Q. Can we use Tramadol and Acetaminophen for viral fever?

Answered by
Dr. Anshul Varshney
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 08, 2016 and last reviewed on: Sep 20, 2019

Hi doctor,

My brother, who is 27 years old, is having viral fever and the temperature was 103 degrees Fahrenheit since yesterday night. He has been complaining of slight fever for the past five days. We had blood tests and the urine test done yesterday and both were normal. We are using the following tablets now. Calpol 650 mg and Amoxicillin-Potassium Clavulanate. He has cough with some wheezing and the doctor said it is chest infection and so keep using the tablets. Please suggest any alternative medicine. Can we use Acetaminophen and Tramadol combination here?



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  • There is no role of Tramadol and Acetaminophen in treating fever. This may help just in body pain if associated.
  • I suppose that he should continue with Paracetamol 650 mg 6 to 8 hourly along with Amoxicillin for fever.
  • For chest congestion and cough, you can add up a combination of Levocetirizine and Montelukast. Consult your doctor, discuss with him or her and take the medicine with consent.

For further information consult a general medicine physician online -->

Thank you doctor,

The fever has reduced today morning, but he has had vomiting sensation since morning. Please advise.



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  • Tramadol would cause vomiting sensation and it would persist till its level in blood vanishes. So, stop Tramadol.
  • I suggest a combination of Pantoprazole and Domperidone for relief.

For further information consult a general medicine physician online -->

Thank you doctor,

The fever has reduced, but he is coughing very hard. He is saying that there is some mucus in his lower throat and his neck muscles are paining. In the morning we have given him Cefpodoxime Proxetil and Dolo 650 and at night Montelukast and Levocetirizine tablet. Can we change the antibiotic? Can we use Moxifloxacin? Please suggest.



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  • There is no need to change the antibiotics if the fever has responded. The cough associated with viral fever takes time to improve.
  • You can discuss with your doctor about adding up a bronchodilator syrup like Asthakind expectorant (Bromhexine, Guaifenesin and Terbutaline) for relief from cough along with these ongoing medicines.

For further information consult a general medicine physician online -->

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