Ultram is used for the management of moderate to severe pain. Extended release tablets are used for
moderate to moderately severe chronic pain in adults.
Dosage and administration
Take Ultram by mouth as directed by your doctor. Don’t crush or break it and swallow whole. It is usually
taken 4 to 6 hours as needed for pain relief.
The tablet can be taken with or without food. If you feel nausea then you must take it with food.
The dosage is based on your medical condition and response to treatment. The dose may be increased
gradually by your doctor to reduce risk of side effects.
The maximum recommended dose is 400 mg per day.
It will work best when you use Ultram for the first signs of pain occur. Severe pain can worsen the
You should avoid Ultram if you have used alcohol, sedative, tranquilizers or narcotic medications within
past few hours.
Ultram may be habit forming even at regular dose. Misuse or overuse of this drug can cause addiction.
Tell your doctor if you are pregnant as Ultram may cause life threatening addiction and withdrawal
symptoms in a newborn.
Don’t drink alcohol as it may result in severe side effects when it is combined with Ultram.
Don’t crush the Ultram tablet. Powder from a crushed tablet should not be inhaled or diluted with liquid
and injected into the body.
You should not take Ultram if you have severe asthma or breathing problems, a blockage in stomach, a
history of head injury, epilepsy, seizure disorder, alcohol addiction, liver or kidney disease and metabolic
Don’t stop using Ultram suddenly as it can result in unpleasant withdrawal symptoms.
Ultram is generally well tolerated and side effects are usually transient. Common side effects include
nausea, constipation, dizziness, headache, drowsiness, vomiting. Some of these effects may decrease by
using this medication. Seek medical help promptly of any of these effects persist. Tell your doctor if
serious effects including mood swings, difficult urination, or severe stomach or abdominal pain, fainting,
chest pain, rapid heartbeat, trouble breathing, hallucinations, extreme drowsiness occur.