Does Tramadol HCL 50mg contain APAP (acetaminophen)?

I don't know

If at all possible you need to avoid Tylenol completely. It destroys one's liver and does not get rid of inflamation as aspirin does. It should be avoided at all cost as it is not clear how much it takes to do irreparable damage. Some people are very sensitive to it and can have adverse liver reaction at an extremely low dose!

All APAP means is Acetametaphin. Tramadal/ Ultram comes in APAP, but to overdose, I am thinking you would have to take alot. but what you will not have an Overdose at the quantity that you are taking now. And By the way I didn't know they made APAP Tablets, I guess they are just straight acetametaphin pills. Hope we answered your question.And if you are worried, why don't you ask your DR to Switch you to Vicodin or Percocet they are both AAPAP but a little bit stronger than Tramadal.
NYGUY44.

No 50 mg tramadol does not contain Acetaminophen. There is a tramadol 37.5 mg that has acetaminophen in it. If the 50 mg had acetaminophen in it, your prescription would have had to read tramadol 50 mg/acetaminophen 325 mg.

There are plain Tramadol or Ultram tablets then there are tramadol/acetaminophen (APAP) or Ultracet tablets. Look at the label on the pharmacy bottle. It should tell you if there is APAP. It may list a generic as tramadol/APAP or the brand name is Ultracet. If the bottle doesnt list APAP, then you probably have the plain ones and it is ok to take the extra APAP tabs in addition. Plain tramadol is a smaller tablet as well. Tramadol/APAP is bigger because of the APAP and will be about the size of a plain APAP tab. If you are still unsure, call your pharmacist and ask what you have been dispensed and ask if there is APAP in it. He/She will be able to tell you easily.