Compare Norco vs. tramadol

Head-to-head comparisons of medication uses, side effects, ratings, and more.

Norco (hydrocodone / acetaminophen)

Prescription only

Ultram (tramadol)

Prescription only
Treats moderate to moderately severe pain.

Norco (hydrocodone / acetaminophen) is a good option to treat pain when over-the-counter medicines haven't worked, but it can lead to dependence and tolerance if taken for a long time.

5.0/ 7 average rating with 1194 reviewsforNorco
Treats moderate to severe pain.

Ultram (tramadol) works well for pain. Although it's a little weaker than other opioids, it can still be addictive.

4.6/ 7 average rating with 642 reviewsfortramadol
Upsides
  • Norco (hydrocodone / acetaminophen) has two medicines to treat moderate to moderately severe pain. The combination is more effective than either drug alone.
  • Norco (hydrocodone / acetaminophen) is more potent than many over-the-counter options.
  • You can take this with or without food.
  • This medicine also comes as a liquid if you have trouble swallowing.
  • Norco (hydrocodone / acetaminophen) is available as a generic.
  • Relieves moderate to severe pain. It has been shown to work as well as other opioid pain medications.
  • Compared to typical opioids, it provides unique pain relief and effects on your mood when taken regularly.
  • Has a lower chance of causing breathing problems compared to other typical opioids.
  • Doesn't cause as much constipation as other opioid pain medicines. Staying hydrated and taking laxatives can help treat this side effect.
Downsides
  • Constipation, dizziness, drowsiness, and nausea can commonly occur.
  • Since Norco (hydrocodone / acetaminophen) is a controlled medication, it cannot be refilled or transferred to another pharmacy.
  • Long-term use can cause dependence and tolerance.
  • Too much Norco (hydrocodone / acetaminophen) can damage the liver.
  • Not effective in treating all kinds of pain.
  • Some people think it's weaker than other opioid pain medications. It can also cause more upset stomach.
  • Like other opioid pain relievers, Ultram (tramadol) has a high risk of addiction, abuse, misuse, overdose, and death.
  • The extended release version of Ultram (tramadol) should only be used for severe pain that requires daily, around-the-clock treatment once alternative treatments haven't worked.
  • It's a controlled substance regulated by the federal government. This means that your use of Ultram (tramadol) will be tracked to prevent potential prescription abuse.
  • Like all opioids, don't use when pregnant, since the baby can become dependent on it and have withdrawal symptoms after birth.
Used for
  • Moderate to severe pain
Dosage forms
  • Pill
  • Liquid
  • Pill
  • Extended release
  • Extended release capsule
  • Dissolving tablet
Price
Lowest price near you
$196.12
Find instant savings
Lowest price near you
$45.6
Find instant savings
Want to save even more money?
Sign up now for a 30-day trial and save up to 95% at Kroger, Albertsons, Safeway, and other pharmacies.
Reviews
1194 
67%
think this treatment is worth it
44%
think this treatment works well
13%
think this treatment is a hassle

Have you used Norco (hydrocodone / acetaminophen)?

Leave a review
642 
61%
think this treatment is worth it
40%
think this treatment works well
16%
think this treatment is a hassle

Have you used Ultram (tramadol)?

Leave a review
Side effects
The Norco (hydrocodone / acetaminophen) FDA package insert doesn’t have numbers about how common side effects are.
10possible side effects
  • Dizziness
    26%
  • Nausea
    24%
  • Constipation
    24%
  • Headache
    18%
  • Sleepiness
    16%
  • Vomiting
    9%
  • Pruritus
    8%
  • CNS Stimulation
    7%
  • Asthenia
    6%
  • Sweating
    6%
See more detailed side effects
Risks and warnings
  • Liver failure

    Current liver disease

    ...and 2 more risk factors

  • Slowed breathing

    Age 65 or greater

    ...and 3 more risk factors

  • Severe allergic reactions

    Taking more than the prescribed dose

    ...and 3 more risk factors

  • Tolerance, dependence, and addiction

    Taking more than the prescribed dose

    ...and 3 more risk factors

  • Constipation

    Age 65 or greater

    ...and 2 more risk factors

  • Confusion and drowsiness

    Drinking alcohol

    ...and 1 more risk factors

See more detailed risks and warnings
  • Breathing problems

    Age 65 or greater

    ...and 2 more risk factors

  • Addiction, abuse, and overdose

    Taking more than the prescribed dose

    ...and 2 more risk factors

  • Withdrawal in newborns

    Pregnancy

  • Accidental ingestion

    Children can reach medication

See more detailed risks and warnings