Since X-rays do not show soft tissues, your pain might stem from tendon strain, ligament overuse, or biomechanical issues like flat feet. Since Ultracet (tramadol/acetaminophen) and Tendomac haven't provided lasting relief, a helpful next step would be getting an MRI of the affected areas to check the soft tissues. I also highly recommend a physical therapy evaluation to assess your walking alignment, and consulting a rheumatologist to safely rule out other joint conditions.

While three days of using your prescribed Ultracet (tramadol/acetaminophen), Anobliss (nifedipine/lidocaine), and Cremaffin syrup may not be enough time for complete healing, persistent pain when sitting or coughing warrants attention. This can happen with inflamed hemorrhoids or a small rectal tear. I highly recommend contacting your doctor for a quick follow-up to ensure you are on the right track. In the meantime, taking warm water sitz baths for 15 minutes can provide gentle, soothing relief to the area.

Please do not self-medicate with any new drugs. Your worsening headache and new-onset vomiting are critical warning signs that require immediate medical evaluation. Taking pain relievers like Ultracet regularly for three months can cause "medication overuse headaches," which actually worsen pain. Furthermore, vomiting prevents oral medicines from being absorbed and can lead to dangerous dehydration. You need to visit a doctor or an emergency room immediately. They can safely administer intravenous medications to stop the vomiting, manage the severe pain, and investigate whether your anemia has recurred or if there is another underlying cause. Please seek professional medical care right away.

Regarding your 10-month-old, please temporarily hold breastfeeding. Because of the recent overdose of Ultracet (tramadol/acetaminophen), these medications can accumulate in breast milk and pose safety risks, such as extreme sleepiness or breathing difficulties, for your baby. The safety of the antibiotics also depends on the specific type you received. Please consult your treating physician or a lactation specialist before resuming breastfeeding. In the meantime, you may want to pump and discard your milk to maintain your supply.

Ultracet tablets cannot be purchased online in India. This is because Ultracet contains tramadol, a controlled substance under Indian drug regulations due to its potential risk of misuse and dependence. As per the law, Ultracet may only be dispensed by licensed offline pharmacies and must be strictly under the supervision of a qualified medical practitioner.

Ultracet is a controlled prescription medicine and is generally not available for online sale. It can usually be obtained only from offline pharmacies upon presentation of a valid doctor’s prescription. Due to regulatory restrictions, stock availability may sometimes be limited. Hospital pharmacies or pharmacies associated with the prescribing doctor are often the most reliable places to obtain Ultracet.