Prescription onlyLower-cost generic availableClass: Pain

Ultram Alternatives

(Tramadol)

Prescription onlyLower-cost generic availableClass: Pain
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Compare Ultram (Tramadol) to alternatives

These medications are comparable to Ultram (Tramadol) or used for similar purposes.

Ultram
(Tramadol)

Dilaudid
(Hydromorphone)

Duragesic
(Fentanyl)

Ms Contin
(Morphine Sulfate)

Norco
(Hydrocodone / Acetaminophen)

Oxycontin
(Oxycodone)

Percocet
(Oxycodone / Acetaminophen)

Tylenol #3
(Acetaminophen / Codeine)

Treats moderate to severe pain. Ultram (Tramadol) works well to treat severe pain and mood changes. Although it's a little weaker than other opioids, it can still be addictive.Treats moderate to severe pain. Dilaudid (Hydromorphone) is a fast-acting, potent medication that treats problems needing strong pain relief.Treats severe pain. Duragesic (Fentanyl) is an excellent pain reliever, but should only be used by people who've tried other opioid pain medications and still need more relief.Treats severe pain. Ms Contin (Morphine Sulfate) provides good long-term pain control without the need to take medicine frequently, but watch out for constipation.Treats moderate to severe pain. Norco (Hydrocodone / Acetaminophen) is a good option to treat pain as needed when over-the-counter medicines can't control the symptoms, but must make sure you don't take too much acetaminophen (Tylenol) to avoid liver problems or death.Treats severe pain. Oxycontin (Oxycodone) provides options for treating both short and long-term moderate to severe pain, but no matter how long you take it, you’ll need to watch out for constipation.Treats moderate to severe pain. Percocet (Oxycodone / Acetaminophen) is the strongest prescription combination pain medicine for as needed pain relief, but make sure you don't take too much acetaminophen (Tylenol) to avoid liver problems or death.Treats mild to moderate pain. Tylenol #3 (Acetaminophen / Codeine) is a good option to treat pain and cough as needed when over-the-counter medicines can't control the symptoms, but must make sure you don't take too much acetaminophen (Tylenol) to avoid liver problems or death.
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Reviews & ratings
Filter group. All currently selected
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4.62Tramadol
Reviews for Ultram (Tramadol)
61%
of people (All ages) say Ultram (Tramadol) is worth it
40%
say it works well
16%
say it's a big hassle
642 reviews
Have you used Ultram (Tramadol)?
Worth itNot sureNot worth it
Reviews for Dilaudid (Hydromorphone)
78%
+17% better vs. Ultram (Tramadol)
65%
+25% better vs. Ultram (Tramadol)
10%
+6% better vs. Ultram (Tramadol)
Have you used Dilaudid (Hydromorphone)?
Worth itNot sureNot worth it
Reviews for Duragesic (Fentanyl)
79%
+18% better vs. Ultram (Tramadol)
70%
+30% better vs. Ultram (Tramadol)
14%
+2% better vs. Ultram (Tramadol)
Have you used Duragesic (Fentanyl)?
Worth itNot sureNot worth it
Reviews for Ms Contin (Morphine Sulfate)
55%
-6% worse vs. Ultram (Tramadol)
43%
+3% better vs. Ultram (Tramadol)
20%
-4% worse vs. Ultram (Tramadol)
541 reviews
Have you used Ms Contin (Morphine Sulfate)?
Worth itNot sureNot worth it
Reviews for Norco (Hydrocodone / Acetaminophen)
67%
+6% better vs. Ultram (Tramadol)
44%
+4% better vs. Ultram (Tramadol)
13%
+3% better vs. Ultram (Tramadol)
1194 reviews
Have you used Norco (Hydrocodone / Acetaminophen)?
Worth itNot sureNot worth it
Reviews for Oxycontin (Oxycodone)
66%
+5% better vs. Ultram (Tramadol)
50%
+10% better vs. Ultram (Tramadol)
19%
-3% worse vs. Ultram (Tramadol)
1241 reviews
Have you used Oxycontin (Oxycodone)?
Worth itNot sureNot worth it
Reviews for Percocet (Oxycodone / Acetaminophen)
70%
+9% better vs. Ultram (Tramadol)
49%
+9% better vs. Ultram (Tramadol)
15%
+1% better vs. Ultram (Tramadol)
1399 reviews
Have you used Percocet (Oxycodone / Acetaminophen)?
Worth itNot sureNot worth it
Reviews for Tylenol #3 (Acetaminophen / Codeine)
69%
+8% better vs. Ultram (Tramadol)
41%
+1% better vs. Ultram (Tramadol)
9%
+7% better vs. Ultram (Tramadol)
581 reviews
Have you used Tylenol #3 (Acetaminophen / Codeine)?
Worth itNot sureNot worth it
Side effects
TramadolDilaudidFentanylMorphine SulfateNorcoOxycodonePercocetAcetaminophen With Codeine
  • Nausea 15%
  • Dizziness (not vertigo) 13%
  • Constipation 13%
  • Headache 5%
  • Drowsiness 9%
  • Flushing 6%
  • Itching 8%
  • Sleep difficulty 5%
  • Vomiting 4%
  • Dry mouth 5%
More Tramadol side effects »
  • Constipation 15%
  • Nausea 12%
  • Drowsiness 9%
  • Headache 8%
  • Vomiting 2%
  • Joint pain 4%
  • Itching 5%
  • Sleep difficulty 1%
  • Muscle weakness/fatiguea/fatigue 12%
  • Dizziness 11%
More Dilaudid side effects »
  • Nausea 27%
  • Fatigue 19%
  • Vomiting 17%
  • Abdominal pain 15%
  • Shortness of breath 15%
  • Headache 14%
  • Dehydration 13%
  • Drowsiness 13%
  • Dizziness 13%
  • Sleep difficulty 3%
More Fentanyl side effects »

The Morphine Sulfate FDA package insert doesn’t have numbers about how common side effects are.

More about Morphine Sulfate side effects »

The Norco FDA package insert doesn’t have numbers about how common side effects are.

More about Norco side effects »
  • Constipation 16%
  • Nausea 12%
  • Drowsiness 19%
  • Dizziness 4%
  • Itching 11%
  • Vomiting 5%
  • Dry mouth 4%
  • Muscle weakness 6%
  • Sweating 3%
More Oxycodone side effects »

The Percocet FDA package insert doesn’t have numbers about how common side effects are.

More about Percocet side effects »

The Acetaminophen With Codeine FDA package insert doesn’t have numbers about how common side effects are.

More about Acetaminophen With Codeine side effects »
How it works
TramadolDilaudidFentanylMorphine SulfateNorcoOxycodonePercocetAcetaminophen With Codeine
Ultram (Tramadol) is an atypical opioid pain reliever. Researchers don't know exactly how it works, but it alters certain brain chemicals to lower pain perception and improve mood.Dilaudid (Hydromorphone) is an opioid medicine (similar to morphine) that works in the brain to lower pain perception.Duragesic (Fentanyl) is an opioid (narcotic) medicine that works in the brain to lower pain perception.Ms Contin (Morphine Sulfate) is an opioid medicine that works in the brain to lower pain perception.Norco (Hydrocodone / Acetaminophen) is a combination pain medicine. Hydrocodone is an opioid (similar to morphine) that works in the brain to lower pain perception. Acetaminophen is a non-opioid pain reliever and fever reducer.Oxycontin (Oxycodone) is an opioid medicine (similar to morphine) that works in the brain to lower pain perception.Percocet (Oxycodone / Acetaminophen) is a combination pain medicine. Oxycodone is an opioid (similar to morphine) that works in the brain to lower pain perception. Acetaminophen is a non-opioid pain reliever and fever reducer.Tylenol #3 (Acetaminophen / Codeine) is a combination pain medicine. Codeine is an opioid (similar to morphine) that works in the brain to lower pain perception. Acetaminophen is a non-opioid pain reliever and fever reducer.
Type of medication
TramadolDilaudidFentanylMorphine SulfateNorcoOxycodonePercocetAcetaminophen With Codeine
Prescription only
Prescription only
Prescription only
Prescription only
Prescription only
Prescription only
Prescription only
Prescription only
Available as
TramadolDilaudidFentanylMorphine SulfateNorcoOxycodonePercocetAcetaminophen With Codeine
  • Pill
  • Extended release
  • Extended release capsule
  • Dissolving tablet
  • Pill
  • Extended release
  • Oral solution
  • Suppository
  • Patch
  • Patch extended release
  • Dissolving tablet
  • Mouth spray
  • Lozenge
  • Buccal tablet
  • Nasal spray
  • Pill
  • Extended release
  • Oral solution
  • Liquid
  • Suppository
  • Pill
  • Oral solution
  • Pill
  • Extended release
  • Oral solution
  • Liquid
  • Pill
  • Oral solution
  • Pill
  • Liquid
Used for
TramadolDilaudidFentanylMorphine SulfateNorcoOxycodonePercocetAcetaminophen With Codeine
Risk factors for serious side effects
TramadolDilaudidFentanylMorphine SulfateNorcoOxycodonePercocetAcetaminophen With Codeine
  • Higher dose
  • Using other medicines that can cause seizures
  • History of seizures
  • Alcoholism
  • Eating disorders
  • Brain infections
  • Suicidal or at risk
  • Taking other medications that affect serotonin
  • Drug or alcohol abuse
  • Using other medications that affect serotonin
  • History of allergic reactions to codeine or other opioid pain relievers
  • Phenylalanine sensitivity
  • Stopping Ultram (Tramadol) suddenly
  • Taking more than the prescribed dose
  • Taking with alcohol or drugs
  • Taking with alcohol or drugs
    Detailed Ultram (Tramadol) risks & warnings »
    • Current use of medicine that affects liver enzyme CYP 3A4
    • Age 65 or greater
    • Higher dose
    • People with not enough thyroid hormones
    • History of lung problems
    • Children age 18 and younger
    • Long-term use during pregnancy
    • Taking more than the prescribed dose
    • Long-term use
    • History of drug abuse
    • Taking with alcohol
    • Taking other medicines that make you less alert
    • Age 65 or greater
    • Age 65 years or older
    Detailed Dilaudid (Hydromorphone) risks & warnings »
    • Current use of medicine that affects liver enzyme CYP 3A4
    • Age 65 or greater
    • Higher dose
    • People with not enough thyroid hormones
    • History of lung problems
    • Children age 18 and younger
    • Long-term use during pregnancy
    • Taking more than the prescribed dose
    • Long-term use
    • History of drug abuse
    • Taking with alcohol
    • Taking other medicines that make you less alert
    • Age 65 or greater
    • Age 65 years or older
    Detailed Duragesic (Fentanyl) risks & warnings »
    • Current use of medicine that affects liver enzyme CYP 3A4
    • Age 65 or greater
    • Higher dose
    • People with not enough thyroid hormones
    • History of lung problems
    • Children age 18 and younger
    • Long-term use during pregnancy
    • Taking more than the prescribed dose
    • Long-term use
    • History of drug abuse
    • Taking with alcohol
    • Taking other medicines that make you less alert
    • Age 65 or greater
    • Age 65 years or older
    Detailed Ms Contin (Morphine Sulfate) risks & warnings »
    • Current liver disease
    • Taking with alcohol
    • Taking other medicines with acetaminophen
    • Age 65 or greater
    • Higher dose
    • People with not enough thyroid hormones
    • History of lung problems
    • Taking with alcohol
    • Taking other medicines that make you less alert
    • Age 65 or greater
      • Long-term use of opioids in mother
      • Breastfeeding while taking Norco (Hydrocodone / Acetaminophen)
      • Taking more than the prescribed dose
      • Long-term use
      • History of drug abuse
      Detailed Norco (Hydrocodone / Acetaminophen) risks & warnings »
      • Current use of medicine that affects liver enzyme CYP 3A4
      • Age 65 or greater
      • Higher dose
      • People with not enough thyroid hormones
      • History of lung problems
      • Children age 18 and younger
      • Long-term use during pregnancy
      • Taking more than the prescribed dose
      • Long-term use
      • History of drug abuse
      • Taking with alcohol
      • Taking other medicines that make you less alert
      • Age 65 or greater
      • Age 65 years or older
          Detailed Oxycontin (Oxycodone) risks & warnings »
          • Current liver disease
          • Taking with alcohol
          • Taking other medicines with acetaminophen
          • Age 65 or greater
          • Higher dose
          • People with not enough thyroid hormones
          • History of lung problems
          • Taking with alcohol
          • Taking other medicines that make you less alert
          • Age 65 or greater
          • Taking more than the prescribed dose
          • Long-term use
          • History of drug abuse
          • Long-term use of opioids in mother
          • Breastfeeding while taking Percocet (Oxycodone / Acetaminophen)
          • Children age 18 and younger
          • Taking more than prescribed dose
          • Mixing with alcohol or drugs that interact with Percocet (Oxycodone / Acetaminophen)
            • Age 65 years or older
            • Circulation problems
            Detailed Percocet (Oxycodone / Acetaminophen) risks & warnings »
            Coming soon.
            Pregnancy

            Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

            Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

            Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

            Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

            Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

            Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

            Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

            Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

            Alcohol
            TramadolDilaudidFentanylMorphine SulfateNorcoOxycodonePercocetAcetaminophen With Codeine
            No alcohol related info.
            • Never use alcohol when taking Dilaudid (Hydromorphone).
            • Never drink alcohol when using Duragesic (Fentanyl).
            No alcohol related info.
            • Avoid alcohol.
            • Dizziness and drowsiness is common. While taking this, it’s best to avoid alcohol.
            • Avoid alcohol.
            • Avoid alcohol.
            Food
            TramadolDilaudidFentanylMorphine SulfateNorcoOxycodonePercocetAcetaminophen With Codeine
            • Take Ultram (Tramadol) with food to avoid an upset stomach.
            No food related info.No food related info.
            • Take it with food to lower the chance of an upset stomach.
            • Take it with food to lower the chance of an upset stomach.
            • Take it with food to lower the chance of an upset stomach.
            • Take it with food to lower the chance of an upset stomach.
            • Take it with food to lower the chance of an upset stomach.
            Kidneys and liver
            TramadolDilaudidFentanylMorphine SulfateNorcoOxycodonePercocetAcetaminophen With Codeine
            • There are different doses for people who are older or who have liver or kidney disease, so work with your doctor to get the right dose.
            No kidneys and liver related info.No kidneys and liver related info.No kidneys and liver related info.
            • Don't take more than instructed to prevent liver damage.
            • The acetaminophen component in Norco (Hydrocodone / Acetaminophen) can hurt your liver. Using more than 4000 mg of the acetaminophen (or 12 tablets of Norco (Hydrocodone / Acetaminophen) can cause serious harm to your liver. You may develop life-threatening liver problems that need a liver transplant. Don't take more than your doctor prescribes, and avoid other medicines that have acetaminophen when using Norco (Hydrocodone / Acetaminophen).
            No kidneys and liver related info.
            • Don't take more than instructed to prevent liver damage.
            • The acetaminophen component in Percocet (Oxycodone / Acetaminophen) can hurt your liver. Using more than 4000 mg of the acetaminophen (or 12 tablets of Percocet (Oxycodone / Acetaminophen) can cause serious harm to your liver that may make you need a liver transplant and can be life-threatening. Don't take more than your doctor prescribes, and avoid other medicines that have acetaminophen when using Percocet (Oxycodone / Acetaminophen).
            • Don't take more than instructed to prevent liver damage.
            Pain
            TramadolDilaudidFentanylMorphine SulfateNorcoOxycodonePercocetAcetaminophen With Codeine
            • Relieves moderate to severe pain. It has been shown to work as well as other opioid pain medications.
            • It isn't used for short-term, as-needed pain relief.
            • Works well to relieve moderate to severe pain.
            • Duragesic (Fentanyl) isn't for everyone. It's a really strong pain medication and taking too much can be deadly.
            • For pain, the patch takes 12 hours to start working and all other forms start working in 30 minutes or less.
            • Good for chronic pain that requires around-the-clock relief.
            • Doesn't work for as-needed or quick pain relief.
            • Combination pain medicine with an opiod component (hydrocodone) and non-opioid component (acetaminophen or Tylenol) that takes advantage of different modes of pain relieve in a single pill.
            • This is a combination pain medication. It contains both an opioid medicine and acetaminophen (Tylenol).
            • Works best if you take it as soon as you start feeling pain. Starts working in 30 minutes and pain relief lasts 4 to 6 hours.
            • Talk to your doctor if it doesn't work well enough to relieve your pain, or if the side effects are really bad.
            • Oxycontin (Oxycodone) immediate-release (short acting) works best for “as needed” or “break-through” pain.
            • Long-acting tablets are good for chronic pain that requires around-the-clock relief.
            • Combination pain medicine with an opioid component (oxycodone) and non-opioid component (acetaminophen or Tylenol) that takes advantage of different modes of pain relieve in a single pill.
            • Generally considered stronger than Norco or other combination pain medicine for treating pain.
            • This is a combination pain medication. It contains both an opioid medicine, and acetaminophen (Tylenol).
            • Works best if you take it as soon as you start feeling pain.
            • Pain relief lasts 4-6 hours.
            • Talk to your doctor if it doesn't work well enough to relieve your pain, or if the side effects are really bad.
            • Combination pain medicine with an opioid component (codeine) and non-opioid component (acetaminophen or Tylenol) that takes advantage of different modes of pain relieve in a single pill.
            • Good for as-needed pain and control.
            • This is a combination pain medication. It contains both an opioid medicine, and acetaminophen (Tylenol).
            • Works best if you take it as soon as you start feeling pain.
            • Pain relief lasts 4-6 hours.
            Sleep
            TramadolDilaudidFentanylMorphine SulfateNorcoOxycodonePercocetAcetaminophen With Codeine
            No sleep related info.
            • Dizziness and drowsiness are common when taking Dilaudid (Hydromorphone), but your body may adjust over time.
            • Dilaudid (Hydromorphone) will cause drowsiness, so be really careful if you're taking other meds that also cause drowsiness, such as antidepressives, antianxiety meds, or muscle relaxants.
            • Often causes drowsiness and constipation. If using it long-term, use a stool softener.
            • Dizziness and drowsiness is common, but your body may adjust.
            • Can help you fall asleep easier.
            • Dizziness and drowsiness is common.
            • Dizziness and drowsiness is common. While taking this, it’s best to avoid alcohol.
            • Can help you fall asleep easier.
            • Dizziness and drowsiness is common, but your body may adjust.
            • Can help you fall asleep easier.
            • Dizziness and drowsiness is common, but your body may adjust.
            Upsides and benefits
            TramadolDilaudidFentanylMorphine SulfateNorcoOxycodonePercocetAcetaminophen With Codeine
            • 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.
            • Works well to relieve moderate to severe pain.
            • Dilaudid (Hydromorphone) is stronger than morphine and works quicker than other pain medications.
            • It doesn't cause as many side effects, like nausea and rashes, as morphine does.
            • It's available as fast-acting tablets, extended-release tablets, and as a liquid.
            • It's used for people who have tried other opioid medications, but still need stronger pain relief.
            • Duragesic (Fentanyl) is stronger than morphine, works quickly, and doesn't cause as many stomach problems.
            • It's available in many dosage forms, including a patch, injection, film, nasal spray, and lollipop.
            • The Duragesic (Fentanyl) patch provides long-term pain relief and lowers the number of times you need to take pain medications each day.
            • Provides longer relieve for moderate to severe pain to improve quality of life.
            • Good for chronic pain that requires around-the-clock relief.
            • Might have fewer side effects than other opioid pain relievers.
            • Combination pain medicine with an opiod component (hydrocodone) and non-opioid component (acetaminophen or Tylenol) that takes advantage of different modes of pain relieve in a single pill.
            • Provides quick relief for moderate to severe pain to improve quality of life.
            • Good for as-needed, short-term use, but may be helpful to manage more long-term pain problems if used at the appropriate doses and intervals.
            • Generally well tolerated by people, especially if taken with food to lower risk of stomach upset.
            • Lower rates of misuse compared to pure opioid medicines.
            • Can help you fall asleep easier.
            • Oxycontin (Oxycodone) immediate-release (short acting) works best for “as needed” or “break-through” pain.
            • Long-acting tablets are good for chronic pain that requires around-the-clock relief.
            • Can have fewer side effects than other opioid pain relievers.
            • Generally considered to be stronger than morphine.
            • Combination pain medicine with an opioid component (oxycodone) and non-opioid component (acetaminophen or Tylenol) that takes advantage of different modes of pain relieve in a single pill.
            • Provides quick relief for moderate to severe pain to improve quality of life.
            • Generally considered stronger than Norco or other combination pain medicine for treating pain.
            • Good for as-needed, short-term use, but may be helpful to manage more long-term pain problems if used at the appropriate doses and intervals.
            • Lower rates of misuse compared to pure opioid medicines.
            • Can help you fall asleep easier.
            • Combination pain medicine with an opioid component (codeine) and non-opioid component (acetaminophen or Tylenol) that takes advantage of different modes of pain relieve in a single pill.
            • Provides quick relieve for mild to moderate pain to improve quality of life.
            • Good for as-needed pain and control.
            • Generally well tolerated by people, especially if taken with food to lower risk of stomach upset.
            • Lower rates of misuse compared to pure opioid medicines.
            • Can help you fall asleep easier.
            Downsides and risks
            TramadolDilaudidFentanylMorphine SulfateNorcoOxycodonePercocetAcetaminophen With Codeine
            • Some people think it's weaker than other opioid pain medications. It can also cause more upset stomach.
            • Like other opioid pain relievers, Tramadol has a high risk of addiction, abuse, misuse, overdose, and death. It should only be used for severe pain that requires daily, around-the-clock treatment once alternative treatments haven't worked.
            • It isn't used for short-term, as-needed pain relief.
            • 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.
            • To get Ultram (Tramadol) in the pharmacy, you'll need to bring in a paper prescription directly from your doctor.
            • People with breathing problems like asthma and COPD need to be monitored very closely if taking Dilaudid (Hydromorphone).
            • Dilaudid (Hydromorphone) isn't usually used for elderly or frail patients.
            • Dizziness and drowsiness are common when taking Dilaudid (Hydromorphone), but your body may adjust over time.
            • Everyone tends to get constipation while on this, so you'll need to stay hydrated and may need to take a stool softener medication.
            • Long-term use will likely cause physical dependence.
            • Must be weaned slowly off the medicine after using it longer than 2 weeks.
            • Duragesic (Fentanyl) isn't for everyone. It's a really strong pain medication and taking too much can be deadly.
            • It doesn't provide quick pain relief.
            • Often causes drowsiness and constipation. If using it long-term, use a stool softener.
            • Like all opioids, don't use when pregnant, since the baby can become dependent on it and have withdrawal symptoms after birth.
            • Shouldn't be used for people with breathing problems (like asthma and COPD), a slow heart rate, or in the elderly.
            • If using the patch, you won't be able to get the medicine out of your body quickly in case of an overdose.
            • Doesn't work for as-needed or quick pain relief.
            • Dizziness and drowsiness is common, but your body may adjust.
            • Everyone will get constipation - always stay hydrated and take stool softener or stimulant on days you're taking Ms Contin (Morphine Sulfate) if you need.
            • Long term use will likely cause physical dependence.
            • Must be weaned slowly off the medicine after use longer than 2 weeks.
            • Dizziness and drowsiness is common.
            • Everyone will get constipation - always stay hydrated and take stool softener or stimulant on days you're taking Norco if you need.
            • All opioid containing medicines have the risk of physical dependence and possibility of withdrawal when used long-term.
            • The non-opioid part of Norco, acetaminophen (Tylenol), has a high risk of liver failure and death if you take more than the maximum daily dose. Be very careful.
            • Relies on the users to be aware of how much acetaminophen (Tylenol) they are using since it is a very common ingredient in many prescription and non-prescription pain medicines.
            • Avoid alcohol.
            • Dizziness and drowsiness is common. While taking this, it’s best to avoid alcohol.
            • You’ll need to take the immediate-release for a few weeks before you can be switched to the long-acting formulation. It’s not safe to start taking the long-acting one if you've never taken an opioid pain medicine before.
            • Everyone will get constipation, so it’s best to stay hydrated and take a stool softener while on Oxycontin (Oxycodone).
            • Long-term use will likely cause physical dependence.
            • Need be weaned slowly off the medicine after using it longer than two weeks.
            • Dizziness and drowsiness is common, but your body may adjust.
            • Everyone will get constipation - always stay hydrated and take stool softener or stimulant on days you're taking Percocet if you need.
            • All opioid containing medicines have the risk of physical dependence and possibility of withdrawal when used long-term.
            • The non-opioid part of Percocet, acetaminophen (Tylenol), has a high risk of liver failure and death if you take more than the maximum daily dose. Be very careful.
            • Relies on the users to be aware of how much acetaminophen (Tylenol) they are using since it is a very common ingredient in many prescription and non-prescription pain medicines.
            • Avoid alcohol.
            • Dizziness and drowsiness is common, but your body may adjust.
            • Everyone will get constipation - always stay hydrated and take stool softener or stimulant on days you're taking Acetaminophen with codeine if you need.
            • All opioid containing medicines have the risk of physical dependence and possibility of withdrawal when used long-term.
            • The non-opioid part of Acetaminophen with codeine, acetaminophen (Tylenol), has a high risk of liver failure and death if you take more than the maximum daily dose. Be very careful.
            • Relies on the users to be aware of how much acetaminophen (Tylenol) they are using since it is a very common ingredient in many prescription and non-prescription pain medicines.
            • Avoid alcohol.
            Tips from our pharmacists for people taking the medication
            TramadolDilaudidFentanylMorphine SulfateNorcoOxycodonePercocetAcetaminophen With Codeine
            • Starts working in one hour and works best if you take it regularly.
            • Can make you dizzy or drowsy, so avoid activities that need you to be fully alert until you know how this medicine affects you.
            • Take Ultram (Tramadol) with food to avoid an upset stomach.
            • There are different doses for people who are older or who have liver or kidney disease, so work with your doctor to get the right dose.
            • Swallow the extended-release tablets whole. They're designed to release the drug slowly and breaking, crushing, or chewing them could cause a serious overdose.
            • Dilaudid (Hydromorphone) is usually taken for a short time. If you take it longer than 2 weeks, you'll need to lower your dose slowly to get off it since stopping suddenly can cause withdrawal symptoms.
            • Usually works within 30 minutes.
            • Dilaudid (Hydromorphone) will cause drowsiness, so be really careful if you're taking other meds that also cause drowsiness, such as antidepressives, antianxiety meds, or muscle relaxants.
            • Never use alcohol when taking Dilaudid (Hydromorphone).
            • It's very important to keep Dilaudid (Hydromorphone) away from children, since it can stop them from breathing.
            • Duragesic (Fentanyl) should only be used for people whose pain is not controlled by other opioid medications for at least one week.
            • For pain, the patch takes 12 hours to start working and all other forms start working in 30 minutes or less.
            • If using the patch, keep it away from heat sources like heating pads, or else it'll cause the medication to be unsafely released into your skin.
            • Never stop taking Duragesic (Fentanyl) suddenly or else you'll have withdrawal effects. To stop taking it, you'll need to lower your dose slowly.
            • Never drink alcohol when using Duragesic (Fentanyl).
            • Just one dose can be harmful or fatal to children, so store and dispose of this medication in a way that children can't get to it.
            • Opioid pain medicine that provides longer pain relief—up to 12 hours.
            • Works best when taken regularly instead of as-needed.
            • Especially useful for people with chronic pain problems.
            • May not be the best choice for people who have never taken an opioid pain medicine because it lasts so long.
            • Swallow it whole. Don't crush, chew, or split the medicine.
            • Can make you dizzy or drowsy.
            • Avoid activities that need you to be fully alert until you know how it affects you.
            • Take it with food to lower the chance of an upset stomach.
            • Constipation is common and may not go away while you're taking this medicine. Drinking lots of water and taking laxatives can help.
            • Talk to your doctor if it doesn't help enough for your pain, or if the side effects are really bad.
            • This is a combination pain medication. It contains both an opioid medicine and acetaminophen (Tylenol).
            • Works best if you take it as soon as you start feeling pain. Starts working in 30 minutes and pain relief lasts 4 to 6 hours.
            • Can make you dizzy or drowsy. Avoid activities need you to be fully alert until you know how it affects you.
            • Take it with food to lower the chance of an upset stomach.
            • Constipation is common and may not go away while you're taking this medicine. Drinking lots of water and using laxatives can help.
            • Don't take more than instructed to prevent liver damage.
            • Use it for the shortest time and at the lowest dose possible, to lower your chance of becoming addicted.
            • Talk to your doctor if it doesn't work well enough to relieve your pain, or if the side effects are really bad.
            • Opioid pain medicine that provides longer pain relief—up to 12 hours.
            • Works best when taken regularly instead of as-needed.
            • Especially useful for people with chronic pain problems.
            • May not be the best choice for people who have never taken an opioid pain medicine because it lasts so long.
            • Swallow it whole. Don't crush, chew, or split the medicine.
            • Can make you dizzy or drowsy.
            • Avoid activities that need you to be fully alert until you know how it affects you.
            • Take it with food to lower the chance of an upset stomach.
            • Constipation is common and may not go away while you're taking this medicine. Drinking lots of water and taking laxatives can help.
            • Talk to your doctor if it doesn't help enough for your pain, or if the side effects are really bad.
            • This is a combination pain medication. It contains both an opioid medicine, and acetaminophen (Tylenol).
            • Starts working in 30 minutes.
            • Works best if you take it as soon as you start feeling pain.
            • Pain relief lasts 4-6 hours.
            • Can make you dizzy or drowsy.
            • Avoid activities need you to be fully alert until you know how it affects you.
            • Take it with food to lower the chance of an upset stomach.
            • Constipation is common and may not go away while you're taking this medicine. Drinking lots of water and using laxatives can help.
            • Don't take more than instructed to prevent liver damage.
            • Use it for the shortest time possible, and at the lowest dose possible, to lower your chance of becoming addicted.
            • Talk to your doctor if it doesn't work well enough to relieve your pain, or if the side effects are really bad.
            • This is a combination pain medication. It contains both an opioid medicine, and acetaminophen (Tylenol).
            • Starts working in 30 minutes.
            • Works best if you take it as soon as you start feeling pain.
            • Pain relief lasts 4-6 hours.
            • Can make you dizzy or drowsy.
            • Avoid activities need you to be fully alert until you know how it affects you.
            • Take it with food to lower the chance of an upset stomach.
            • Constipation is common and may not go away while you're taking this medicine. Drinking lots of water and using laxatives can help.
            • Don't take more than instructed to prevent liver damage.
            • Use it for the shortest time possible, and at the lowest dose possible, to lower your chance of becoming addicted.
            • Talk to your doctor if it doesn't help enough for your pain, or if the side effects are really bad.
            Learn more
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