities (jaundice), sudden and severe headache, lightning headache, seizure.

Mild side effects

• Decreased appetite
• insomnia
• depression
• dizziness
• headache
• drowsiness
• nausea
• vomiting
• constipation
• dry mouth

This medication should be stored in a tightly sealed container to prevent exposure to air or moisture, and it should be kept at room temperature between 1 to 30 degrees Celsius. Storing it this way helps maintain its effectiveness and prevents degradation.

Appearance

Pale yellow, oblong film-coated tablets

Package unit

30 tablets/bottle, 300 tablets/bottle