var joints_text = 'Your joints control every move you make. That makes it very easy to overuse them doing ordinary things; like gardening and housework, or strenuous activities; like sports or heavy lifting. While staying active - and moving your joints - is important for you to remain healthy, you don\'t want to do things that will increase your kind of pain. When your joints become swollen, warm or painful to the touch, you need to examine what caused your joint pain and what you can do to prevent it in the future.

\ Don\'t tough it out

\ Pain is your body\'s way of saying the joint needs a rest. Continuing an activity that caused the pain will only make the pain last longer and perhaps cause more permanent damage. You may need a combination of pain relief techniques that could include medication such as ULTRACET, exercise, alternating heat and cold, and rest that will help you regain your mobility and keep your joints from stiffening.

\ Timing is everything

\ If you begin to feel joint pain within two hours after an activity, you probably can identify what you did and remember not to overdo the next time. Next time do a little less, take a few more breaks, or perhaps even change how you did the activity to put less stress on the affected joint.

\ For the first day that you feel pain, apply cold compresses to reduce swelling. Heat in the form of analgesic rubs or heating pads might actually increase swelling. When you apply heat or cold, remember to only apply the treatment for 20 minutes at a time with at least an hour between applications. At no point should you feel burning or numbness.

\ Uncomfortable positions

\ You may not be aware of all the ways you are putting stress on your joints. Your posture when standing, sitting or driving can affect several joints. The height of work surfaces in kitchens, offices, workbenches and other places may be causing you to put extra stress on certain joints. Repetitive activities and improper balance when lifting can also cause joint pain. Ask your doctor for stretching or range of motion exercises that might help relieve your pain.

'; var strains_text = 'Strains and sprains can happen to anyone. You can cause a strain or sprain by putting too much stress on a muscle or muscle group, or by twisting and pulling a tendon or ligament. With a severe sprain or strain you may experience pain as severe as from a broken bone. Recognizing some of the symptoms surrounding your kind of pain will help you determine when to call the doctor and when to try to manage the pain yourself.

\ Some tenderness or swelling is not unusual with many sprains and strains. However, if you have trouble putting any pressure on the injured joint or bone or if the affected body part is in an unnatural position, you may have experienced a broken bone, a dislocation or a severe tear to the muscle, tendon or ligament . Seek medical help immediately.

\ For painful sprains and strains, your doctor may recommend a prescription pain reliever such as ULTRACET along with exercises or other treatments to help you heal.

\ For mild sprains and strains that don\'t require a trip to the doctor, simple remedies such as ice packs, pain relieving medications, and resting the injury may be all that\'s necessary.

\ You can help prevent sprains by stretching and limbering up before starting an activity.

'; var muscle_text = 'Your body has 600 muscles. Because muscles are what allow you to move, even a little pain can affect your ability to participate in every day activities. Your muscle pain may be caused by injury, illness, overuse, or stress. In some cases, certain medical conditions can also cause or intensify your kind of muscle pain.

\ Muscle pain can range from uncomfortable aches and stiffness to inflamed, extremely tender areas. For most people muscle pain is temporary and doesn\'t require a trip to the doctor. Some simple home remedies such as rest and applications of heat or cold are often all that is needed to provide relief. Your doctor may recommend stretching exercises, hydrotherapy or massage to relieve pain and keep injured areas from stiffening up.

\ Some tenderness or swelling is not unusual if the muscle pain is due to an injury. However, if the injured area can\'t bear any pressure or if the affected body part is in an unnatural position, you may have experienced a broken bone, a dislocation or a severe tear to the muscle, tendon or ligament. Seek medical help immediately.

\ If your pain is severe or lasts more than a few days, you may want to keep a pain diary or complete the ULTRACET Rapid Pain Response Scale to take with you and discuss with your doctor. They will help your physician suggest a pain relief solution that may include a pain medication such as ULTRACET, exercise, rest, or other treatments to help relieve your muscle pain.

'; var ultracet_text = 'When you are in pain, you may need a prescription medication that targets your unique pain. You want pain relief that\'s effective and fast-acting so you can do the things you enjoy in your life. By prescribing ULTRACET, your doctor has taken an important step toward helping you control your pain instead of letting it control you.

\ ULTRACET is a unique pain medication that combines tramadol, a leading prescription pain reliever, and acetaminophen, the most commonly recommended over-the-counter analgesic in the U.S. ULTRACET treats your kind of acute pain. ULTRACET has been approved for the short-term (five days or less) management of acute pain. ULTRACET provides powerful relief from many kinds of acute pain, including joint pain, strains and sprains, post-operative recuperation, joint pain flares (i.e., associated with osteoarthritis) and muscle aches. Ask your physician if ULTRACET is right for your kind of acute pain.

'; var faqs_text = 'What is Ultracet?

\ Ultracet is a unique pain medication that combines tramadol, a leading prescription pain reliever, and acetaminophen, the most commonly recommended over-the-counter analgesic in the U.S. In clinical trials, Ultracet consistently began working faster than tramadol alone, and pain relief with Ultracet lasted significantly longer than with acetaminophen alone.

\ What makes Ultracet different?

\ Ultracet is different from aspirin and nonsteroidal anti-inflammatory drugs (also known as NSAIDs) such as ibuprofen, naproxen, Celebrex®, or Vioxx®. Ultracet offers effective pain relief with fewer prostaglandin-related side-effects that interfere with other treatments. That means it may be a good choice if you are at risk of stomach ulcers, because Ultracet has not been associated with ulcers or stomach bleeding in medical studies. In addition, Ultracet does not impair kidney function or interact with many blood pressure medications. And if you are at risk of kidney problems, Ultracet does not affect the hormone-like system that helps keep your kidneys working normally. However, your physician may need to adjust your dose of Ultracet if your kidney function is below normal.

\ Celebrex® (celecoxib) is a trademark of Pharmacia Corporation.

\ Vioxx® (rofecoxib) is a registered trademark of Merck & Co., Inc.

\ How does Ultracet work?

\ Ultracet provides effective pain relief in two important ways. First, laboratory studies suggest that Ultracet reduces the amount of pain you feel by acting directly on the parts of the brain where pain is perceived and on the spinal cord where pain signals are transmitted. Second, it reduces the size of the pain signal passed from one nerve to another.

\ How should I take Ultracet?

\ Ultracet may be taken with or without food. You will get the best pain relief by following your doctor\'s instructions and taking Ultracet as it was prescribed for your kind of pain panagement program.

\ You should not take more than the dose prescribed, and you should never take more than 2 tablets in a 4-hour period with a maximum of 8 tablets per day.

\ Are there reasons I should not take Ultracet?

\ If you have a history of severe, life-threatening allergic (anaphylactoid) reactions to codeine and other opioids, you may be at increased risk and, therefore, should not take Ultracet pain medication.

\ Cases of abuse and dependence on tramadol (one of the components of Ultracet) have been reported. Ultracet should not be used in people who are opioid-dependent. Since Ultracet can reinitiate physical dependence, it is not recommended if you have a tendency to abuse drugs, a history of drug dependence, or chronically use opioids.

\ Speak with your doctor if you may be pregnant, or are trying to become pregnant, before using Ultracet. Safe use during pregnancy has not been established.

\ If you have liver disease, the use of Ultracet is not recommended.

\ Can I take Ultracet with other medications?

\ Do not take Ultracet with other products containing acetaminophen or with products containing tramadol. To avoid taking too much acetaminophen or other commonly found pain relief medication, tell your doctor about all the medications you are taking.

\ For more information on what\'s in your pain relief medication and how to make sure you are getting the right amount, ask your doctor or go to www.bemedwise.org.

\ In addition, there are certain medications that should be used with caution while taking Ultracet. These include tranquilizers, sleeping pills, antidepressants, and opioid pain medicines

\ Speak with your doctor and pharmacist about all other medicines you are taking before starting your prescription for Ultracet. This includes all prescriptions, over the counter, and herbal medications you may be taking for any conditions such as back pain, arthritis, bursitis, sciatica, chronic pain, shingles, root canal surgery or any other condition or procedure. Be sure to tell your doctor and pharmacist if you have any allergies, or if you have ever had an allergic reaction to any medicine. Report any unusual developments or problems that may appear.

\ Can I take Ultracet and drink alcohol?

\ Ultracet should not be used with alcohol

\ Does Ultracet have side effects?

\ All medicines, including Ultracet, can cause side effects. People who experienced side effects with Ultracet in medical studies usually did so at the beginning of treatment. The most frequently reported side effects were constipation, sleepiness, and sweating. You should speak with your doctor about any side effects you experience while taking Ultracet.

\ Ultracet may impair your ability to drive a car or operate machinery.

\ Some people who have taken tramadol, one of the components of Ultracet, have reported seizures. The risk of seizures is increased with doses of tramadol above the recommended range. Tramadol increases the seizure risk in people taking certain medications (e.g., tricyclic antidepressants, SSRIs, opioids). Tramadol may enhance the seizure risk in people taking MAO inhibitors, neuroleptics, or other drugs that reduce the seizure threshold or in people with epilepsy, those with a history of seizures, or in people with a recognized risk for seizure (such as head trauma, metabolic disorders, alcohol and drug withdrawal, CNS infections).

\ Withdrawal symptoms may occur if Ultracet is discontinued abruptly. Speak with your doctor if you experience any side effects (e.g., sweating, anxiety, difficulty sleeping) from discontinuing Ultracet.

\ How should Ultracet be stored?

\ Ultracet should be stored at room temperature away from heat and direct light. Ultracet pain medication should be kept in the same container in which you received it from the pharmacy and kept out of the reach of children.

\ Where can I get more information about Ultracet?

\ Ask your doctor or pharmacist. You can also get information directly from Ortho-McNeil Pharmaceutical, Inc., the manufacturer of Ultracet, by calling the Customer Communications Center at (800) 682-6532 between the hours of 8 a.m. and 6.p.m. EST Monday through Friday or by reading the full U.S. Prescribing Information on this site.

\ Besides taking Ultracet, what else can I do to control my pain?

\ There are changes you can make in your daily life to help your pain management. Check with your doctor for recommendations on how to best manage your pain. This site contains many suggestions for pain relief exercises, diet, and relaxing techniques. Speak with your doctor about a pain management program that can help relieve your kind of pain.

'; var factsheet_text = 'Ultracet is a prescription pain reliever that combines the active ingredients of two of the leading pain medications—ULTRAM® (tramadol hydrochloride), available by prescription, and acetaminophen, the nonprescription analgesic most commonly recommended by physicians.

\ Ultracet is indicated for the short-term (five days or less) management of acute pain.

\ The pain relieving effects of the two ingredients in Ultracet offers significant benefits over either component when used separately: Ultracet begins working faster than ULTRAM and lasts longer than acetaminophen.

\ Ultracet has a positive safety profile. Unlike COX-2 NSAIDs and other nonsteroidal anti-inflammatory drugs (NSAIDs), Ultracet does not increase the risk of stomach ulcers and gastrointestinal bleeding, impair kidney function or interact with many blood pressure medications. Ultracet can also be prescribed in sulfa-sensitive patients. The most common adverse events seen in clinical trials of Ultracet included constipation, somnolence (sleepiness) and increased sweating.

\ Ultracet is a centrally acting analgesic that works through several different mechanisms of action. Tramadol relieves pain by binding to mu-opioid receptors in the central nervous system. In addition, tramadol weakly inhibits re-uptake of norepinepherine and serotonin, which may aid in pain relief. The mechanism of action of acetaminophen is not fully understood.

\ Ultracet is administered in doses of two tablets every four-to-six hours as needed for pain up to a maximum of eight tablets per day. Patients should check with their physicians if they have questions regarding dosing.

\ Ultracet should not be used concomitantly with alcohol. The use of Ultracet in patients with liver disease is not recommended.

\ Cases of abuse and dependence on tramadol have been reported. Tramadol should not be used in opioid-dependent patients. Since tramadol can reinitiate physical dependence, Ultracet is not recommended for patients with a tendency to drug abuse, a history of drug dependence, or chronically using opioids.

\ Patients with a history of severe, life-threatening allergic (anaphylactoid) reactions to codeine and other opioids may be at increased risk and therefore should not receive Ultracet.

\ Seizures have been reported in patients receiving tramadol. The risk of seizures is increased with doses of tramadol above the recommended range. Tramadol increases the seizure risk in patients taking certain medications (e.g., tricyclic antidepressants, selective serotonin reuptake inhibitors, opioids) and may enhance the seizure risk in patients taking MAO inhibitors, neuroleptics, or other drugs that reduce the seizure threshold or in patients with epilepsy, those with a history of seizures, or in patients with a recognized risk for seizure (such as head trauma, metabolic disorders, alcohol and drug withdrawal, CNS infections). See WARNINGS in full Prescribing Information.

\ Please see the full prescribing information for more information on Warnings, Precautions, and additional Adverse Reactions that may occur, regardless of drug relationship.

\ Note: Full Prescribing Information for Ultracet is available by calling 1-800-682-6532

'; var manufacturer_text = 'Ortho-McNeil Pharmaceutical, Inc. was formed by the 1993 merger of Ortho Pharmaceutical Corporation and McNeil Pharmaceutical.

\ Our headquarters is located in Raritan, N.J., and our sales and marketing efforts champion quality health care in hundreds of communities across the U.S.

\ Ortho-McNeil employs about 3,500 associates and is one of the largest companies within the Johnson & Johnson Family of Companies.

\ Company History

\ Although we often talk about our future, we also are proud of our past. Our legacy of providing quality health care products and services spans three centuries.

\ Ortho-McNeil was formed by the 1993 merger of two Johnson & Johnson companies, Ortho Pharmaceutical Corporation and McNeil Pharmaceutical. Prior to the merger, each company had a strong reputation for developing and marketing prescription products in distinct therapeutic classes: Ortho in women’s health, and McNeil in central nervous system and pain treatment.

\ Founded in 1878, McNeil Laboratories, Inc. established itself through the development and marketing of a sedative that remained its lead product for two decades. In 1955 McNeil introduced the original prescription version of the pain reliever TYLENOL® (acetaminophen). Johnson & Johnson acquired McNeil Laboratories, Inc. in 1959. TYLENOL later became the first prescription product to switch to an over-the-counter medicine in 1961 and is currently marketed by McNeil Consumer Healthcare, another Johnson & Johnson company. In the following decades, the company introduced other prescription medications for the management of chronic pain, as well as drugs for the treatment of schizophrenia and a condition associated with cystic fibrosis.

\ The beginning of Ortho can be traced to the Johnson & Johnson development and introduction of the nation\'s first prescription contraceptive — ORTHO-GYNOL® — in 1931. Nine years later, Ortho Products was formed.

\ Ortho continued its commitment to women’s health throughout the 20th century. As early as 1957, Ortho scientists were hard at work investigating hormone combinations that could prevent pregnancy. In 1963, Ortho introduced its first birth control pill. This was followed by decades of continued research, discovery and innovation to offer women the broadest line of birth control options including several "firsts" in women\'s health. The company introduced the first low-dose oral contraceptive, the first biphasic and triphasic pills, the first progestin-only birth control pill labeled for use by breastfeeding women, the first birth control pill indicated for the treatment of mild to moderate acne, and the first weekly birth control patch.

\ After the merger of Ortho and McNeil, the company stepped up its commitment to health even further, launching innovative products that treat epilepsy, deep diabetic neuropathic foot ulcers, difficult-to-treat bacterial infections, and debilitating chronic and acute pain.

\ These are only a few examples of the innovative products that fill our history pages. It is an unfinished book and one that grows stronger each time our associates create the next chapter of innovative health care solutions.

'; var prescribe_text = 'Drug Uses

\ Ultracet is used for patients who need relief from mild to moderate pain. This medicine may be used for other conditions as determined by your healthcare provider.

\ General Information

\ This database does not contain every known side effect, adverse effect, or drug interaction. If you have questions about your medicines, talk to your health care provider. This information is for educational purposes only.

\ How Drug Works

\ Opioid analgesics work in the central nervous system (CNS) to relieve pain.

\ How Taken

\ Take this medicine by mouth with food or milk to avoid stomach upset. It is important to follow your doctor’s instructions.

\ Possible Side Effects

\ This medicine is generally well-tolerated, however side effects may occur. Talk to your doctor if any of the following side effects become bothersome:\ \ Other side effects may occur that aren\'t listed here. Talk to your health care provider if you experience any unwanted side effects that don\'t go away.

\ Warnings/Precautions

\ Tell your doctor if you have ever had an allergic reaction to tramadol, opioid analgesics or acetaminophen.

\ Tell your doctor if you have any of the following medical problems:\ \ This medicine can cause dizziness or drowsiness. Alcoholic beverages can increase the effects of this medicine and should be avoided. Before having any kind of surgery (including dental surgery) tell your healthcare provider that you are taking this medicine. Do NOT abruptly stop this medicine without talking to your doctor. Your doctor may want to gradually reduce the amount that you are taking to reduce any withdrawal effects. This medicine may be habit-forming. Physical dependence may lead to withdrawal symptoms when you stop taking the medicine.

\ Overdose

\ For emergencies, seek medical attention immediately. For non emergencies, contact your local or regional poison control center at 1-800-222-1222. Symptoms of overdose include; chest pain or discomfort, convulsions (seizures), difficulty breathing.

\ Drug Interactions

\ When taking this medicine, it is important that you tell your doctor if you are on the following medications:\ \ Missed Dose

\ Take your next dose as soon as you remember. If it is time for your next dose, skip the missed dose and go back to your regular schedule. Do not double doses.

\ Storage

\ Store it at room temperature and away from excess heat and moisture (not in the bathroom). Keep this medication in the container it came in, tightly closed, and out of reach of children. Throw away any medication that is outdated or no longer needed.

\ Pregnancy/Nursing

\ Tramadol and acetaminophen has not been studied in pregnant women, however, studies in animals have shown that this medicine causes birth defects and other problems. If you are planning to become pregnant, talk to your doctor about using this medicine during your pregnancy. This medicine may pass into the breast milk and cause unwanted side effects in nursing babies. Do NOT take this medicine while you are breastfeeding unless you have talked to your doctor first.

\ More Information

\ Complete prescribing information for this medicine should be consulted for additional detail. For more information, talk to your doctor, pharmacist or health care provider.

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