Last reviewed · How we verify
Tramadol HCl-Paracetamol — Competitive Intelligence Brief
marketed
Opioid analgesic combination
Opioid receptors (μ, δ, κ); monoamine transporters (norepinephrine, serotonin); cyclooxygenase enzymes
Pain Management
Small molecule
Live · refreshed every 30 min
Target snapshot
Tramadol HCl-Paracetamol (Tramadol HCl-Paracetamol) — Xian-Janssen Pharmaceutical Ltd.. This combination drug reduces pain through dual action: tramadol inhibits monoamine reuptake and activates opioid receptors, while paracetamol inhibits prostaglandin synthesis.
Comparator set (6 drugs)
| Drug | Generic | Sponsor | Phase | Class | Target | Approval / PDUFA |
|---|---|---|---|---|---|---|
| Tramadol HCl-Paracetamol TARGET | Tramadol HCl-Paracetamol | Xian-Janssen Pharmaceutical Ltd. | marketed | Opioid analgesic combination | Opioid receptors (μ, δ, κ); monoamine transporters (norepinephrine, serotonin); cyclooxygenase enzymes | |
| 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 | |
| PCM/Oxy1 | PCM/Oxy1 | Maastricht University Medical Center | marketed | Opioid analgesic combination | Mu opioid receptor (oxycodone); COX enzymes (paracetamol) | |
| Bupivacaine-fentanyl elective group | Bupivacaine-fentanyl elective group | Conrad Arnfinn Bjørshol | marketed | Local anesthetic with opioid analgesic combination | Voltage-gated sodium channels (bupivacaine); mu opioid receptor (fentanyl) | |
| hydrocodone/APAP | hydrocodone/APAP | VA Office of Research and Development | marketed | Opioid analgesic combination | Mu opioid receptor (hydrocodone); COX inhibitor (acetaminophen) | |
| Nalbuphine and morphine | Nalbuphine and morphine | National Taiwan University Hospital | marketed | Opioid analgesic combination | Opioid receptors (mu, kappa, delta) | |
| Standard opioid plus methocarbamol | Standard opioid plus methocarbamol | Prisma Health-Upstate | marketed | Opioid analgesic combination with skeletal muscle relaxant | Mu-opioid receptor (opioid component); central nervous system polysynaptic pathways (methocarbamol component) |
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
Subscribe to ongoing alerts
Push every new event for this competitive set into your RSS reader, IFTTT/Zapier workflow, or email digest:
- Tramadol HCl-Paracetamol CI watch — RSS
- Tramadol HCl-Paracetamol CI watch — Atom
- Tramadol HCl-Paracetamol CI watch — JSON
- Tramadol HCl-Paracetamol alone — RSS
- Whole Opioid analgesic combination class — RSS
Cite this brief
Drug Landscape (2026). Tramadol HCl-Paracetamol — Competitive Intelligence Brief. https://druglandscape.com/ci/tramadol-hcl-paracetamol. Accessed 2026-05-18.
Build your own brief
Pick any drug + add comparators:
https://druglandscape.com/ci/{slug}— auto-detected competitorshttps://druglandscape.com/ci/{slug}?vs=drug1,drug2,drug3— explicit comparators- Brand names auto-resolve:
/ci/keytruda→ 301 →/ci/pembrolizumab