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What is Ultram?
Ultram (tramadol) is a narcotic-like pain reliever.
Ultram is used to treat moderate to severe pain. Ultram
extended-release is used to treat moderate to severe chronic pain when
treatment is needed around the clock.
Ultram may also be used for other purposes not listed in this medication guide.
Before taking Ultram
You should not take Ultram if you are allergic to tramadol, if you
have ever been addicted to drugs or alcohol, if you have ever attempted
suicide, if you are currently intoxicated (drunk), or if you have
recently used any of the following drugs:
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alcohol;
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narcotic pain medicine;
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sedatives or tranquilizers (such as Valium);
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medicine for depression or anxiety;
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medicine for mental illness (such as bipolar disorder, schizophrenia); or
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street drugs.
Seizures have occurred in some people taking Ultram. Your risk of a seizure may be higher if you have any of these conditions:
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a history of drug or alcohol addiction;
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a history of epilepsy or other seizure disorder;
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a history of head injury;
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a metabolic disorder; or
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if you are also taking an antidepressant, muscle relaxer, or medicine for nausea and vomiting.
Talk with your doctor about your individual risk of having a seizure while taking Ultram.
If you have any of these other conditions, your doctor may need to adjust your Ultram dose or order special tests:
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kidney disease (or if you are on dialysis);
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cirrhosis or other liver disease;
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a history of depression, mental illness, or thoughts of suicide.
FDA pregnancy category C. It is not known whether Ultram will harm an
unborn baby. Ultram may cause serious or fatal side effects in a
newborn if the mother uses the medication during pregnancy or labor.
Tell your doctor if you are pregnant or plan to become pregnant while
using Ultram. Tramadol can pass into breast milk and may harm a nursing
baby. Do not use this medication without telling your doctor if you are
breast-feeding a baby. Do not give Ultram to anyone younger than 18
years old without the advice of a doctor.
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