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Ultram is narcotic like pain reliever. Ultram belongs to the class of medications called opiate (narcotic) analgesics. It works in the brain to change the way your body feels and responds to the pain.


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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.

Side effects

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.

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20 Apr 2014 Q: Is there any negative side effect of Ultram?A: No, not really because this medicine is well tolerated and side effects are usually temporary and mild.
06 Jan 2013 Q: What is the mechanism of action of Ultram pain reliever pill?A: Ultram is a synthetic pain relief tablet, which decreases the pain by binding the brain receptors that transmitting the sensation of pain throughout the body.
29 Jun 2014 Q: Is there any chance of drug dependence after taking Ultram?A: Yes, Ultram can cause psychological or physical addiction similar to other narcotics drugs, so it’s better to use this medicine for a short period of time to prevent any dependency.
11 Nov 2014 Q: Is there any chance of damage caused by Ultram drug?A: Ultram may enhance the central nervous system and respiratory depression when combined with anesthetics, sedative hypnotics, alcohol, narcotics, and tranquilizers. This can decrease the level of alertness or lead to breathing problem.
20 Feb 2015 Q: Why doctor usually prescribe Ultram in the chronic pain?A: Ultram is used to control severe pain because it has many effective and active pain relief chemical components.
06 Apr 2015 Q: I have very severe pain in my shoulder muscle and I am taking Ultram for my condition, but I also have a depression problem. Can I continue to take this drug?A: No, you should stop taking Ultram and discuss with your doctor because this medicine may cause serotonin syndrome when combined with other anxiety medicines.
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Date published: 04/14/2015