Ultram

Generic name: Tramadol hydrochloride

What is Ultram?

Ultram is used to manage mild to moderate pain in patients 17 years and older.

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

Ultram has been shown to cause seizures, especially in patients taking certain antidepressants (selective serotonin reuptake inhibitors and tricyclic antidepressants), some opioids, and MAO inhibitors. There is a greater risk of convulsions if you have a history of seizures, epilepsy, have drug/alcohol withdrawal, or a nervous system infection.

Ultram may cause dependence. You should not use it if you have previously been addicted to an opioid.

Who should not take Ultram?

Do not take Ultram if you are allergic to tramadol or any of its other ingredients. Also, do not take this drug if you are currently using alcohol, analgesics, narcotics, opioids, or other antidepressants.

What should I tell my doctor before I take the first dose of Ultram?

Mention all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Ultram. Also, talk to your doctor about your complete medical history, especially if you have a history of drug/alcohol abuse or depression and are currently being treated.

What is the usual dosage?

The information below is based on the dosage guidelines your doctor uses. Depending on your condition and medical history, your doctor may prescribe a different regimen. Do not change the dosage or stop taking your medication without your doctor's approval.

Adults: The usual starting dosage of Ultram for adults over the age of 17 is 25 milligrams (mg) a day. Approximately 25 mg of Ultram should be added every 3 days until you reach a total of 100 mg a day. After this, 50 mg may be added daily until you reach a total of 200 mg a day. After this step by step dose increase, Ultram 50 mg to 100 mg may be taken as needed for pain relief every 4 to 6 hours. Do not exceed 400 mg a day of Ultram.

How should I take Ultram?

Take your daily dose of Ultram in the morning. Only take the recommended dose, and not more. Overdosing may result in depression, seizures, or even death.

What should I avoid while taking Ultram?

Avoid using drugs/alcohol or antidepressants without consulting your doctor first. Usage of these products may cause seizures.

Avoid operating a car or heavy machinery while taking Ultram, as it is known to impair such abilities.

What are possible food and drug interactions associated with Ultram?

If Ultram is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Ultram with the following: carbamazepine; digoxin; MAO inhibitors; opioids; quinidine; SSRIs or tricyclic antidepressants, such as cyclobenzaprine and promethazine; triptans, such as sumatriptan, zolmitriptan, etc.; and warfarin.

What are the possible side effects of Ultram?

Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking this drug.

Side effects may include: constipation, diarrhea, dizziness, dry mouth, headache, itchiness, nausea, sleeplessness, sweating, upset stomach, vomiting, weakness

Can I receive Ultram if I am pregnant or breastfeeding?

The effects of Ultram during pregnancy and breastfeeding are unknown. Tell your doctor immediately if you are pregnant, plan to become pregnant, or are breastfeeding.

What should I do if I miss a dose of Ultram?

Ultram is taken on an as-needed basis when you are experiencing pain. If you miss a dose and have pain, take the missed dose. Do not take a double dose.

How should I store Ultram?

Store at room temperature in an air-tight container.