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Generic name: tramadol [TRAM-a-dol]
The brand names are: Ultram, Ultram Er
Drug class: opioids (narcotic analgesics)

It is believed that the Ultram brand name was removed within the U.S. If there are generic versions of this item that are approved by the FDA, There may be alternatives that are similar to the original.

What is Ultram?

Ultram is a pain medication like an opioid. It is the Central Nervous System (CNS) to ease discomfort. Ultrams can be used in the treatment of moderate and intense pain in adults. The extended-release variant that tramadol comes in (Ultram Er) is designed to provide 24/7 care for pain. Ultram ER is not intended for treatment on a need-to-know basis to treat pain.


Do not use Ultram when you suffer from serious breathing issues or a blockage of your stomach or intestines, or if you've consumed alcohol, sedatives or tranquilizers, narcotic medications, or some form of MAO inhibitor (isocarboxazid, linezolid, methyl blue injections, phenelzine rasagiline, selegiline, tranylcypromine, and many others). Ultram may slow or stop breathing, and it could also cause a habit. A MISUSE OF THIS MEDICAL can lead to addiction, overdose, or even death, particularly in children or another user of the medication without a prescription. Taking Ultram during pregnancy could result in life-threatening withdrawal symptoms for the infant. The risk of fatal side effects could be experienced if you take tramadol along with alcohol or other substances that cause drowsiness or slow breathing.

Prior to use this drug

Ultram is not a good choice. Ultram in case you are allergic to tramadol, or you are:

  • Serious asthma or breathing issues;
  • An upset stomach or obstruction of the bowel (including paralytic ileus);
  • If you've used tranquilizers, sedatives, alcohol, or narcotics such as
  • If you've taken an mao inhibitor within the last fourteen days (such as isocarboxazid, linezolid blue injection, or phenelzine and tranylcypromine),

Ultram shouldn't be given to children who are younger than twelve years of age. Ultram is not recommended to anyone under the age of 18. Don't provide ultrasounds to anyone under 18 years of age who recently underwent surgery to remove tonsils or adenoids. Seizures occur in a few individuals who are taking ultram. Your risk of seizures could be greater if you've been diagnosed with:

  • A head injury to the head, epilepsy, or any other seizure disorder
  • Dependence on alcohol or drugs and
  • A metabolic disorder.

To ensure that ultram is safe for you, inform your doctor if you've ever experienced:

  • Breathing issues, sleep apnea;
  • Kidney disease or liver failure;
  • Problems with urination;
  • Issues with your gallbladder, pancreas, thyroid, or gallbladder;
  • A stomach disorder; or
  • Mental illness or suicide attempts.

If you are taking tramadol during your pregnancy, the baby could be born with potentially life-threatening withdrawal symptoms and could require medical treatment for a period of time.

Talk to a doctor prior to using tramadol in the case of nursing. Tell your doctor when you experience severe sleepiness or a slow breathing rate during the breastfeeding period.

How to take Ultram?

Consume Ultram exactly as directed by your physician. Follow the instructions on the prescription label and study all the medication guidelines. Do not take Ultram in greater quantities or for longer than the time prescribed. Talk to your doctor if you notice an increase in your desire to use more of the medication.

Do not ever share Ultram with someone else, particularly someone who has a history of drug addiction. In the wrong hands, it can cause addiction, overdose, or death. Place the medicine in a location where other people cannot access it. The sale or distribution of the medicine is against the law. Stop taking other opioid medicines when you begin taking Ultram. Ultram can be consumed with or without food; however, it should be taken exactly the same way every time.

Take the tablet entire to be safe from exposure to a fatal overdose. Avoid crushing, chewing, breaking, cracking, opening, or dissolving. Never break or crush the Ultram tablet to inhale powder, or mix it with liquid for injection of Ultram into your vein. This has led to the death of a patient. There are withdrawal symptoms that you may experience in the event that you stop taking your medication abruptly. Talk to your doctor prior to taking the medication off.

Keep it at room temperature, far from heat and moisture. Make a note of your medication. You must be aware if someone is taking it incorrectly or without a prescription. Don't keep anything left over, Ultram. One dose could cause death if someone uses the drug in error or incorrectly. Ask your pharmacist for a disposal program that takes back the drug. If there's no taking-back service, combine the unused medicine with coffee grounds or cat litter in a plastic bag that is sealed and put the bag in the garbage.

Details on dosage

Usual Adult Dose for Pain:

Adults (17 years old or older) Ages 17 and over: 50 to 100 mg taken orally each 4 to 6 hours, as needed to relieve discomfort.
For patients who do not require immediate onset of analgesia Initial dose: 25 mg once orally per day; gradually increase the dose with increments of 25 mg every 3 days until you reach the dosage of 25 mg four times per day. Then increase the dose by 50 mg as needed every 3 days.
Maximum dose: 400 mg per day.

Usual Adult Dose for Chronic Pain:

Extended-Release (ER):
18 years old or older (tramadol-naive) 100 mg once orally every day
Individually titrate in 100 mg increments every 5 days until you reach a dose that limits adverse reactions.
Maximum Dose: 300 mg/day

Patients who are receiving immediate release (IR) ultrasound:
Initial Dose: Determine the 24-hour IR requirement, and then begin an entire daily dose of ER that is rounded down to the lower 100 mg increment. Take it every day, orally.

Conversion from other opioids Do not stop taking any other opioids that are available 24/7 prior to starting treatment.
Initial dose: 100 mg orally every day.
Individually titrate in increments of 100 mg every 5 days until you reach a dose that limits adverse reactions.
Maximum Dose: 300 mg/day.

Usual Geriatric Dose for Pain:

The dosage selection process should be considered cautious, generally beginning at the lower portion of the range of doses.

For more than 75 years:
Maximum dose of immediate-release 300 mg per day.

Usual Geriatric Dose for Chronic Pain:

The dosage selection process should be considered cautious, typically starting at the lower portion within the dosage range.

More than 75 years old:
Maximum dose of immediate-release 300 mg per day.

Usual Pediatric Dose for Pain:

Ultrams are not advised for use in pediatric patients.

Age 17 or older: Refer to Adult Dose.

What happens if I miss the dose?

Because Ultram is a painkiller and pain reliever, you're unlikely to miss a dose. Do not miss any doses when it's time to take the next dose. Do not take two doses at once.

What happens if I overdose?

Get medical attention immediately, or contact us for help at the Poison Help Line at 1-800-222-1222. A fatal overdose could be fatal, particularly for children or anyone else who takes the medicine without a prescription. Overdose symptoms may include severe drowsiness and pinpoint pupils, a slow breathing rate, or a lack of breathing.

The doctor might suggest getting Naloxone (a medication to treat an overdose of opioids) and carrying it on hand throughout the day. The person who is caring for you may give you Naloxone in the event that you lose your breath or don't regain consciousness. The person who cares for you must seek medical attention in an emergency and might need to administer CPR (cardiopulmonary resuscitation) to you as they wait for assistance to arrive.

Naloxone can be purchased from the local pharmacy or health department. Be sure that anyone who cares for you understands where you store naloxone and how to utilize it.

What should be avoided?

Avoid drinking alcohol. Dangerous side effects or even death could happen. Avoid driving and other hazardous activities until you are aware of the effects this medication will have on you. Dizziness or drowsiness could cause accidents, falls, or even serious injuries.

Side effects of Ultram

Contact emergency medical attention when you are experiencing symptoms or warnings of an allergy reaction. Ultram (hives or breathing problems and swelling of your throat or face) or an extreme skin reaction (fever and irritation of your throat and eyes, burning sensations in your eyes, skin irritation, and the skin is red or purple, which spreads and leads to blistering as well as peeling).

Tramadol may slow or stop breathing, and death could occur. Anyone who cares for you must administer naloxone and/or seek medical attention if you experience prolonged breathing, pauses in your breathing, blue-colored lips, or if you find it difficult to get back up.

See your doctor right away if you are suffering from:

  • Loud breathing, sighing breath that is shallow, and sleeping that ceases;
  • A slower heartbeat or a weak pulse
  • A feeling of lightheadedness, as if you're about to pass out.
  • Seizure (convulsions); or
  • Low levels of cortisol low cortisol levels, vomiting, nausea, loss of appetite, dizziness, fatigue that is worsening, or weakness.

Get medical attention immediately if you experience symptoms of serotonin disorder, for example: agitation, hallucinations, fever, sweating, shivering, rapid heart rate, stiffness of muscles, or twitching. Also, you may experience nausea, vomiting, or diarrhea.

The presence of serious breathing issues is more prevalent in older people and those who suffer from debilitation or suffer from the syndrome of wasting or chronic breathing disorders.

The most common ultrasound adverse effects could be:

  • Constipation, nausea, vomiting, and stomach pain;
  • Dizziness, drowsiness, tiredness;
  • Headache Or
  • Itching.

This isn't a complete list of possible side effects, and other side effects could occur. Consult your physician for advice regarding medical adverse effects. You can report any adverse reactions to the FDA at 1-800-FDA-1088.

Interaction with other drugs

You might experience breathing issues or withdrawal symptoms when you take or stop using certain other medications. Inform your doctor if you are also using medication, such as an antibiotic or antifungal medication. blood pressure or heart medications, seizures medication, or medication to treat HIV as well as Hepatitis C.

Other drugs may be harmful when taken together with ultrasound. Tell your doctor if you are also taking:

  • Medication to treat allergies, asthma, allergies, blood pressure, motion sickness, and irritable bowel syndrome, as well as an overactive bladder;
  • Other opioid drugs;
  • A benzodiazepine sedative such as valium, klonopin, or xanax;
  • Sleep medication such as muscle relaxers, sleep medicine, or other medications that can make you sleepy or
  • Medications that alter serotonin levels medications that affect serotonin, like antidepressants and stimulants. They also include medications that treat headaches or parkinson's disease.

This list isn't complete. Other medications can be incompatible with tramadol, such as prescription and over-the-counter medicines, vitamins, and herbal products. The interactions of all drugs are mentioned here.

Other drugs may be harmful when taken in conjunction with ultrasound. Tell your doctor if you are also taking:

  • Medicine for asthma, allergies, motion sickness, blood pressure, and irritable bowel syndrome, as well as an overactive bladder
  • Other opioid medications;
  • A benzodiazepine-based sedative, such as Valium, Klonopin, or Xanax;
  • Sleep aids and muscle relaxers, as well as other drugs that can make you tired;
  • Serotonin-related drugs are medications that affect serotonin, like antidepressants and stimulants. They also include medications for Parkinson's disease.
  • Drugs that alter serotonin levels within your body A stimulant or medication for depression Parkinson's disease, migraine headaches, serious infections, nausea, or vomiting

This list isn't complete. Numerous other medications can interfere with tramadol. This includes prescription and over-the-counter drugs, vitamins, and herbal products. There are many possible interactions between drugs. are included here.