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Tramadol /acetaminophen — Competitive Intelligence Brief
marketed
Opioid analgesic combination
Mu opioid receptor; norepinephrine transporter; serotonin transporter; cyclooxygenase
Pain Management
Small molecule
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Target snapshot
Tramadol /acetaminophen (Tramadol /acetaminophen) — Johnson & Johnson Taiwan Ltd. Tramadol inhibits norepinephrine and serotonin reuptake while acting as a weak opioid agonist, and acetaminophen inhibits prostaglandin synthesis to provide combined analgesic and antipyretic effects.
Comparator set (6 drugs)
| Drug | Generic | Sponsor | Phase | Class | Target | Approval / PDUFA |
|---|---|---|---|---|---|---|
| Tramadol /acetaminophen TARGET | Tramadol /acetaminophen | Johnson & Johnson Taiwan Ltd | marketed | Opioid analgesic combination | Mu opioid receptor; norepinephrine transporter; serotonin transporter; cyclooxygenase | |
| BENZHYDROCODONE | BENZHYDROCODONE | marketed | Opioid analgesic combination; full mu-opioid agonist with non-opioid analgesic | Mu-opioid receptors (primary); delta and kappa opioid receptors (secondary); central nervous system pain pathways | 2018-01-01 | |
| placebo with hydrocodone/APAP PRN | placebo with hydrocodone/APAP PRN | VA Office of Research and Development | marketed | Opioid analgesic combination | Mu opioid receptor (hydrocodone); COX enzymes (acetaminophen) | |
| hydrocodone plus acetaminophen | hydrocodone plus acetaminophen | University of California, Davis | marketed | Opioid analgesic combination | Mu opioid receptor (hydrocodone); COX inhibitor (acetaminophen) | |
| Hydrocodone-Acetaminophen | Hydrocodone-Acetaminophen | Henry Ford Health System | marketed | Opioid analgesic combination | Mu opioid receptor (hydrocodone); COX inhibitor (acetaminophen) | |
| hydrocodone, acetaminophen and ibuprofen | hydrocodone, acetaminophen and ibuprofen | Albany Medical College | marketed | Opioid analgesic combination | Opioid receptors (hydrocodone); COX-1/COX-2 (ibuprofen); unclear (acetaminophen) | |
| PCM/Oxy2 | PCM/Oxy2 | Maastricht University Medical Center | marketed | Opioid analgesic combination | Mu opioid receptor (oxycodone); COX enzymes (paracetamol) |
Recent regulatory actions (last 90 days)
Upcoming PDUFA dates (next 180 days)
Patent timeline (forward window)
Sponsor landscape (Opioid analgesic combination class)
- VA Office of Research and Development · 3 drugs in this class
- Rothman Institute Orthopaedics · 2 drugs in this class
- Labopharm Inc. · 2 drugs in this class
- University of Rochester · 2 drugs in this class
- Montefiore Medical Center · 2 drugs in this class
- Maastricht University Medical Center · 2 drugs in this class
- Henry Ford Health System · 1 drug in this class
- Daewon Pharmaceutical Co., Ltd. · 1 drug in this class
- Albert Einstein College of Medicine · 1 drug in this class
- Johnson & Johnson Taiwan Ltd · 1 drug in this class
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Cite this brief
Drug Landscape (2026). Tramadol /acetaminophen — Competitive Intelligence Brief. https://druglandscape.com/ci/tramadol-acetaminophen. Accessed 2026-06-10.
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