Tramacet Tramadol, Paracetamol 37.5mg/325mg

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The combined analgesic agent Tramacet (Paracetamolum + Tramadolum) for the somatic treatment of severe pain syndrome. Tramacet is a thickening medication for oral use.

In the practice of an outpatient doctor, pain is one of the most frequent pathological symptoms for which a patient seeks a doctor. Pain can be a manifestation of a wide variety of diseases, including those related to the areas of special sections of medicine (surgery, oncology, neurology, etc.).

Brand name: Tramacet

Generic name: Acetaminophen and Tramadol

Composition Tramacet:

Active substance

1 tablet

tramadol hydrochloride

37.5 mg


325 mg


Excipients: microcrystalline cellulose, pregelatinized starch, sodium starch glycolate, corn starch, purified water, magnesium stearate.

Medical advice: be sure to consult with a specialist before using the medication. Self-use can harm your health.

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Pharmaco-therapeutic group: analgesic agent with a mixed mechanism of action; analgesic non-narcotic agent.

Tramadol is an opioid synthetic analgesic, has an analgesic effect, is an agonist of opioid receptors. It has a central effect and action on the spinal cord (inhibits the conduct of pain impulses), enhances the effect of sedatives.

Paracetamol has analgesic and antipyretic effects. Blocks cyclooxygenase mainly in the central nervous system, affecting the centers of pain and thermoregulation. It does not irritate the gastrointestinal tract mucosa, does not affect water-salt metabolism.

Thus, both components of Tramacet have an inhibitory effect on different links in the conduction of pain impulses in the structures of the central nervous system, providing a synergistic analgesic effect. This synergy was the basis for determining the optimal ratio of reduced doses of tramadol and paracetamol acetaminophen when creating a finished combined dosage form: 37.5 / 325 mg.

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Indication Tramacet 37.5 mg

Always take this medication exactly as directed in the package insert, or as directed by your doctor or pharmacist. If you are unsure, check with your doctor or pharmacist.

For outpatient practice, acute and chronic severe pain syndromes of moderate intensity that are not relieved by simple non-opioid analgesics are most relevant, since they are especially common and cause difficulties for doctors in choosing an effective and affordable therapy. These include pain syndromes associated with diseases of the spine, joints, especially during periods of exacerbation, trauma, ambulatory invasive interventions.

You can buy the medicine in the USA at our Mexican online pharmacy. The medicine is dispensed without a prescription.


Contraindications Tramacet Mexico tablets

Unfortunately, even if there are indications for the use of the drug, it is not always used. You cannot use the drug if you are allergic (hypersensitive) to any of the ingredients or other benzodiazepines.

Before using Tramacet 37.5 mg tabs, familiarize yourself in detail with all possible contraindications:

- hypersensitivity to active or auxiliary components of the medicament;

- conditions accompanied by respiratory depression or severe depression of the central nervous system (including acute intoxication with alcohol or drugs, hypnotics, narcotic analgesics and psychotropic drugs);

- simultaneous administration of MAO inhibitors (and within 2 weeks after their cancellation);

- severe hepatic and / or renal failure (creatinine clearance less than 10 ml / min);

- epilepsy, uncontrolled by therapy;

- drug withdrawal symptoms;

- children up to age 14;

- pregnancy, lactation.


The drug Tramacet is prescribed with caution for the following diseases and conditions:

- traumatic brain injury, intracranial hypertension;

- a tendency to convulsive syndrome (in patients with therapeutically controlled epilepsy, the drug can only be used for health reasons);

- shock, confusion of consciousness of unknown etiology, impaired respiratory function;

- with the simultaneous use of psychotropic and other pain relievers of central action, local anesthesia;

- before general anesthesia;

- diseases of the biliary tract; benign hyperbilirubinemia, viral hepatitis, glucose-6-phosphate dehydrogenase deficiency;

- alcoholic liver damage, alcoholism, drug addiction;

- hepatic and renal (creatinine clearance less than 10-30 ml / min) failure of moderate severity;

- against the background of pain in the abdominal cavity of unknown origin ("acute abdomen");

- elderly patients (over 75 years old).

FDA Recommendations - Category C. Contraindicated in pregnancy and lactation.


Dosage and method of administration Tramacet

Take your medication exactly as directed by your treating psychotherapist.

Do not take Tramacet or its analogues without a doctor's prescription, remember that self-medication can worsen your condition and harm your brain and overall health. The dosage regimen and duration of treatment are selected individually depending on the severity of the pain syndrome.

Inside, 1-2 tablets for pain, the interval in admission is at least 6 hours.

Highest daily dose: 8 tablets (2.6 paracetamol acetaminophen and 300 mg of tramadolum).

Higher single dose: 2 tablets.

You can buy Tramacet tablets pain relief (Acetaminophen + Tramadol 37.5 / 325 Mg) in the USA from our online pharmacy at market prices. Delivery throughout the country.


Overdosage of Tramacet Mexico

Acetaminophen: diarrhea, anorexia - with acute overdose (develops 6-14 hours after exceeding the dose), with chronic (develops 2-4 days after exceeding the dose) - hypocoagulation, disseminated intravascular coagulation syndrome, cerebral edema, rarely - fulminant renal failure due to tubular necrosis.

Tramadol hydrochloride: miosis, collapse, coma, convulsions, apnea.

Necrosis of liver cells due to the formation of a toxic metabolite of acetaminophen - N-acetyl-p-benzoquinone imine.

Treatment: the use of donors of SH-groups, precursors of the synthesis of glutathione - methionine and N-acetylcysteine ​​within 12 hours after an overdose.

Introduction of naloxone, diazepam.


Side effects of Tramacet 37.5 mg tabs

If you find any of the adverse reactions, discontinue treatment and immediately go to the hospital. In this case, the doctor is obliged to recommend another treatment.

Possible side reactions in patients.

System and organs

Side effects

Respiratory system


Hematopoietic system

sulfhemoglobinemia, aplastic anemia, pancytopenia

The cardiovascular system

tachycardia, orthostatic hypotension, syncope

Digestive system

dry mouth, nausea, vomiting, flatulence, constipation, difficulty swallowing, diarrhea.

Central and peripheral nervous system

dizziness, headache, lethargy, nervousness, euphoria, hallucinations, tremors, muscle spasms, impaired cognitive function, gait instability, paresthesias, visual and taste disturbances

Endocrine system


Reproductive system

violation of the menstrual cycle

Dermatological reactions

hyperhidrosis, bullous rash, toxic epidermal necrolysis (Lyell's syndrome)

The immune system

allergic reactions

Check with your pharmacist for full information on adverse reactions.

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Special instructions

One in two or three people who develop cancer experience pain that is moderate to severe. The pain tends to get worse as the cancer progresses.

Monitoring of plasma glucose and uric acid, peripheral blood composition, liver functional state.

With prolonged use of the medicament, symptoms of drug dependence develop, with a sudden discontinuation of the drug - withdrawal syndrome.

During the period of treatment, alcohol is prohibited.

During treatment, driving a car and working with moving mechanisms is not recommended.

You can buy tramacet in the USA without a prescription from our online Mexican pharmacy


What is tramacet?

Tramacet is a combination pain reliever consisting of 37.5 mg tramadol hydrochloride and 325 mg acetaminophen. The medicine is used to relieve severe pain syndromes, regardless of genesis.


Which is better for pain tramadol or tramacet?

Tramacet is more effective than tramadol. Paracetamol acetaminophen accelerates the onset of the analgesic effect, tramadol prolongs it. The combination of tramadol + paracetamol was more effective; the effect was faster and lasted longer than the component of the remedy alone.


Para que sirve?

El agente analgésico combinado Tramacet (Acetaminophen + Tramadolum) para el tratamiento somático del síndrome de dolor. Tramacet México es un analgésico oral. El medicamento se prescribe para los síndromes de dolor agudo y crónico de intensidad moderada que no pueden detenerse con analgésicos simples no opioides.


TRAMACET tablets are indicated for the symptomatic treatment of moderate to severe pain. Tramacet may also be used for purposes other than those listed in this medication guide. Please consult your physician before taking any medication.


What is the difference between Tramacet and Celebrex

Tramacet is prescribed for the symptomatic treatment of moderate to severe pain. The origin of the pain may be:

  • vascular;

  • traumatic;

  • inflammatory.

It may also be used for pain relief during diagnostic or therapeutic procedures.

Celebrex is good for the symptomatic treatment of joint pathologies and primary dysmenorrhea.

Which drug is more effective: Tramacet or Celebrex

Tramacet 37.5 is more effective in that the analgesic effect comes on faster. 

What is the half-life of Tramacet

The half-life of Tramacet tablet:

  • paracetamol - 120-180 minutes;

  • Tramacetol - 4.6-5.1 h.

In people with renal insufficiency, the half-life is longer.

Comparison of Demerol and Tramacet

Demerol (another name is Meperidine) is an opioid painkiller that can be used to treat severe pain in certain cases. Sometimes Demerol is used instead of Morphine.

The difference between the drugs is the effect on the respiratory system: Demerol depresses it. 

What is the difference between Tramadol and Tramacet

Tramadol apap 37.5mg 325mg Tramacet is available in tablets. Tramadol is available as a solution for injection.

Which is better for pain, Tramadol or Tramacet

Tramadol helps with moderate to severe pain. This medication is mostly used in the post-operative period, as well as to treat pain in cancer patients.
Tramacet medicament is more effective than "pure" Tramadol. This medication contains Paracetamol, which accelerates the onset of pain relief. Tramadol, which is also in the composition, prolongs it.

Reviews Tramacet Tramadol, Paracetamol 37.5mg/325mg

Excellent service. They keep you up to date every step of the process.
Good strong pill. Exactly as described. Expect shipping from Mexico to take a little longer than you are used to with customs in 2 countries involved. Great service


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