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Tramadol HCI/acetaminophen — Competitive Intelligence Brief
marketed
Opioid analgesic combination
Mu opioid receptor, norepinephrine transporter, serotonin transporter, COX inhibition
Pain Management
Small molecule
Live · refreshed every 30 min
Target snapshot
Tramadol HCI/acetaminophen (Tramadol HCI/acetaminophen) — Janssen-Cilag Ltd.,Thailand. Tramadol inhibits norepinephrine and serotonin reuptake while weakly binding opioid receptors, while acetaminophen inhibits prostaglandin synthesis to provide combined analgesic and antipyretic effects.
Comparator set (6 drugs)
| Drug | Generic | Sponsor | Phase | Class | Target | Approval / PDUFA |
|---|---|---|---|---|---|---|
| Tramadol HCI/acetaminophen TARGET | Tramadol HCI/acetaminophen | Janssen-Cilag Ltd.,Thailand | marketed | Opioid analgesic combination | Mu opioid receptor, norepinephrine transporter, serotonin transporter, COX inhibition | |
| 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 | |
| Codeine/acetaminophen | Codeine/acetaminophen | Montefiore Medical Center | marketed | Opioid analgesic combination | Mu-opioid receptor (codeine); COX enzymes (acetaminophen) | |
| hydrocodone/APAP | hydrocodone/APAP | VA Office of Research and Development | marketed | Opioid analgesic combination | Mu opioid receptor (hydrocodone); COX inhibitor (acetaminophen) | |
| Morphine-Promethazine | Morphine-Promethazine | Tel-Aviv Sourasky Medical Center | marketed | Opioid analgesic combination | Mu-opioid receptor (morphine); H1 histamine receptor (promethazine) | |
| Tylenol with codeine | Tylenol with codeine | National Center for Complementary and Integrative Health (NCCIH) | marketed | Opioid analgesic combination | Mu opioid receptor (codeine); cyclooxygenase enzymes (acetaminophen) | |
| Tramadol HCl/acetaminophen Extended Release | Tramadol HCl/acetaminophen Extended Release | Janssen Korea, Ltd., Korea | marketed | Opioid analgesic combination with NSAID alternative | Mu-opioid receptor; norepinephrine transporter; serotonin transporter |
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 HCI/acetaminophen — Competitive Intelligence Brief. https://druglandscape.com/ci/tramadol-hci-acetaminophen. Accessed 2026-05-16.
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