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Generic Name: Tramadol Tablets (TRA-ma-dole)
Brand Name: Ultram

Ultram is used for:

Treating moderate to moderately severe pain.

Ultram is an analgesic. It works in confident areas of the brain as well as nervous system to decrease pain.

Do NOT take Ultram if:

• you are allergic to any ingredient in Ultram
• you possess severe diarrhea due to taking an antibiotic
• you are intoxicated with alcohol, other opioids or narcotics (eg, morphine, codeine), sedatives or sleeping medicines (eg, temazepam, zolpidem), or other medicines
• you are taking nefazodone, carbamazepine, or sodium oxybate (GHB)

Contact your doctor or health care provider fair away incase any of these apply to you.

Before taking Ultram :

Some health examination conditions might work with Ultram . Tell your doctor or pharmacist incase you possess any health examination conditions, especially incase any of the following apply to you:

• incase you are pregnant, planning to become pregnant, or are breast-feeding
• incase you are taking any prescription (especially depression medicines) or nonprescription medicine, herbal preparation, or dietary supplement
• incase you possess allergies to medicines, foods, or other substances
• incase you are allergic to codeine, a codeine-related medicine (eg, hydrocodone, dihydrocodeine, oxycodone), morphine, or a morphine-related medicine (eg, hydromorphone)
• incase you possess a history of alcohol abuse, substance abuse, or suicidal thoughts or behaviors
• incase you possess or recently possess had any head injury, brain injury or tumor, increased pressure in the brain, or infection of the brain or nervous system
• incase you possess a history of stomach or intestinal problems, asthma or other lung or breathing problems, epilepsy, seizures, or chronic inflammation or ulceration of the bowels
• incase you possess had recent abdominal surgery
• incase you possess heart problems, liver problems (eg, hepatitis), kidney problems, thyroid problems, enlargement of the prostate gland, or urinary problems

Some MEDICINES MIGHT WORK with Ultram . Tell your health care provider incase you are taking any other medicines, especially any of the following:

• Carbamazepine because it might decrease Ultram 's effectiveness as well as increase the risk of seizures
• Confident medicines for mental or mood disorders (eg, olanzapine, haloperidol), cyclobenzaprine, isoniazid, other opioid pain medicine (eg, codeine, hydrocodone), phenothiazines (eg, promethazine), sleeping medicines (eg, zolpidem), sodium oxybate (GHB), tricyclic antidepressants (amitriptyline), or weight loss medicines (eg, phentermine) because side effects, including excessive drowsiness, trouble breathing, liver problems, or seizures, might be increased
• Furazolidone, monoamine oxidase (MAO) inhibitors (eg, phenelzine), nefazodone, selegiline, or selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine) because they might cause humorless as well as sometimes fatal reactions, including restlessness, fever, excessive sweating, confusion, twitching, as well as seizures
• Oral anticoagulants (eg, warfarin) because its side effects, including bleeding, might be increased by Ultram
• Digoxin because the risk of side effects, including nausea, vomiting, or unhurried heartbeat, might be increased by Ultram

This might not be a total list of all interactions that might occur. Ask your health care provider incase Ultram might work with other medicines that you take. Check with your health care provider before you start, halt, or change the dose of any medicine.

How to take Ultram :

Take Ultram as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Ultram by mouth with or without food.
• Incase you miss a dose of Ultram , take it as soon as likely. Incase it is almost time for your next dose, skip the missed dose as well as go back to your normal dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you might possess about how to take Ultram .

Substantial safety information:

• Ultram might cause drowsiness as well as dizziness. These effects might be worse incase you take it with alcohol or confident medicines. Take Ultram with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Do not drink alcohol or take medicines that might cause drowsiness (eg, sleep aids, muscle relaxers) while you are taking Ultram ; it might add to their effects. Ask your pharmacist incase you possess questions about which medicines might cause drowsiness.
• Ultram might cause dizziness; alcohol, hot weather, exercise, or fever might increase this effect. To halt it, sit up or stand slowly, especially in the morning. Sit or lie down at the earliest sign of this effect.
• Tell your doctor or dentist that you take Ultram before you receive any health examination or dental care, emergency care, or surgery.
• Take Ultram with caution in the ELDERLY; they might be more sensitive to its effects.
• Ultram should not be used in CHILDREN younger than 16 years old; safety as well as effectiveness in these children possess not been confirmed.
• PREGNANCY as well as BREAST-FEEDING: Ultram has been shown to cause harm to the fetus. Incase you think you might be pregnant, contact your doctor. You will need to discuss the benefits as well as risks of taking Ultram while you are pregnant. Ultram is found in breast milk. Do not breast-feed while taking Ultram .

When used for extended periods of time or at high doses, Ultram might not work as well as well as might require higher doses to obtain the alike effect as when originally taken. This is known as TOLERANCE. Talk with your doctor incase Ultram stops working well. Do not take more than prescribed.

Some people who take Ultram for a extended time without a break might develop a material need to continue taking it. This is known as material DEPENDENCE. Incase you suddenly halt taking Ultram , you might experience WITHDRAWAL symptoms including anxiety; diarrhea; fever, runny nose, or sneezing; goose bumps as well as abnormal skin sensations; nausea; vomiting; pain; rigid muscles; rapid heartbeat; seeing, hearing or feeling things that are not there; shivering or tremors; sweating; as well as trouble sleeping.

Likely side effects of Ultram :

All medicines might cause side effects, however many people possess no, or minor, side effects. Check with your doctor incase any of these most ORDINARY side effects persist or become bothersome:

Constipation; diarrhea; dizziness; drowsiness; increased sweating; loss of appetite; nausea.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); agitation; fainting; fever; incoordination; muscle stiffness or tremor; seizures.

This is not a total list of all side effects that might occur. Incase you possess questions or need health examination advice about side effects, contact your doctor or health care provider. You might report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

Incase OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms might include bluish skin; chilly clammy skin; difficult or unhurried breathing; drowsiness leading to unresponsiveness or coma; excessive sweating; loss of function in the heart as well as lungs; nausea as well as vomiting; pinpoint pupils; seizures; stomach or intestinal pain.

Store Ultram at 77 degrees F (25 degrees C). Brief storage at temperatures between 59 as well as 86 degrees F (15 as well as 30 degrees C) is permitted. Store away from heat, moisture, as well as light. Do not store in the bathroom. Keep Ultram out of the reach of children as well as away from pets.

Common information:

• Incase you possess any questions about Ultram , please talk with your doctor, pharmacist, or other health care provider.
• Ultram is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• Incase your symptoms do not improve or incase they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Ultram . Incase you possess questions about the medicine you are taking or would similar more information, check with your doctor, pharmacist, or other health care provider.