TRAMADOL HYDROCHLORIDE AND ACETAMINOPHEN

72/100 · Elevated

Manufactured by Amneal Pharmaceuticals of New York LLC

Moderate Safety Concerns with Tramadol Hydrochloride and Acetaminophen

2,295 FDA adverse event reports analyzed

Last updated: 2026-05-12

About TRAMADOL HYDROCHLORIDE AND ACETAMINOPHEN

TRAMADOL HYDROCHLORIDE AND ACETAMINOPHEN is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Amneal Pharmaceuticals of New York LLC. Based on analysis of 2,295 FDA adverse event reports, TRAMADOL HYDROCHLORIDE AND ACETAMINOPHEN has a safety score of 72 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for TRAMADOL HYDROCHLORIDE AND ACETAMINOPHEN include NAUSEA, DRUG INEFFECTIVE, OFF LABEL USE, DIZZINESS, MALAISE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for TRAMADOL HYDROCHLORIDE AND ACETAMINOPHEN.

AI Safety Analysis

Tramadol Hydrochloride And Acetaminophen has a safety concern score of 72 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 2,295 adverse event reports for this medication, which is primarily manufactured by Amneal Pharmaceuticals Of New York Llc.

The most commonly reported adverse events include Nausea, Drug Ineffective, Off Label Use. Of classified reports, 83.8% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Nausea and dizziness are the most common side effects.

Serious adverse events, such as pneumonia and hospitalization, are reported. Drug interactions and ineffective drug performance are significant concerns. Pain and gastrointestinal issues are frequently reported.

Patients taking Tramadol Hydrochloride And Acetaminophen should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Caution is advised when used with other central nervous system depressants. Monitor for drug interactions and potential for adverse effects. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 72/100

Tramadol Hydrochloride And Acetaminophen received a safety concern score of 72/100 (elevated concern). This is based on a 83.8% serious event ratio across 896 classified reports. The score accounts for 2,295 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

NAUSEA78 reports
DRUG INEFFECTIVE67 reports
OFF LABEL USE67 reports
DIZZINESS56 reports
MALAISE53 reports
PAIN52 reports
VOMITING51 reports
HEADACHE49 reports
DYSPNOEA38 reports
FATIGUE38 reports
ARTHRALGIA37 reports
CONFUSIONAL STATE37 reports
FALL37 reports
SOMNOLENCE36 reports
DIARRHOEA34 reports
DRUG INTERACTION33 reports
DECREASED APPETITE32 reports
HYPERSENSITIVITY30 reports
PNEUMONIA30 reports
INSOMNIA28 reports
ASTHENIA27 reports
DRUG INTOLERANCE27 reports
HYPERTENSION27 reports
PRODUCT USE IN UNAPPROVED INDICATION27 reports
DEPRESSION26 reports
CONDITION AGGRAVATED25 reports
PYREXIA25 reports
ABDOMINAL PAIN UPPER24 reports
BACK PAIN24 reports
PRURITUS23 reports
ABDOMINAL DISCOMFORT22 reports
CHEST PAIN22 reports
CONSTIPATION22 reports
OEDEMA PERIPHERAL22 reports
OSTEOARTHRITIS22 reports
PAIN IN EXTREMITY22 reports
RHEUMATOID ARTHRITIS21 reports
LOSS OF CONSCIOUSNESS20 reports
MUSCLE SPASMS20 reports
HOSPITALISATION19 reports
HYPOTENSION19 reports
INTENTIONAL OVERDOSE19 reports
MUSCULOSKELETAL STIFFNESS19 reports
SWELLING19 reports
URTICARIA19 reports
ABDOMINAL PAIN18 reports
ALOPECIA18 reports
ANAEMIA18 reports
DYSPEPSIA18 reports
GAIT DISTURBANCE18 reports
GENERAL PHYSICAL HEALTH DETERIORATION18 reports
INTERSTITIAL LUNG DISEASE18 reports
RASH18 reports
ARTHROPATHY17 reports
BLOOD CHOLESTEROL INCREASED17 reports
COMPLETED SUICIDE17 reports
DEATH17 reports
DRUG HYPERSENSITIVITY17 reports
DRY MOUTH17 reports
INJURY17 reports
LUNG DISORDER17 reports
PERIPHERAL SWELLING17 reports
URINARY TRACT INFECTION17 reports
ABDOMINAL DISTENSION16 reports
GASTROOESOPHAGEAL REFLUX DISEASE16 reports
HAND DEFORMITY16 reports
HEPATIC ENZYME INCREASED16 reports
HYPOAESTHESIA16 reports
MATERNAL EXPOSURE DURING PREGNANCY16 reports
MOBILITY DECREASED16 reports
MUSCULOSKELETAL PAIN16 reports
TOXICITY TO VARIOUS AGENTS16 reports
WEIGHT INCREASED16 reports
COUGH15 reports
GAIT INABILITY15 reports
MEMORY IMPAIRMENT15 reports
PARAESTHESIA15 reports
SYSTEMIC LUPUS ERYTHEMATOSUS15 reports
TYPE 2 DIABETES MELLITUS15 reports
BLISTER14 reports
GASTROINTESTINAL DISORDER14 reports
GLOSSODYNIA14 reports
HYPERHIDROSIS14 reports
INFLAMMATION14 reports
IRRITABLE BOWEL SYNDROME14 reports
JOINT RANGE OF MOTION DECREASED14 reports
JOINT SWELLING14 reports
LOWER RESPIRATORY TRACT INFECTION14 reports
NASOPHARYNGITIS14 reports
NIGHT SWEATS14 reports
WHEEZING14 reports
WOUND14 reports
ANXIETY13 reports
FEELING ABNORMAL13 reports
FIBROMYALGIA13 reports
INFUSION RELATED REACTION13 reports
LIP DRY13 reports
LIVER DISORDER13 reports
PALPITATIONS13 reports
RENAL IMPAIRMENT13 reports

Key Safety Signals

  • High frequency of nausea and dizziness.
  • Serious events like pneumonia and hospitalization.
  • Multiple reports of drug ineffectiveness and intolerance.
  • Significant number of falls and confusion reports.

Patient Demographics

Adverse event reports by sex: Female: 525, Male: 294, Unknown: 1. The most frequently reported age groups are age 69 (21 reports), age 74 (21 reports), age 63 (18 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 896 classified reports for TRAMADOL HYDROCHLORIDE AND ACETAMINOPHEN:

  • Serious: 751 reports (83.8%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 145 reports (16.2%)
Serious 83.8%Non-Serious 16.2%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female525 (64.0%)
Male294 (35.9%)
Unknown1 (0.1%)

Reports by Age

Age 6921 reports
Age 7421 reports
Age 6318 reports
Age 7718 reports
Age 4317 reports
Age 6517 reports
Age 7517 reports
Age 4116 reports
Age 6416 reports
Age 8216 reports
Age 5215 reports
Age 6215 reports
Age 7315 reports
Age 7014 reports
Age 7214 reports
Age 8513 reports
Age 5512 reports
Age 6012 reports
Age 6712 reports
Age 8011 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Caution is advised when used with other central nervous system depressants. Monitor for drug interactions and potential for adverse effects.

What You Should Know

If you are taking Tramadol Hydrochloride And Acetaminophen, here are important things to know. The most commonly reported side effects include nausea, drug ineffective, off label use, dizziness, malaise. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Follow prescribed dosages and do not exceed recommended limits. Inform your healthcare provider about any other medications you are taking to avoid potential interactions. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA has received reports of serious adverse events, indicating a need for close monitoring and adherence to prescribed dosages. Regulatory oversight is ongoing to ensure patient safety.

Frequently Asked Questions

How many adverse event reports has the FDA received for Tramadol Hydrochloride And Acetaminophen?

The FDA has received approximately 2,295 adverse event reports associated with Tramadol Hydrochloride And Acetaminophen. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Tramadol Hydrochloride And Acetaminophen?

The most frequently reported adverse events for Tramadol Hydrochloride And Acetaminophen include Nausea, Drug Ineffective, Off Label Use, Dizziness, Malaise. By volume, the top reported reactions are: Nausea (78 reports), Drug Ineffective (67 reports), Off Label Use (67 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Tramadol Hydrochloride And Acetaminophen.

What percentage of Tramadol Hydrochloride And Acetaminophen adverse event reports are serious?

Out of 896 classified reports, 751 (83.8%) were classified as serious and 145 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Tramadol Hydrochloride And Acetaminophen (by sex)?

Adverse event reports for Tramadol Hydrochloride And Acetaminophen break down by patient sex as follows: Female: 525, Male: 294, Unknown: 1. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Tramadol Hydrochloride And Acetaminophen?

The most frequently reported age groups for Tramadol Hydrochloride And Acetaminophen adverse events are: age 69: 21 reports, age 74: 21 reports, age 63: 18 reports, age 77: 18 reports, age 43: 17 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Tramadol Hydrochloride And Acetaminophen?

The primary manufacturer associated with Tramadol Hydrochloride And Acetaminophen adverse event reports is Amneal Pharmaceuticals Of New York Llc. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Tramadol Hydrochloride And Acetaminophen?

Beyond the most common reactions, other reported adverse events for Tramadol Hydrochloride And Acetaminophen include: Pain, Vomiting, Headache, Dyspnoea, Fatigue. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Tramadol Hydrochloride And Acetaminophen?

You can report adverse events from Tramadol Hydrochloride And Acetaminophen to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Tramadol Hydrochloride And Acetaminophen's safety score and what does it mean?

Tramadol Hydrochloride And Acetaminophen has a safety concern score of 72 out of 100 (elevated concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Nausea and dizziness are the most common side effects.

What are the key safety signals for Tramadol Hydrochloride And Acetaminophen?

Key safety signals identified in Tramadol Hydrochloride And Acetaminophen's adverse event data include: High frequency of nausea and dizziness.. Serious events like pneumonia and hospitalization.. Multiple reports of drug ineffectiveness and intolerance.. Significant number of falls and confusion reports.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Tramadol Hydrochloride And Acetaminophen interact with other drugs?

Caution is advised when used with other central nervous system depressants. Monitor for drug interactions and potential for adverse effects. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Tramadol Hydrochloride And Acetaminophen.

What should patients know before taking Tramadol Hydrochloride And Acetaminophen?

Follow prescribed dosages and do not exceed recommended limits. Inform your healthcare provider about any other medications you are taking to avoid potential interactions.

Are Tramadol Hydrochloride And Acetaminophen side effects well-documented?

Tramadol Hydrochloride And Acetaminophen has 2,295 adverse event reports on file with the FDA. Serious adverse events, such as pneumonia and hospitalization, are reported. The volume of reports for Tramadol Hydrochloride And Acetaminophen reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Tramadol Hydrochloride And Acetaminophen?

The FDA has received reports of serious adverse events, indicating a need for close monitoring and adherence to prescribed dosages. Regulatory oversight is ongoing to ensure patient safety. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to TRAMADOL HYDROCHLORIDE AND ACETAMINOPHEN based on therapeutic use, drug class, or shared indications:

AmoxicillinAlprazolamWarfarin
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.