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            1. Tramadol (Ultram)

              Tramadol (Ultram)

              Brand Names:ConZip, Ryzolt, Ultram, Ultram ER

              Tramadol is a prescription drug that’s used to treat chronic pain.

              The extended-release formulations of tramadol are typically given to people who need round-the-clock pain relief for an extended period of time. They’re not to be used for brief bouts of pain.

              Tramadol is in a class of drugs called opiate (narcotic) analgesics. It works by altering the way your brain and nervous system respond to pain.

              The U.S. Food and Drug Administration (FDA) approved this medicine in 1995.

              Everyday Health


              What is?Tramadol (Ultram)?used for?

              Cerner Multum


              What is the most important information I should know about?Tramadol (Ultram)?

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

              • severe asthma or breathing problems;
              • a blockage in your stomach or intestines;
              • if you have recently used alcohol, sedatives, tranquilizers, or narcotic medications; or
              • if you have used an MAO inhibitor in the past 14 days (such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine).

              Tramadol should not be given to a child younger than 12 years old. Ultram ER should not be given to anyone younger than 18 years old.

              Do not give tramadol to anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids.

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

              • a head injury, epilepsy or other seizure disorder;
              • drug or alcohol addiction; or
              • a metabolic disorder.

              Tell your doctor if you have ever had:

              • breathing problems, sleep apnea;
              • liver or kidney disease;
              • urination problems;
              • problems with your gallbladder, pancreas, or thyroid;
              • a stomach disorder; or
              • mental illness, or suicide attempt.

              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.

              Do not breast-feed. Tramadol can pass into breast milk and cause drowsiness, breathing problems, or death in a nursing baby.

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              User Reviews & Rating

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              Side Effects

              What are the side effects of Tramadol (Ultram)?

              Get emergency medical help if you have signs of an allergic reaction (hives, difficult breathing, swelling in your face or throat) or a severe skin reaction (fever, sore throat, burning in your eyes, skin pain, red or purple skin rash that spreads and causes blistering and peeling).

              This medicine can slow or stop your breathing, and death may occur. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up.

              Call your doctor at once if you have:

              • noisy breathing, sighing, shallow breathing, breathing that stops during sleep;
              • a slow heart rate or weak pulse;
              • a light-headed feeling, like you might pass out;
              • seizure (convulsions); or
              • low cortisol levels--nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness.

              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.

              Serious side effects may be more likely in older adults and those who are overweight, malnourished, or debilitated.

              Long-term use of opioid medication may affect fertility (ability to have children) in men or women. It is not known whether opioid effects on fertility are permanent.

              Common side effects may include:

              • constipation, nausea, vomiting, stomach pain;
              • dizziness, drowsiness, tiredness;
              • headache; or
              • itching.

              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.

              Cerner Multum

              Pregnancy & Breastfeeding

              Can I take?Tramadol (Ultram)?if I’m pregnant or breastfeeding?

              Do not breast-feed. Tramadol can pass into breast milk and cause drowsiness, breathing problems, or death in a nursing baby.

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              What drugs and food should I avoid while taking?Tramadol (Ultram)?

              Do not drink alcohol. Dangerous side effects or death could occur.

              Avoid driving or hazardous activity until you know how this medicine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.

              Cerner Multum

              Dosage Guidelines & Tips

              How to take?Tramadol (Ultram)?

              Use?Tramadol (Ultram)?exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

              Follow the directions on your prescription label and read all medication guides. Never use tramadol in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to take more of this medicine.

              Never share this medicine with another person, especially someone with a history of drug abuse or addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medicine in a place where others cannot get to it. Selling or giving away tramadol is against the law.

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

              Tramadol can be taken with or without food, but take it the same way each time.

              Swallow the capsule or tablet whole to avoid exposure to a potentially fatal overdose. Do not crush, chew, break, open, or dissolve.

              Never crush or break a tramadol pill to inhale the powder or mix it into a liquid to inject the drug into your vein. This practice has resulted in death.

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

              Store at room temperature away from moisture and heat. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.

              Do not keep leftover opioid medication. Just one dose can cause death in someone using this medicine accidentally or improperly. Ask your pharmacist where to locate a drug take-back disposal program. If there is no take-back program, mix the leftover medicine with cat litter or coffee grounds in a sealed plastic bag throw the bag in the trash.

              What should I do if I missed a dose of?Tramadol (Ultram)?

              Since tramadol is used for pain, you are not likely to miss a dose. Skip any missed dose if it is almost time for your next dose. Do not use two doses at one time.

              Cerner Multum

              Overdose Signs

              What happens if I overdose on?Tramadol (Ultram)?

              If you think you or someone else may have overdosed on:?Tramadol (Ultram),? call your doctor or the Poison Control center
              (800) 222-1222
              If someone collapses or isn't breathing after taking?Tramadol (Ultram), call 911
              Cerner Multum

              What to Expect

              If you’re taking a fast-acting form of tramadol, you can expect it to start working within 30 to 60 minutes.

              The extended-release tablets and capsules are gradually released into your body over 12 or 24 hours.

              Extended-release tramadol is used by people who have constant pain for a long time.

              Some people who take tramadol for a prolonged period become tolerant to it.

              The most common side effects are nausea or dizziness.

              Everyday Health

              Additional Dosage Information

              Your dose will depend on how severe your pain is, how sensitive you are to the medicine, and other factors.

              Usually, you’ll be prescribed the lowest possible dose to relieve your pain. You may need to have your dosage adjusted several times before you and your doctor determine what works best.

              While dosages vary, you generally shouldn’t take more than 400 milligrams (mg) of tramadol a day.

              Everyday Health

              Secondary Uses

              Researchers have studied tramadol as an “off-label” treatment to relieve conditions other than pain.

              Some studies suggest tramadol may play a role in helping the following:

              • Anxiety and depression, especially when related to pain
              • Premature ejaculation
              • Restless legs syndrome (RLS)
              Everyday Health


              TV, 58



              Form:?film coated

              Imprint:?TV, 58


              M, T7



              Imprint:?M, T7

              100 ER



              Imprint:?100 ER

              Cerner Multum

              Medical Disclaimer

              Drugs A-Z provides drug information from Everyday Health and our partners, as well as ratings from our members, all in one place. Cerner Multum? provides the data within some of the Overview, Uses, Warnings, Side Effects, Pregnancy, Interactions, Dosage, Overdose, and Images sections. The information within all other sections is proprietary to Everyday Health.?