Even though my MD told me to take two Ultracet before bed for my chronic neck and back pain, I only took one. I'm glad I only took one, because I had the hardest time breathing and my chest felt very constricted! I got kind of scared that I would pass out and stop breathing altogether. Eventually, my breathing improved and the pain subsided, however, it came back with a vengence along with nausea when I woke up the next morning. The next night, I took half a pill, but the effects were the same but slightly diminished. I've decided to leave Ultracet alone as I'm afraid that I'll stop breathing when I fall asleep.