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Ultracet is combination medicine it consists of acetaminophen and Tramadol. Like morphine, Tramadol binds to receptors in the brain that are associated with pain. In contrast to morphine, Tramadol binds to receptors in the brain that control how you experience pain. Ultram should not be used in pregnant women or nursing mothers, safe use in pregnancy has not been shown to cause histamine release. Doctors can prescribe or recommend a number of medications to help you find relief from joint pain, stiffness, and swelling. Although Tramadol has a low abuse potential, dependency has been reported.