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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 constipation, diarrhea, nausea, vomiting, stomach pain; or Generic Name: tramadol (TRAM a dol) Brand Names: ConZip, Ultram low cortisol levels - nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness; or 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. Ultram can be taken with or without food, but take it the same way each time. Tramadol is not for use in children. 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Using this medicine by inhalation or injection can cause life-threatening side effects, overdose, or death. 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 Ultram (tramadol) is a narcotic-like pain reliever. Overview Breastfeeding Warnings 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 What should I avoid? See also: Side effects (in more detail) What other drugs will affect Ultram? Stop taking all other around-the-clock narcotic pain medications when you start taking Ultram. 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. Do not stop using Ultram suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using Ultram. Call your doctor at once if you have: a history of drug or alcohol addiction; Important information Tramadol can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are taking Ultram. Do not drink alcohol. Dangerous side effects or death can occur when alcohol is combined with Ultram. Add to My Med List severe asthma or breathing problems; 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. More Pregnancy Warnings What happens if I overdose? 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. feeling nervous or anxious. Common Ultram side effects may include: 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. seizure (convulsions); Before taking this medicine 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. 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. Slideshow weak or shallow breathing; See also: Dosage Information (in more detail) What happens if I miss a dose? You should not take Ultram if you are allergic to tramadol, or if you have: a history of drug abuse, alcohol addiction, mental illness, or suicide attempt. 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. What is Ultram? 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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. if you have recently used alcohol, sedatives, tranquilizers, or narcotic medications. User Reviews 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. Dosage 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. 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