Hello, welcome to Ask a doctor service. I read your query and understand your concern. Ultracet is made of paracetamol and Tramadol. Tramadol is a narcotic pain med so it is impossible to be purchased without prescription.Over-the-counter painkillers include mild analgesics like acetaminophen to more potent analgesic agents like ibuprofen or Naproxen and similar drugs that provide long-term relief. However, most of these are not effective for long-term use. They can give gastritis or ulcer. Hope I have answered your question. Let me know if I can assist you further.