Product name as reported
Acetaminophen Tramadol Hydrochloride: adverse event reports filed with FDA
799 reports list it as a suspect or interacting product, 2007–2026.
- 799
- reports as suspect product
- 0% of all reports · about 41 a year
- 208
- reports, 12 months to June 2026
- 182 in the 12 months before
- 99%
- marked serious by the reporter
- 57.4% across all reports
- 20.3%
- record death among outcomes, as reported
- 162 reports · not verified by FDA
Between February 2007 and June 2026, 799 adverse event reports received by FDA list the product name "Acetaminophen Tramadol Hydrochloride" as reporters wrote it as a suspect or interacting product. Reports that mention it only as a concomitant medication (1,087) are left out of every figure here.
In the 12 months to June 2026, 208 reports listed it, up 14% from 182 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 41 reports a year and 0% of the 20,646,523 reports in the database. How many people take it is not in the data, so a count is not a rate of occurrence.
Reporters most often recorded off label use (34.7%), drug ineffective (32.9%) and nausea (29.2%). A report can list several reactions, so shares add to more than 100%; 528 different terms appear across these reports. Off label use is recorded in 34.7% of these reports, against 4.1% of all reports in the database.
99% of the reports are marked serious by the reporter; 20.3% record death among the outcomes and 41.6% record hospitalisation, as reported. 33.5% of the reports came from other health professionals, and the largest patient age group is 18 to 44 (27.2%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."
Reports by month, five years
Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.
By year received
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Acetaminophen Tramadol Hydrochloride reports recording the termall reports in the database
- Off label useused for a purpose or in a way not on the label34.7%277
- Drug ineffectivethe medicine did not work as expected32.9%263
- Nauseafeeling sick29.2%233
- Product use in unapproved indicationused for a purpose not on the label26.8%214
- Hyperhidrosisexcessive sweating20.7%165
- Sedationdrowsiness from a medicine20.5%164
- Nightmarenightmares19.3%154
- Dyspnoeashortness of breath18.8%150
- Vomitingbeing sick18.8%150
- Nephrolithiasiskidney stones16.5%132
- Painpain, site not specified15.1%121
- Drug intolerancethe medicine was not tolerated14.6%117
- Malaisegeneral feeling of being unwell14.6%117
- Headachehead pain14.5%116
- Condition aggravatedthe condition being treated got worse14.1%113
- Drug hypersensitivityan allergic-type reaction to a medicine13.1%105
- Hypertensionhigh blood pressure12.6%101
- Arthralgiajoint pain11.6%93
- Hypersensitivityan allergic-type reaction11.6%93
- Rheumatoid arthritisrheumatoid arthritis, an inflammatory joint disease11.5%92
- Hand deformity11.4%91
- Wheezingwheezing11.4%91
- Glossodynia10.9%87
- Joint swellinga swollen joint10.9%87
- Maternal exposure during pregnancythe mother took the medicine during pregnancy10.9%87
- Pneumonialung infection10.6%85
- Confusional stateconfusion10.5%84
- Hepatic enzyme increasedraised liver enzymes10.5%84
- Infusion related reactiona reaction during or soon after an infusion10.5%84
- Rashskin rash10.5%84
Top 30 of 528 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the share of all reports in the database; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."
Outcomes recorded
Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 20,646,523 reports. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."
Patients and reporters
Patient age
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 2.3% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Migraine | 141 | 17.6% |
| Pain | 63 | 7.9% |
| Analgesic therapy | 19 | 2.4% |
| Foetal exposure during pregnancy | 18 | 2.3% |
| Back pain | 14 | 1.8% |
| Depression | 7 | 0.9% |
The indication field is filled in by the reporter and is often blank; shares are of all 799 reports.
In context
| Measure | Acetaminophen Tramadol Hydrochloride | All reports |
|---|---|---|
| Reports as suspect product | 799 | 20,646,523 |
| Share of that pool | — | 0% |
| Reports, latest 12 months | 208 | 1,332,454 |
| Marked serious | 99% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 203 | 91 |
| Hospitalisation recorded, per 1,000 reports | 416 | 213 |
| Consumer-filed share | 23.2% | 45.8% |
| Top term, share of reports | Off label use 34.7% | 4.1% |
Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."
Questions about Acetaminophen Tramadol Hydrochloride reports
How many adverse event reports has FDA received for Acetaminophen Tramadol Hydrochloride?
799 reports list Acetaminophen Tramadol Hydrochloride as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 208 of them arrived in the latest 12 months. Another 1,087 list it only as a concomitant medication.
What reactions are recorded in Acetaminophen Tramadol Hydrochloride reports?
off label use (34.7%), drug ineffective (32.9%), nausea (29.2%), product use in unapproved indication (26.8%) and hyperhidrosis (20.7%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Acetaminophen Tramadol Hydrochloride was responsible.
How serious are the reports?
99% are marked serious by the reporter. Among the outcomes recorded, 20.3% of reports include death and 41.6% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.
Who files these reports?
other health professional (33.5%), physician (33.3%) and consumer or non-health professional (23.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Acetaminophen Tramadol Hydrochloride rising?
208 reports in the 12 months to June 2026, up 14% from 182 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.
Do these reports show that Acetaminophen Tramadol Hydrochloride was responsible for these reactions?
No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.
Is this a list of the side effects of Acetaminophen Tramadol Hydrochloride?
No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.
How do I report an adverse event?
Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.
Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Acetaminophen Tramadol Hydrochloride as a suspect or interacting product; reports listing it only as a concomitant medication (1,087) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.
Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.