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a history of drug or alcohol addiction;
Before taking this medicine
To make sure Ultram is safe for you, tell your doctor if you have:
severe asthma or breathing problems;
Keep track of the amount of medicine used from each new bottle. Tramadol is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.








feeling nervous or anxious.

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
itching, sweating, flushing (warmth, redness, or tingly feeling).
Get emergency medical help if you have any signs of an allergic reaction to Ultram: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.




Your pharmacist can provide more information about Ultram.
Some medicines can interact with tramadol and cause a serious condition called serotonin syndrome . Be sure your doctor knows if you also take medicine for depression, mental illness, Parkinson's disease, migraine headaches, serious infections, or prevention of nausea and vomiting. Ask your doctor before making any changes in how or when you take your medications.
It is not known whether Ultram will harm an unborn baby. If you use tramadol while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant.
Ultram is used to treat moderate to severe pain.

Ultram (tramadol) is a narcotic-like pain reliever.
Generic Name: tramadol (TRAM a dol) Brand Names: ConZip, Ultram


Ultram ER (extended-release) is for around-the-clock treatment of pain that is not controlled by other medicines.

if you have recently used alcohol, sedatives, tranquilizers, or narcotic medications.
Do not crush or break an extended release Ultram ER tablet. Swallow the tablet whole to avoid exposure to a potentially fatal dose.

headache, dizziness, drowsiness, tired feeling;

More Pregnancy Warnings


Tramadol is not for use in children. Seek emergency medical attention if a child has taken this medicine and has: noisy breathing, sighing, slow breathing with long pauses between breaths; being unusually sleepy or hard to wake up; blue colored lips.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. A tramadol overdose can be fatal, especially in a child or other person using the medicine without a prescription. Overdose symptoms may include slow breathing and heart rate, severe drowsiness, cold and clammy skin, and fainting.
Ultram is more likely to cause breathing problems in older adults and people who are severely ill, malnourished, or otherwise debilitated.
What is Ultram?

Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.

See also: Side effects (in more detail) What other drugs will affect Ultram?
low cortisol levels - nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness; or
Support Group Q & A
infertility, missed menstrual periods;



Dosage


Some medicines can cause unwanted or dangerous effects when used with tramadol. Tell each of your healthcare providers about all medicines you use now, and any medicine you start or stop using.



a history of head injury, epilepsy or other seizure disorder;


If you use the Ultram ER extended-release tablet, the tablet shell may pass into your stools (bowel movements). This is normal and does not mean that you are not receiving enough of the medicine.
Ultram side effects

What happens if I overdose?
liver or kidney disease;

Interactions


Tramadol can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are taking Ultram.


a history of drug abuse, alcohol addiction, mental illness, or suicide attempt.
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Ultram may impair your thinking or reactions. Avoid driving or operating machinery until you know how this medicine will affect you. Dizziness or severe drowsiness can cause falls or other accidents.
constipation, diarrhea, nausea, vomiting, stomach pain; or
User Reviews

Ultram can be taken with or without food, but take it the same way each time.
Tramadol may be habit-forming, even at regular doses. Take this medicine exactly as prescribed by your doctor. Never share the medicine with another person. MISUSE OF NARCOTIC PAIN MEDICATION CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or other person using the medicine without a prescription.

Drug Images
Many drugs can interact with tramadol, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here. Tell each of your health care providers about all medicines you use now and any medicine you start or stop using.
Store at room temperature away from moisture and heat.


a metabolic disorder; or


Consumer resources Ultram Ultram (Advanced Reading) Other brands: ConZip , Ryzolt , Rybix ODT Professional resources Ultram (AHFS Monograph) Ultram (FDA) Other formulations Ultram ER Ultram ODT Related treatment guides Back Pain Chronic Pain Pain
How should I take Ultram?

Overview
a stomach disorder; or
Important information
impotence, sexual problems, loss of interest in sex; or
You should not take Ultram if you have used alcohol, sedatives, tranquilizers, or narcotic medications within the past few hours.
Ultram can slow or stop your breathing, especially when you start using this medicine or whenever your dose is changed. Never take Ultram in larger amounts, or for longer than prescribed. Do not crush or break an extended-release pill. Swallow it whole to avoid exposure to a potentially fatal dose.



Seizures have occurred in some people taking tramadol. Talk with your doctor about your seizure risk, which may be higher if you have:

Slideshow
seizure (convulsions);
a blockage in your stomach or intestines;



Where can I get more information?

Taking this medicine with other drugs that make you sleepy or slow your breathing can cause dangerous or life-threatening side effects. Ask your doctor before taking Ultram with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures.



Take Ultram exactly as prescribed. Follow all directions on your prescription label. Ultram can slow or stop your breathing, especially when you start using this medicine or whenever your dose is changed. Never take Ultram in larger amounts, or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in relieving your pain.
Do not drink alcohol. Dangerous side effects or death can occur when alcohol is combined with tramadol. Check your food and medicine labels to be sure these products do not contain alcohol.
Never crush or break a Ultram tablet to inhale the powder or mix it into a liquid to inject the drug into your vein. This practice has resulted in death with the misuse of tramadol and similar prescription drugs.


Stop taking all other around-the-clock narcotic pain medications when you start taking Ultram.


Do not stop using Ultram suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using Ultram.





Breastfeeding Warnings
severe skin reaction - fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.
Seizures (convulsions) have occurred in some people taking this medicine. Ultram may be more likely to cause a seizure if you have a history of seizures or head injury, a metabolic disorder, or if you are taking certain medicines such as antidepressants, muscle relaxers, narcotic, or medicine for nausea and vomiting
Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
More about Ultram (tramadol) Side Effects During Pregnancy or Breastfeeding Dosage Information Drug Images Drug Interactions Support Group Pricing & Coupons En Espanol 196 Reviews - Add your own review/rating Generic Availability

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Ultram only for the indication prescribed.
See also: Dosage Information (in more detail) What happens if I miss a dose?


Call your doctor at once if you have:
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
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Do not give this medication to anyone younger than 16 years old without the advice of a doctor. Ultram ER should not be given to anyone younger than 18 years old.

Do not crush an Ultram tablet. This medicine is for oral (by mouth) use only. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhalation or injection can cause life-threatening side effects, overdose, or death.


weak or shallow breathing;
Tell your doctor if you are pregnant. Ultram may cause life-threatening withdrawal symptoms in a newborn.



Common Ultram side effects may include:

if you are also using certain medicines to treat migraine headaches, muscle spasms, depression, mental illness, or nausea and vomiting.
Do not drink alcohol. Dangerous side effects or death can occur when alcohol is combined with Ultram.


Side Effects
Ultram may also be used for purposes not listed in this medication guide.
What should I avoid?
Tramadol may be habit forming and should be used only by the person it was prescribed for. Never share Ultram with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Selling or giving away Ultram to any other person is against the law.



You should not take Ultram if you are allergic to tramadol, or if you have:
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