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IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using  Ultram.

TRAMADOL - ORAL (TRAH-muh-dall)

COMMON BRAND NAME(S): Ultram

What is Ultram

Ultram is a medication used for pain relief.

How to Use Ultram

Take Ultram by mouth as prescribed. Ultram is usually taken every 4 to 6 hours as needed. Use Ultram exactly as prescribed. Do not increase your Ultram dose, use Ultram more frequently or use Ultram for a longer period of time than prescribed because Ultram can be habit-forming. Also, if Ultram is used for an extended period of time, do not suddenly stop using Ultram without your doctor's approval. When Ultram is used for extended periods, Ultram may not work as well and may require different dosing. Consult your doctor if Ultram stops working well.

Ultram Side Effects

Ultram may cause dizziness, weakness, incoordination, nausea or vomiting, stomach upset, constipation, headache, drowsiness, anxiety, irritability, dry mouth, or increased sweating. If any of these effects of Ultram persist or worsen, inform your doctor. Notify your doctor if you develop any of these serious effects while taking Ultram: chest pain, rapid heart rate, skin rash or itching, mental confusion, disorientation, seizures, tingling of the hands or feet, trouble breathing. In the unlikely event you have an allergic reaction to Ultram, seek immediate medical attention.

Ultram symptoms of an allergic reaction include: rash, itching, swelling, dizziness, breathing trouble. If you notice other effects not listed above, contact your doctor or pharmacist.

Ultram Precautions

Tell your doctor your medical history, especially of: kidney disease, liver disease, seizure disorder, lung disease, history of medication or alcohol dependency, any allergies you may have while taking Ultram. Limit alcohol as it may add to the dizziness or drowsiness effects caused by Ultram. Because Ultram may make you dizzy/drowsy, use caution performing tasks requiring alertness such as driving. Ultram should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Tramadol (Ultram) is excreted into breast milk. Because the Ultram effects on a nursing infant are not known, consult your doctor before breast- feeding if planning to take Ultram.

Ultram Medication Interactions

Before taking Ultram, tell your doctor of all and non medications you may use, especially of: carbamazepine, narcotic pain relievers (e.g., codeine), medications used to aid sleep, antidepressants (e.g., SSRI-types such as fluoxetine or fluvoxamine), MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, procarbazine, selegiline, tranylcypromine), psychiatric medicine (e.g., nefazodone), "triptan"-type medications, anti-anxiety medications (e.g., diazepam), sibutramine. Also, report use of certain antihistamines (e.g., diphenhydramine) which are also present in many cough-and-cold products. Do not start or stop Ultram or any medicine without doctor or pharmacist approval.

Ultram Overdose

If Ultram overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of Ultram overdose may include cold and clammy skin, low body temperature, slowed breathing, slowed heartbeat, drowsiness, dizziness, lightheadedness, deep sleep, loss of consciousness, or seizures.

Ultram Notes

Do not share Ultram with others.

Ultram Missed Dose

If you miss a Ultram dose, take Ultram as soon as remembered; do not take Ultram if it is near the time for the next Ultram dose, instead, skip the missed dose and resume your usual dosing schedule. Do not double the Ultram dose to catch up.

Ultram Storage

Store Ultram at room temperature between 59 and 86 degrees F (15 to 30 degrees C) away from heat and light. Do not store Ultram in the bathroom. Keep Ultram and all medications out of the reach of children.


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