Percocet Vs Tramacet (Page 7)
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Hi. I'd like information comparing Percocet (Oxycodone / Acetaminophen) and Tramacet (Tramadol hydrochloride / Acetaminophen). Is Percocet a stronger more powerful pain killer than Tramacet? If so, by how much? If you have been taking Percocet are you likely to get the same effect from Tramacet? Is there a chart somewhere that compares or ranks all pain killers comparatively? If so please tell me where. Thanks - good health to you all

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In my country, neither of these combination drugs are available. Oxycodone is sold as an instant release (OxyNorm) capsule and modified release (OxyContin) tablet, the i/r being either 5, 10 or 20mg and the m/r form 10, 20, 40 or 80mg. Tramadol, which, Verwon, IS in fact an opioid, is only available in 50mg i/r capsules and 100, 150 and 200mg m/r tablets. No combinations, and no generics; OxyContin, having been introduced in 1996, can not be made generically until 2016. Only the original brand is available. Same goes for the tramadol, only available from Grunenthal, brand-name ZYDOL (Ultram in the USA). As oxycodone is a MUCH stronger drug (I have taken 40mg an hour ago and feel the effect still, despite my having been prescribed them for a long time) I would imagine that the combinations would show a similar difference in strength. Tramadol, which they tried with me many years ago, just could not cope with my pain at all, and also had a few unwanted side-effects. Oxycodone is a much more useful drug for severe pain, but I imagine that tramadol would be useful for light to moderate pain. It is probably the weakest of the opioids. Personally I can't see the need for these combinations when low doses like 10mg OxyContin and 50mg Zydol are available. What difference would paracetamol make, save perhaps lowering a fever? It has never been much of an effective analgesic to me, but is extremely useful in the case of high temperature. Paracetamol (acetaminophen in the USA) is a very dangerous drug, responsible for more deaths than any other single drug. It is highly hepato-toxic, and its almost universal availability, even in corner shops, is worrying. So many teenage 'cries for help' turn out to be funerals because of this drug. As I said, I see no reason to make these combination drugs; low dose therapy on the pure drug would be more effective I should think.
However the answer to the question is in no doubt - any drug containing oxycodone will be a lot stronger and effective than one containing tramadol. For sure. Use a search engine to look for a 'narcotic equivalence table', most of which are geared towards a 'standard' of 10mg morphine, as benzodiazepine tables are with 10mg diazepam. I know of at least three tables on the net; the differences are minimal and the best show all the information relevant - half-lives and comparison with 10mg morphine sulphate being what one would want to be seeing.

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I have been taking tramacet for about 6 months for chronic pain. It has been one of the few medications that worked. After I had surgery, I was prescribed percocet because apparently tramacet thins your blood, and I had to avoid it for a couple of weeks. I found absolutely no help from the percocet whatsoever.
Tramacet does seem to have more side effects in the beginning, but if it's something you take regularily, it's suppossed to be less addictive as well.

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My doc recently got me to try Tramacet instead of the 4-6 Percocet per day I usually take. I found it (the Tramacet) to be no where near as effective for pain control and in addition, I got the worst headaches I have ever experienced.
If your Percocet, Endocet... whatever are effective - keep taking them. The side effects are minimal compared to Tramacet.
(and the Tramacet is pricey.

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She asked about Tramacet not Tramadol. Tramacet is an opiate as is Percocet. As for the chart listing different opiates and their strengths, I would like to see that also.

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The Tramadol is not actually a narcotic, it is derived from an opiated, but it is not actually one, so it is therefore nowhere near as strong as the Percocet, which contains a strong narcotic Oxycodone.

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