Hi 33,No, Tramadol does not contain acetaminophen.
In fact, generic tramadol hydrochloride is one option doctors prescribe often for pain relief because it is both efficient and less addictive.
I'm an ex-opioid user and I take 3 Tramadol 50mg a day plus about 4 ex. strength Tylenols. My liver is fine. I just have to be responsible.
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