Does benzonatate have acetaminophen in it

May 28, 2021 · Benzonatate can cause central nervous problems such as dizziness, hallucinations, confusion, or extreme drowsiness. Call a doctor or other healthcare professional if benzonatate is causing serious CNS impairment. Medical help may also be necessary if experiencing side effects like chills or chest numbness. 8.

Does benzonatate have acetaminophen in it. Feb 9, 2018 · Benzonatate oral capsule is available as both a generic drug and a brand-name drug. Brand name: Tessalon. Benzonatate comes in the form of a capsule and a perle (smaller capsule) you take by mouth.

Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Data sources include Micromedex (updated 1 Apr 2024), Cerner Multum™ (updated 21 …

People who have asthma can usually take acetaminophen (one brand name: Tylenol) safely. This medicine is typically used to relieve fever and pain. Very rarely, even acetaminophen may make asthma worse, which has prompted further studies to explore the link between acetaminophen and asthma. If acetaminophen makes your asthma worse, tell your doctor.Benzonatate may cause serious side effects including: confusion, difficulty breathing, difficulty speaking, visual hallucinations, shortness of breath, tightness in the chest, and. wheezing. Get medical help right away, if you have any of the symptoms listed above. "does benzonatate contain acetaminophen or diphenhydramine?" Answered by a verified doctor: Benzonatate: No, it does not. Tylenol (acetaminophen) Vitamin B12 (cyanocobalamin) Vitamin C (ascorbic acid) Vitamin D3 (cholecalciferol) Eliquis disease interactions. There are 4 disease interactions with Eliquis (apixaban) which include: bleeding; hepatic impairment; valvular heart disease; antiphospholipid syndromeFeb 6, 2024 · Benzonatate - Clinical Pharmacology. Benzonatate acts peripherally by anesthetizing the stretch receptors located in the respiratory passages, lungs, and pleura by dampening their activity and thereby reducing the cough reflex at its source. It begins to act within 15 to 20 minutes and its effect lasts for 3 to 8 hours. Typically, patients take 100 mg to 200 mg of benzonatate up to three times per day, or every 8 hours. The maximum dose of benzonatate is 600 mg per day. If you take benzonatate capsules, you should swallow them whole. The capsules should not be opened, chewed, broken, dissolved, cut, or crushed. The liquid inside benzonatate capsules can ... No 50 mg tramadol does not contain Acetaminophen. There is a tramadol 37.5 mg that has acetaminophen in it. If the 50 mg had acetaminophen in it, your prescription would have had to read tramadol 50 mg/acetaminophen 325 mg. There are plain Tramadol or Ultram tablets then there are tramadol/acetaminophen (APAP) or …

Acetaminophen is generally safe, and most people can take two of the extra strength (500 mg) tablets every 6 to 8 hours, as needed. The maximum recommended amount of acetaminophen is 4000 mg per day. Every medication comes with some risks, so talk to your healthcare provider about any concerns you have. Benzonatate has an average rating of 4.0 out of 10 from a total of 775 ratings on Drugs.com. 30% of reviewers reported a positive effect, while 62% reported a negative effect. Guaifenesin has an average rating of 7.0 out of 10 from a total of 301 ratings on Drugs.com. 64% of reviewers reported a positive effect, while 25% reported a negative ... More about Guaifenesin. Ratings & Reviews. Benzonatate has an average rating of 4.0 out of 10 from a total of 775 ratings on Drugs.com. 30% of reviewers reported a positive effect, while 62% reported a negative effect. Guaifenesin has an average rating of 7.0 out of 10 from a total of 301 ratings on Drugs.com. 64% of reviewers reported a ...Because drug ingredients can sometimes change and we strive to maintain a 100% accurate list of gluten-free drugs and medications, if you know of any ingredients on this list that are no longer safe to consume or any missing ones that belong on this list, please contact us so we can update our list and keep this as a useful resource!Drug and food interactions. Major. acetaminophen food. Applies to: Tylenol (acetaminophen) Ask your doctor before using acetaminophen together with ethanol. …Benzonatate, a non-narcotic oral antitussive agent, is 2, 5, 8, 11, 14, 17, 20, 23, 26-nonaoxaoctacosan-28-yl p- (butylamino) benzoate; with a molecular weight of 603.7. Each soft gelatin capsule, for oral administration, contains 100 mg, 150 mg or 200 mg of benzonatate USP. Benzonatate Capsules, USP also contain the following inactive ...Mucinex Sinus-Max Severe Congestion and Pain: Each caplet contains 325 mg of acetaminophen, 200 mg of guaifenesin, and 5 mg of phenylephrine. Adults and children age 12 years and older: The typical dose is 2 caplets by mouth every 4 hours. Don't take more than 12 caplets in a 24-hour period. Children younger than 12 years old: Ask …dizziness, numbness or tingling in the mouth, throat, or face, numbness in the chest, choking feeling, chills, and. burning in the eyes. Rare side effects of Benzonatate include: none. This is not a complete list of side effects and other serious side effects or health problems that may occur as a result of the use of this drug.

The muscle fibers in the nose and sinuses are under the control of alpha adrenergic receptors. These alpha receptors also can be found in the muscles surrounding the bladder and prostate. When a male takes a cold medicine, these same muscle fibers may contract around the prostate and narrow the urine flow. If a person has an enlarged …With the gargle method, a “slurry” or 4 mL viscous lidocaine is gargled continuously for 5 minutes. Finally, the Tessalon Perle (benzonatate) method involves keeping the Perle in the middle of the tongue so that it dissolves. If the Perle does not start to dissolve within a few minutes, it can be bitten slightly to permit leakage of the drug.For oral dosage form (capsules): For cough: Adults and children 10 years of age and older—100 milligrams (mg) three times a day. Do not take more than 200 mg at one time or more than 600 mg per day. Children younger than 10 years of age—Use is not recommended.Abstract. Drug-induced liver injury (DILI) is common and nearly all classes of medications can cause liver disease. Most cases of DILI are benign, and improve after drug withdrawal. It is important to recognize and remove the offending agent as quickly as possible to prevent the progression to chronic liver disease and/or acute liver failure.The Bottom Line. Benzonatate is an anesthetic drug and cough suppressant. When benzonatate capsules are swallowed, the medication acts directly on the lungs to reduce coughing. Benzonatate is only approved for use in individuals 10 years of age and older. Younger children who take benzonatate may experience serious toxicity or even death.

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lightheadedness. drowsiness. nervousness. restlessness. nausea. vomiting. stomach pain. Side effects are usually not too common when you use Robitussin DM as recommended, but nausea is more common ...And some side effects may be serious, like nerve cell damage and heart rhythm problems. Omeprazole (and other PPIs) can affect mycophenolate mofetil absorption in your stomach. This is thought to be due to lower acid levels. If you absorb less mycophenolate mofetil, you may have a higher risk of transplant rejection.However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: Constipation. Dizziness or headache. Feeling sleepy. Stuffy nose. Upset stomach. These are not all of the side effects that may occur. If you have ...We cover the CarMax appraisal vs KBB estimate process and valuation. Find out why your CarMax appraisal may be higher or lower than KBB. CarMax appraisals use the same general crit...

Diuretics cause your body to release more urine. Avoid drinks that may have a diuretic effect. These include: alcohol. coffee. soda. other caffeinated beverages. Avoiding or reducing intake of ...Older generations are joining students to call for a sweeping transformation of the world's response to the climate crisis. The kids are not all right. For more than a year, young ...Healthcare professionals have a responsibility to ask about patient allergies and food sensitivities, but just as importantly, be aware of the active ingredients and the excipients in the medications. Lomas JM, Järvinen KM. Managing nut-induced anaphylaxis: challenges and solutions. J Asthma Allergy. 2015;8:115-123.This medication is used to treat coughs caused by the common cold and other breathing problems (such as pneumonia, bronchitis, emphysema, asthma). It does not become habit-forming when taken for a long time. But acetaminophen may cause other unwanted effects when taken in large doses, including liver damage. Although rare, use of acetaminophen has been reported to lead to liver transplantation and death, usually at high doses and when multiple acetaminophen-containing products have been used. Benzonatate, sold under the brand name Tessalon among others, is a medication that is used for the symptomatic relief of cough. A 2023 systematic review found that there is inadequate evidence to support the effectiveness and safety of benzonatate for cough and highlighted rising safety concerns. Benzonatate is taken by mouth. Effects generally …Azithromycin is an antibiotic drug. It can help treat a range of bacterial infections that affect the lungs, sinuses, skin, and other parts of the body. Learn about its uses, risks, side effects ...Antibiotics. If you are taking methotrexate, you should completely avoid taking any antibiotic that contains trimethoprim-sulfa, such as Bactrim, Sulfatrim, and Septra. Adverse effects are caused by the antibiotic's ability to reduce methotrexate absorption in the body. When the absorption rate is slowed, it can lead to a buildup of the ...Find patient medical information for bromphen-PSE-DM-acetaminophen oral on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings.

Find patient medical information for Theraflu Severe Cold and Cough oral on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings.

The Bottom Line. Benzonatate is an anesthetic drug and cough suppressant. When benzonatate capsules are swallowed, the medication acts directly on the lungs to reduce coughing. Benzonatate is only approved for use in individuals 10 years of age and older. Younger children who take benzonatate may experience serious toxicity or even death.Advertisement The best-known uses of nitrous oxide are as a medical anesthetic and analgesic. An anesthetic causes a patient to lose touch with all sensation of pain — and often lo...Apr 24, 2024 · Benzonatate is commonly used to reduce cough that is caused by the common cold or bronchitis. Benzonatate may also be used for other conditions as determined by your healthcare provider. Dr. Agarwal says selective serotonin reuptake inhibitors (SSRIs)—such as Prozac, Zoloft, and Paxil—are some of the biggest weight-gain offenders. Why? SSRIs work by blocking a receptor in the ...Aug 26, 2022 · The bottom line. Zolpidem is a sleep medication that can interact with other medications and substances. Opioids, benzodiazepines, and alcohol can have dangerous interactions with zolpidem. They can lead to more drowsiness, dizziness, and even cause trouble breathing. Zolpidem may also interact with some antidepressants. Key takeaways: Hydroxyzine (Vistaril) is a medication used for allergies, itching, and anxiety. It interacts with several medications and alcohol. Opioid pain medications and other antihistamines, such as diphenhydramine (Benadryl), interact with hydroxyzine. Combining them can cause severe drowsiness and raise the chance of …There are 1 drugs known to interact with benzonatate, along with 1 disease interaction. Of the total drug interactions, 1 is moderate.dizziness, numbness or tingling in the mouth, throat, or face, numbness in the chest, choking feeling, chills, and. burning in the eyes. Rare side effects of Benzonatate include: none. This is not a complete list of side effects and other serious side effects or health problems that may occur as a result of the use of this drug.Benzonatate does not interact with dextromethorphan, and they can be used together. As mentioned though, there have not been studies evaluating the effects of the combination, and whether or not they work better together compared to either agent alone. Benzonatate With Mucinex (Guaifenesin) May Be Another Optionconfusion, hallucinations, unusual thoughts or behavior; little or no urinating; severe constipation; or. slow heart rate, weak or shallow breathing. Serious side effects may be more likely in older adults and those who are overweight, malnourished, or debilitated. Common side effects of Guaiatussin AC may include: constipation; or.

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Article Highlights. Benzonatate is a medication commonly prescribed for cough relief. While it can be highly effective in treating cough symptoms, it's essential to …Benzonatate is a unique antitussive medication with sodium channel-blocking properties that may cause severe, life-threatening toxicity in overdose, including coma, seizures, ventricular dysrhythmias, and cardiac arrest. Prescribing healthcare workers, dispensing pharmacists, patients, and caregivers should be aware of this toxicity and the new ...Tylenol can be taken on its own, but there are many multi-symptom cold & flu remedies that also contain acetaminophen as an active ingredient. These include: Alka-Seltzer Plus Cold & Flu. Contac Cold + Flu. Coricidin HBP Cold & Flu. Equate Cold & Flu Multi-Symptom Relief. Mucines Cold & Flu. Robitussin Multi-Symptom Cough Cold + Flu."The Agency does not have a position on the concept you have proposed," an official wrote back in an email. Whatever the solution, the drug industry will need to be spurred to change, says Hussain ...Here's how you can watch Google's 2023 I/O developer conference keynote, which kicks off 10AM PT on Wednesday May 10th. Happy developer conference season to you and yours. Google’s...Fortunately, at recommended doses, benzonatate is not known to cause respiratory depression, which is stated in the prescribing information for the drug: Benzonatate Monograph. PubChem. In our latest question and answer, the pharmacist discusses whether or not it is safe to combine Tessalon Perles with alcoholic beer. constipation; itching, rash; or. stuffy nose. Some of these side effects may result from chewing or sucking on a benzonatate capsule. Common side effects may include: This is not a complete list ... Apr 13, 2018 · The acetaminophen is the only medication in this combination that doesn’t help treat cough, but it will help with pain and fever. If you don’t have any pain or fever then the acetaminophen isn’t adding any additional benefit. Summary. CVS Nite Time Cold and Flu is safe to take with benzonatate. Tramadol can slow or stop your breathing, and death may occur. A person caring for you should give naloxone and/or seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up. Tramadol may cause serious side effects. Call your doctor at once if you have:Each benzonatate capsule USP contains: Benzonatate, USP 100 mg. Benzonatate capsules USP also contain: bloom gelatin, glycerin, purified water, medium chain triglycerides, lecithin, isopropyl alcohol, nitrogen. 100 mg capsules also contain D&C Yellow No. 10. Each capsule also contains black iron oxide, propylene glycol, hypromellose as ...Mixing large amounts of alcohol with a high dosage of benzonatate can increase the risk of serious side effects. You may feel more drowsy, dizzy, or nauseous if you drink alcohol with benzonatate. If you’re feeling sick with a cough, you’ll want to avoid alcohol anyway to ensure your immune system works at its best. ….

Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Data sources include Micromedex (updated 1 Apr 2024), Cerner Multum™ (updated 21 …dextromethorphan food. Applies to: Coricidin HBP Cold Cough and Flu Maximum Strength (acetaminophen / dextromethorphan / guaifenesin) Alcohol can increase the nervous system side effects of dextromethorphan such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience impairment in thinking and judgment.Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat. Confusion. Hallucinations. Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome): Burning or tingling of the tongue, mouth, throat, or face. Dizziness.Benzonatate (Tessalon Perles) received an overall rating of 5 out of 10 stars from 520 reviews. See what others have said about Benzonatate (Tessalon Perles), including the effecti...No, benzonatate (generic for Tessalon) will not loosen mucus. It acts only as a cough suppressant. If you are looking for a medication to help clear congestion and mucus, a drug like guaifenesin would be more appropriate. Additionally, to treat sinus pressure, a nasal decongestant like pseudoephedrine would be an option that is often recommended.Each benzonatate capsule USP contains: Benzonatate, USP 100 mg. Benzonatate capsules USP also contain: bloom gelatin, glycerin, purified water, medium chain triglycerides, lecithin, isopropyl alcohol, nitrogen. 100 mg capsules also contain D&C Yellow No. 10. Each capsule also contains black iron oxide, propylene glycol, hypromellose as ...Benzonatate does not treat the underlying cause of the cough. According to a 2001 literature review, more than 29 clinical studies have assessed benzonatate for the treatment of cough in more than 2,100 patients. A systematic review of the literature of benzonatate for cough was published in 2023.Pediatric. Doxycycline may cause permanent discoloration of the teeth and slow down the growth of bones. This medicine should not be given to children 8 years of age and younger (except for the treatment of exposure to inhalational anthrax or rickettsia infection), unless directed by the child's doctor.Benzonatate, sold under the brand name Tessalon among others, is a medication that is used for the symptomatic relief of cough. A 2023 systematic review found that there is inadequate evidence to support the effectiveness and safety of benzonatate for cough and highlighted rising safety concerns. Benzonatate is taken by mouth. Effects generally …If you have HIV/AIDS, you may have an increased sensitivity to sulfonamide medications. Always tell your doctor about your sensitivities to medication. There are no diagnostic tests for sulfa allergy. However, sulfa desensitization might be an option, especially if medication containing sulfamethoxazole is needed. Does benzonatate have acetaminophen in it, Amoxicillin is available in doses of 250 mg, 500 mg and 1 g. These are administered in different combinations depending upon the clinical condition. Amoxicillin is used as a 500 mg oral or intravenous drug. In treating simple pneumonias, amoxicillin is prescribed as a 500 mg oral medication given 2 to 3 times a day for a variable duration of time depending …, Drink plenty of fluids while taking this medication. Fluids will help to break up mucus and clear congestion. Improper use of this medication (abuse) may result in serious harm (such as brain ..., This medication is used to treat coughs caused by the common cold and other breathing problems (such as pneumonia, bronchitis, emphysema, asthma)., Numbness and tingling of the mouth, tongue, throat, and face have happened when this drug was broken, crushed, chewed, dissolved, or sucked before taking. Choking and very bad allergic reactions have also happened. If numbness or tingling happens, do not eat or drink until it goes away. If you have an allergic reaction or if …, Benzonatate comes as a liquid-filled capsule and a capsule to take by mouth. It is usually taken three times a day as needed. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take benzonatate exactly as directed., Hypersensitivity to benzonatate or related compounds. WARNINGS . Hypersensitivity Severe hypersensitivity reactions (including bronchospasm, laryngospasm and cardiovascular collapse) have been reported which are possibly related to local anesthesia from sucking or chewing the capsule instead of swallowing it., There are 1 drugs known to interact with benzonatate, along with 1 disease interaction. Of the total drug interactions, 1 is moderate., Your kid has the sniffles. You figure you'll stop at the drugstore to pick up something to make him feel better. Not so fast! While fever reducers like Tylenol are safe for all age..., This may increase nervous system side effects such as drowsiness, dizziness, lightheadedness, difficulty concentrating, and impairment in thinking and judgment. In severe cases, low blood pressure, respiratory distress, fainting, coma, or even death may occur. With certain long-acting formulations of narcotic pain medication, consumption of ..., Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical …, Benzonatate is a prescription cough suppressant approved for adults and children over the age of 10. The recommended dosage is 100 mg to 200 mg up to three times a day as needed for cough. Be sure to swallow the capsule whole — don’t hold it in your mouth or break it open. You shouldn’t take more than 600 mg of benzonatate in a …, Common side effects. Benzonatate can result in some minor side effects, like drowsiness, dizziness, headache, nausea, and constipation. As most medications can, it can cause a rare allergic reaction in some peoples. Most alarming, however, are the advanced side effects that can come with using the drug., For oral dosage form (capsules): For cough: Adults and children 10 years of age and older—100 milligrams (mg) three times a day. Do not take more than 200 mg at one time or more than 600 mg per day. Children younger than 10 years of age—Use is not recommended., The acetaminophen is the only medication in this combination that doesn’t help treat cough, but it will help with pain and fever. If you don’t have any pain or fever then the acetaminophen isn’t adding any additional benefit. Summary. CVS Nite Time Cold and Flu is safe to take with benzonatate., Spirit Airlines is suing the U.S. Department of Transportation for access to Southwest Airlines' former flights at Newark Liberty International Airport next summer. Spirit Airlines..., Pediatric. Doxycycline may cause permanent discoloration of the teeth and slow down the growth of bones. This medicine should not be given to children 8 years of age and younger (except for the treatment of exposure to inhalational anthrax or rickettsia infection), unless directed by the child's doctor., Benzonatate is used to relieve coughing. It starts working about 15–20 minutes after you swallow it. Its effects last for 3–8 hours. Benzonatate may be used as …, Numbness and tingling of the mouth, tongue, throat, and face have happened when this drug was broken, crushed, chewed, dissolved, or sucked before taking. Choking and very bad allergic reactions have also happened. If numbness or tingling happens, do not eat or drink until it goes away. If you have an allergic reaction or if numbness or ..., Acetaminophen is pregnancy category B during all three trimesters, making it the pain reliever of choice for pregnant patients. 8 Acetaminophen does appear to cross the placenta, but three studies that involved over 10,000 newborn infants have shown no increased risk of malformations in newborns exposed to acetaminophen in the first …, Prescription medicines that can raise your glucose include: Steroids (also called corticosteroids). They treat diseases caused by inflammation, like rheumatoid arthritis, lupus, and allergies ..., DB00868. Background. Benzonatate is an oral antitussive drug used in the relief and suppression of cough in patients older than ten years of age. 3 Currently, benzonatate is the only non-narcotic antitussive available as a prescription drug. 2 It works to reduce the activity of cough reflex by desensitizing the tissues of the lungs and pleura ... , Abstract. Drug-induced liver injury (DILI) is common and nearly all classes of medications can cause liver disease. Most cases of DILI are benign, and improve after drug withdrawal. It is important to recognize and remove the offending agent as quickly as possible to prevent the progression to chronic liver disease and/or acute liver failure., Others have more. For example: Ibuprofen is the active ingredient in Advil® and Motrin®. Ibuprofen is an NSAID. Naproxen is the active ingredient in Aleve®. Naproxen is an NSAID. Acetaminophen is the active ingredient in Tylenol®. Aspirin, acetaminophen, and caffeine are the active ingredients in Excedrin®., Benzonatate can cause central nervous problems such as dizziness, hallucinations, confusion, or extreme drowsiness. Call a doctor or other healthcare professional if benzonatate is causing serious CNS impairment. Medical help may also be necessary if experiencing side effects like chills or chest numbness. 8., Benzonatate does not treat the underlying cause of the cough. According to a 2001 literature review, more than 29 clinical studies have assessed benzonatate for the treatment of cough in more than 2,100 patients. A systematic review of the literature of benzonatate for cough was published in 2023. , Using dextromethorphan together with promethazine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. You should avoid or limit the use of alcohol while being treated with these ..., Acetaminophen is the most common drug ingredient in America. More than 600 medicines contain acetaminophen. These include both prescription medicines and medicines available without a prescription, also called “over-the-counter,” or “OTC” medicines. To prevent acetaminophen overdose, you need to be able to read labels and recognize when their medicines contain acetaminophen. The active ..., Benzonatate may cause serious side effects including: confusion, difficulty breathing, difficulty speaking, visual hallucinations, shortness of breath, tightness in the chest, and. wheezing. Get medical help right away, if you have any of the symptoms listed above., Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Data sources include Micromedex (updated 1 Apr 2024), Cerner Multum™ (updated 21 …, Aug 14, 2023 · dry mouth, nausea, vomiting, constipation; tremors, fast or irregular heart rate; or. feeling anxious, restless, nervous, or irritable. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. Hycodan side effects (more detail) , Key takeaways: Cyclobenzaprine (Amrix) is a muscle relaxant that can interact with many medications. This includes many antidepressants, sedatives, and anticholinergic medications like diphenhydramine (Benadryl). Cyclobenzaprine interactions raise the risk of side effects. These include serotonin syndrome, sleepiness, and dry mouth., lightheadedness. drowsiness. nervousness. restlessness. nausea. vomiting. stomach pain. Side effects are usually not too common when you use Robitussin DM as recommended, but nausea is more common ..., No 50 mg tramadol does not contain Acetaminophen. There is a tramadol 37.5 mg that has acetaminophen in it. If the 50 mg had acetaminophen in it, your prescription would have had to read tramadol 50 mg/acetaminophen 325 mg. There are plain Tramadol or Ultram tablets then there are tramadol/acetaminophen (APAP) or …