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ATC N02AJ13 · Opioids in combination with non-opioid analgesics

Tramadol and Paracetamol shortage

As of 2 Nov 2026, Tramadol and Paracetamol has a reported shortage in 5 of the 15 countries we track (Canada, Ireland, Switzerland, Czechia, Japan), covering 11 products from 10 companies.

Countries5/15
Products11packs or presentations
Companies104 listed
Short since7 Jul 20197.3 years ago
Earliest return20 Nov 2026company estimate
Main reasonIncreased demand
United StatesNo reported shortageCanada1 product shortGermanyNo reported shortageFranceNo reported shortageItalyNo reported shortageSpainNo reported shortageIreland1 product shortAustriaNo reported shortageBelgiumNo reported shortageSwitzerland1 product shortCzechia1 product shortNorwayNo reported shortageSwedenNo reported shortageJapan7 products shortAustraliaNo reported shortage

Timeline

CanadaIrelandSwitzerlandCzechiaJapan
20222023202420252026MAR-TRAMADOL/ACET (60 tablets)MAR-TRAMADOL/ACET (60 tablets)Tramadol / Paracetamol Rowa 37.5 mg / 325 mgTramadol / Paracetamol Rowa 37.5 mg / 325 mg Film-coated TabletsTRAMADOL-PARACETAMOL Mepha 75/650 mg 10 Stk TRAMADOL-PARACETAMOL Mepha 75/650 mg 10 Stk TRAMADOL-PARACETAMOL Mepha 75/650 mg 20 Stk TRAMADOL-PARACETAMOL Mepha 75/650 mg 60 StkDORETA 37,5MG/325MG 37,5MG/325MG TBL FLM 90 DORETA 37,5MG/325MG 37,5MG/325MG TBL FLM 90 IIトアラセット配合錠「DSEP」トアラセット配合錠「DSEP」トアラセット配合錠「NIG」トアラセット配合錠「NIG」トアラセット配合錠「サワイ」トアラセット配合錠「サワイ」トアラセット配合錠「オーハラ」トアラセット配合錠「オーハラ」トアラセット配合錠「KMP」トアラセット配合錠「KMP」トアラセット配合錠「トーワ」トアラセット配合錠「トーワ」トアラセット配合錠「杏林」トアラセット配合錠「杏林」today

Solid bars run from the reported start to today; faded bars show the time left until the expected return. An arrow means no return date was given.

Which companies are short

products short, all countries
Marcan1Rowa1Krka1 KRKGDaiichi Sankyo1 4568Nichi-Iko1Sawai1 4887Ohara Pharmaceutical1共創未来ファーマ1Towa (Pensa)1 4553キョーリンリメディオ1

Listed: Krka KRKG · Ljubljana, Daiichi Sankyo 4568 · Tokyo, Sawai 4887 · Tokyo, Towa (Pensa) 4553 · Tokyo

Compared with similar medicines

ATC group N02AJ · Opioids in combination with non-opioid analgesics
Tramadol and Paracetamol5/15Codeine and Paracetamol4/15Oxycodone and Paracetamol2/15

Affected products

CountryProductCompanySinceExpected backReason
CAMAR-TRAMADOL/ACET (60 tablets)MARCAN PHARMACEUTICALS INC7 Jul 2019not givenOther
Other (Please describe in comments)
IETramadol / Paracetamol Rowa 37.5 mg / 325 mg Film-coated TabletsRowa Pharmaceuticals Limited,13 Jul 202620 Nov 2026Increased demand
Unexpected increased demand
CHTRAMADOL-PARACETAMOL Mepha 75/650 mg 10 Stk TRAMADOL-PARACETAMOL Mepha 75/650 mg 20 Stk TRAMADOL-PARACETAMOL Mepha 75/650 mg 60 Stk31 Jul 2026not givenNot stated
CZDORETA 37,5MG/325MG 37,5MG/325MG TBL FLM 90 IIKrka, d.d., Novo mesto, Novo mesto23 Oct 20261 Dec 2026Manufacturing problem
Výrobní důvody
トアラセット配合錠「DSEP」 limited第一三共エスファ10 Feb 2025not givenOther
トアラセット配合錠「NIG」 limited日医工岐阜工場27 Jun 2025not givenIncreased demand
トアラセット配合錠「サワイ」 limited沢井製薬17 Feb 2026not givenIncreased demand
トアラセット配合錠「オーハラ」 limited大原薬品工業1 Oct 2026not givenManufacturing problem
トアラセット配合錠「KMP」 limited共創未来ファーマ13 Oct 2026not givenIncreased demand
トアラセット配合錠「トーワ」 limited東和薬品22 Oct 2026not givenManufacturing problem
トアラセット配合錠「杏林」 limitedキョーリンリメディオ29 Oct 2026not givenIncreased demand

"Expected back" is the date the company gave the authority, when it gave one. Ask a pharmacist about alternatives.