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The following product information is not intended to replace the physician's or manufacturer's instructions.

Ultram common medical uses:
Tramadol is a centrally acting analgesic. Tramadol is used for pain relief. Tramadol affects chemicals and receptors in the body that are associated with pain.

Ultram dosage:
The usual starting dosage for adults is 25 mg a day.
25 mg of tramadol 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.
Tramadol 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.

Ultraml side effects:

Cardiovascular
Postural hypotension (5%); vasodilation (1% to less than 5%).
Central nervous system (CNS)
Dizziness/vertigo (33%); headache (32%); somnolence (25%); stimulation (14%); asthenia (12%); insomnia (11%); weakness (4%); anxiety, confusion, coordination disturbance, depression, euphoria, hypoesthesia, lethargy, malaise, miosis, nervousness, paresthesia, restlessness, sleep disorder, tremor (1% to less than 5%).
Dermatologic
Flushing (16%); pruritus (12%); sweating (9%); dermatitis, skin rash (1% to less than 5%).
EENT
Blurred vision, nasal congestion, nasopharyngitis, rhinorrhea, sneezing, sore throat, visual disturbance (1% to less than 5%).
GastroIntestinal
Constipation (46%); nausea (40%); vomiting (17%); dyspepsia (13%); diarrhea, dry mouth (10%); anorexia (6%); abdominal pain, flatulence, viral gastroenteritis (1% to less than 5%).
Genitourinary
Menopausal symptoms, urinary frequency, urinary retention, urinary tract infection (1% to less than 5%).
Lab Tests
Increased blood CPK (1% to less than 5%).
Metabolic-Nutritional
Decreased appetite, decreased weight (1% to less than 5%).
Musculoskeletal
Rigors (4%); arthralgia, back pain, hypertonia, limb pain, neck pain (1% to less than 5%).
Respiratory
Bronchitis, cough, dyspnea, sinus congestion, sinusitis, upper respiratory tract infection (1% to less than 5%).
Miscellaneous
Influenza, influenza-like symptoms (2%); chest pain, fall, feeling hot, fever, pain, (1% to less than 5%).

Ultram precautions:
Tell your doctor yif you are allergic to tramadol or any other drugs. Limit alcohol as it can add to the dizziness or drowsiness effects caused by the Tramadol. This medication may make you drowsy.Use caution performing tasks requiring alertness such as driving. Discuss the risks and benefits with your doctor if you are pregnant, plan to become pregnant, or are breast-feeding.

Ultram drug interactions

Carbamazepine - may reduce serum tramadol levels, leading to decreased efficacy.
CNS depressants (eg, alcohol, anesthetics, narcotics, phenothiazines, sedative-hypnotics, tranquilizers) - risk of CNS and respiratory depression may be increased.
Digoxin - digoxin toxicity has been reported.
Drugs that reduce the seizure threshold, MAOIs, neuroleptics, other opioids, SSRIs, and tricyclic antidepressants and other tricyclic compounds (eg, cyclobenzaprine) - risk of seizures may be increased.
Quinidine - tramadol plasma levels may be increased; however, the clinical importance of this interaction is not known.
SSRIs - increased risk of serotonin syndrome.
Warfarin - anticoagulant effect of warfarin may be increased.

Pregnancy & Lactation:
Pregnancy Risk Factor: C

Postmarketing reports following tramadol use during pregnancy include neonatal seizures, withdrawal syndrome, fetal death and stillbirth. Not recommended for use during labor and delivery.

Overdose:
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include cold and clammy skin, shallow, weak breathing, low body temperature, difficulty breathing, drowsiness, dizziness, lightheadedness, deep sleep, loss of consciousness, or seizures.

Notes:
Do not share this medication with others.

Missed dose:
If you miss a dose, take the missed dose as soon as you remember it. Do not take it if it is near the time for the next dose, skip the missed dose and continue your usual dosing schedule. Do not double the dose to catch up.

Storage:
Store it at room temperature and away from heat and light. Do not store in the bathroom. Keep this and all medications out of the reach of children. Throw away any medication that is outdated or no longer needed.

Where to order Ultram on-line:
If you would like to purchase Ultram with no prescription, choose the offer for generic formulation from the above table.

References:

1. U.S. Food and Drug Administration. Tramadol (Ultram) U.S. Prescribing Information