What is Ultram? How is it used?

Ultram is a prescription medication. Ultram’s safety and effectiveness in children under 17 years old are unknown.

What side effects could Ultram have?

Side effects of Ultram include:

  • Loud breathing
  • Sighing.
  • Breathing shallow
  • slow heart rate or weak pulse,
  • lightheadedness,
  • seizure (convulsions),
  • nausea,
  • vomiting,
  • Appetite loss
  • dizziness, an
  • Worsening fatigue or weakness
  • Constipation
  • nausea,
  • vomiting,
  • stomach pain,
  • dizziness,
  • Drooling
  • tiredness,
  • Headache and
  • Itching

If you experience any side effects that are bothersome or persistent, tell your doctor.


  • Substance for Drugs
  • Proper name: tramadol Hydrochloride
  • Chemical name: (+-)cis-2-[(dimethylamine)methyl]-1-(3-methoxyphenyl) cyclohexanol hydrochloride
  • C16H25NO2 *HCl, and 299.84
  • ULTRAM is used in adults to manage severe pain that requires an opioid analgesic. There are no other treatments.

Use with Care

Due to the dangers of addiction, abuse, and misuse of opioids, even at recommended dosages, [see? WARNINGS AND PRECAUTIONS], Reserve ULTRAM for patients who require alternative treatment options (e.g., nonopioid painkillers):
They are not tolerated or expected to be tolerated.

They have not provided sufficient analgesia, or are not expected to provide adequate analgesia.


Important Dosage and Administration Instructions ULTRAM should not be used in conjunction with any other tramadol-containing products. Do not take ULTRAM in a dosage exceeding 400mg per day. Each patient should be given a dosing plan.

Initial Dosage

Ultram is used to initiate treatment

Patients who do not require an immediate onset of analgesic effects can improve their tolerance to ULTRAM by starting therapy at 25 mg/day. To reach 200 mg/day (50mg four times per day), the daily dose can be increased by 50m as tolerated. After titration, ULTRAM 50-100 mg may be given as needed to relieve pain. Not to exceed 400 mg/day.

ULTRAM 50mg to 100mg can be given as required to relieve pain in a subset of patients. Not to exceed 400mg per day.

  • Dosage Modification for Patients with Hepatic Impairment
  • Dosage Modification in Geriatric Patients
  • Maintenance and Titration of Therapy

Individually adjust ULTRAM dosage to provide adequate pain relief and minimize adverse reactions. Continue to evaluate patients who are receiving ULTRAM. This is to determine if they have pain control and to monitor for abuse or misuse.

Reduce the dosage if you experience unacceptable opioid-related adverse effects. To achieve a balance between pain management and opioid-related adverse effects, adjust the dosage.

Discontinuation Of Ultram

If a patient has been taking ULTRAM for a long time and is no longer physically dependent, reduce the dose by 25% to 50% every two to four days. These symptoms or signs may be a sign or symptom of withdrawal. If the patient is physically dependent, do not discontinue ULTRAM abruptly.


Dosage Forms and Strengths

ULTRAM (tramadol hydrochloride) Tablets-50 mg white capsule-shaped coated tablets in capsule form with “ULTRAM” printed on one side and the “06 59” score on the other. Storage and Handling 100 tablets in a bottleNDC50458-659-60 Place in a tightly sealed container. Keep at 20°C to 25°C (68°F to 77°F); you can also store it in a sealed container. [See USP Controlled Room Temperature].


These serious adverse reactions can be described or more in-depth in other sections.
Addiction, abuse, and misuse

Life-Threatening Respiratory Depression

Neonatal Opioid Withdrawal syndrome Interactions between Benzodiazepines and Other CNS Depressants

  • Serotonin Syndrome
  • Seizures
  • Suicide
  • Adrenal Insufficiency
  • Severe Hypotension
  • Gastrointestinal Adverse Reactions
  • Hypersensitivity Reactions
  • Withdrawal

Clinical Trials Experience

They may not reflect actual rates in practice. The majority of these patients were 65-years-old or older. Table 1 shows the cumulative incidence rate for adverse reactions over 7, 30, and 90 days. The most common reactions were 5% or more, with a difference of 5% by 7 days. These trials had similar incidence rates for adverse experiences, ULTRAM and active control groups, TYLENOL #3 (acetaminophen 300mg with codeine phosphate 30, mg) and TYLENOL 325mg with codeine phosphate 30, mg.


ULTRAM is susceptible to abuse, addiction, and criminal diversion.[

It is important to keep accurate records of all prescribing information including frequency, quantity, and renewal requests as required by federal and state law.
Proper diagnosis, proper prescribing practices, and periodic re-evaluation are all important measures to reduce opioid abuse.


After several days or weeks of opioid use, physical dependence may not be clinically significant. ULTRAM should never be stopped abruptly in patients who are physically dependent [see].DOSAGE &ADMINISTRATION[]. Lacrimation? Rhinorrhea? Are you yawning? Perspiration Chills myalgia And mydriasis.


If you suspect that someone has taken too much, or has trouble breathing, administer naloxone to them. . Call 1-800-222-1222 to reach your local poison control center in the USA. Canadian residents can contact a provincial poison control center. Overdose symptoms include slow breathing, irregular heartbeat, seizures, and coma.


Do not share this medication with others. It is against the law to share it. If your doctor has instructed you to, do not take this medication for any other condition. Ask your pharmacist or doctor if you need naloxone to treat an opioid overdose.


Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Without your doctor’s permission, do not change, start or stop any medication.

MAO inhibitors may interact with this medication, which could lead to serious (possibly deadly) drug interactions.

You may have a higher risk of developing serotonin syndrome/toxicity if you take these drugs in larger doses.
They may contain ingredients that can cause drowsiness. Ask your pharmacist for information about the safe use of these products.

The medication can cause false results by interfering with laboratory tests, including amylase/lipase levels. It is important to inform your doctor and laboratory personnel that you are taking this drug.

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