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What is the difference between hydrocodone and ultram and which works best for painful arthritis?

Jul 2013
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Answered by

Orthopaedic Surgeon, Joint Replacement
Practicing since : 1996
Answered : 2148 Questions
What is the difference between hydrocodone and ultram? And which works best for painful arthritis ? And which is less harmful to use? And if I use ultram can acetaminophen be taken to enhance the medication?! Oh .... And I do take 800mg of IBU. Thxs
Posted Thu, 10 Oct 2013 in General Health
Answered by Dr. K. Naga Ravi Prasad 1 hour later
Brief Answer:
I Prefer Ultram over Hydrocodone.

Detailed Answer:
Hi, thanks for writing to XXXXXXX

Hydrocodone is a semi-synthetic OPIOID derivative used to treat moderate to severe pain. This drug has a habit forming nature.

Ultram (Tramadol) is a Narcotic like pain reliever which is also used to treat pains of moderate to severe intensity.

A fixed dose combination of Tramadol (37.5mg) and Acetaminophen (325mg) is a rapidly-acting, longer-duration, multimodal analgesic which is effective and generally well tolerated in patients with moderate to severe pain. I personally prefer this combination to all my arthritic patients.

Once you start taking ultram & acetaminophen combination, there is no need to take Ibuprofen.

Hope I have addressed your query. Happy to help further

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