• Generic Name or Active Ingridient: Tramadol
Drug Class: Ultram > Tramadol > Analgesic > Opioid Agonist.

Ultram is a narcotic-like pain reliever prescribed to treat moderate to severe pain. Doctors prescribe Ultram extended-release for patients with chronic pain requiring round the clock coverage. Ultram is the brand name for tramadol. Learn More About Ultram Uses


Ultram is available in pill or disintegrating tablet form to be taken by mouth only. Take Ultram with or without food, but take it the same way each time. Swallow the Ultram tablets whole; allow the disintegrating form to dissolve in your mouth without chewing. Do not crush Ultram tablets. Never inhale or inject Ultram. Doing so may result in life-threatening side effects, overdose or death.

If you miss a dose, take another dose as soon as you remember. If it is nearly time to take your regular dose, skip the missed dose and resume the normal schedule. Do not take extra medicine in an effort to make up for the missed dose.

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The active ingredient in Ultram, tramadol, is a centrally-acting synthetic analgesic, meaning tramadol works in certain areas of the brain and nervous system to decrease pain.

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Tell your doctor if you are allergic to Ultram or any other medication. An allergic reaction is a serious, potentially life-threatening medical emergency. Seek immediate help if you experience an allergic reaction shortly after taking Ultram. Symptoms of an allergic reaction include

You may not be able to take Ultram if you have a history of certain medical conditions. Tell your doctor about any serious or chronic illnesses including

Ultram can make you drowsy. Do not operate heavy machinery or drive a car until you know how Ultram affects you. Avoid engaging in risky behavior that requires you to be alert and awake. Alcohol and some medications can enhance this effect. Do not consume alcohol while taking Ultram. Drinking alcohol may worsen side effects.

This drug can be habit-forming, especially if you take it for long periods of time. Tell your doctor if you have a history of dependence or addiction to drugs or alcohol. Your physician may choose a different course of treatment or adjust your dosage accordingly.

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It is not known how taking Ultram can affect your unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while taking Ultram. If you become pregnant while taking Ultram, call your doctor immediately. Ultram is found in breast milk. Do not take Ultram while breastfeeding.

Don't stop taking Ultram suddenly; doing so may cause unpleasant withdrawal symptoms. Try weaning yourself from Ultram by taking smaller doses less frequently. If withdrawal symptoms prevent you from quitting Ultram, talk with your doctor or qualified in-patient or out-patient rehabilitation center. More Warnings About Using Ultram

Drug Interactions

Ultram may interact in an unfavorable or even dangerous way with other prescriptions, over-the-counter medications and herbal remedies. Give your doctor a complete and updated list of medicines. Be sure to tell your doctor if you take any of the following drugs: antifungal medications, digoxin, erythromycin, MAO inhibitors, and medications for anxiety, mental illness, nausea, and pain. You may not be able to take Ultram if you are taking medications to control seizures or if you are taking muscle relaxants, sedatives, sleeping pills, SSRIs, tranquilizers, tricyclic antidepressants and warfarin.

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Side effects

You may experience side effects while taking Ultram. If side effects become acute or don't go away on their own, talk with your doctor. Common side effects include dizziness or a spinning sensation, constipation, upset stomach, headache, drowsiness or feeling nervous or anxious.

Some side effects can be severe or life-threatening. Seek medical assistance immediately if you experience severe side effects such as:

  • Agitation.
  • Hallucinations.
  • Fever.
  • Fast heart rate.
  • Overactive Reflexes.
  • Nausea, Vomiting or Diarrhea.
  • Loss of Coordination.
  • Fainting.
  • Seizure.
  • A Red, Blistering, Peeling Skin Rash.
  • Shallow Breathing.
  • Weak Pulse.

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Ultram overdose is a serious, life-threatening medical emergency. If you suspect that you or someone you know has taken an overdose of Ultram, seek emergency assistance immediately by going to the emergency room or calling an ambulance. If you are a very long distance from professional help, contact your local poison control center at 1-800-222-1222. Overdose symptoms include:

  • Extreme Drowsiness.
  • Shallow Breathing.
  • Muscle Weakness.
  • Slow Heartbeat.
  • Cold or Clammy Skin.
  • Fainting.
  • Seizure.

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Ultram is a Schedule II drug, which means it carries a significant risk for abuse and physical as well as psychological dependence. Pharmaceutical companies legally manufacture Ultram for licit use as a pain reliever but abusers obtain Ultram through forged prescriptions, bogus prescription call-ins to pharmacies, "doctor shopping" as well as theft from pharmacies and friends. Read More About Ultram Abuse


Withdrawal is not necessarily a sign of willful substance abuse. Withdrawal is a normal, predictable, physical sign of dependency. Withdrawal symptoms may appear after you stop taking Ultram, especially if you have been taking high doses or using the opioid for a long period of time. Withdrawal symptoms and duration vary from person to person. Withdrawal symptoms may be so intense that they prevent you from quitting Ultram without medical assistance. Speak with your physician if withdrawal symptoms prevent you from quitting Ultram.


You may need the help of qualified professionals to help you detoxify your body from Ultram or other opioids. Strong withdrawal symptoms may make dependency and addiction to Ultram difficult to overcome without help. Quitting may be more difficult if you have been taking large doses or using Ultram for a long time. Talk with your doctor or seek in-patient and out-patient treatment facilities where trained professionals can minimize withdrawal symptoms, detoxify your body and give you the tools you need to live without Ultram. Detoxification, rehabilitation and counseling are effective therapies to treat addiction to Ultram and other opiates.

Learn More About Ultram Detoxification Programs


Keep Ultram in a safe place, away from children, pets and adults who might consume this product willfully or accidentally. Store Ultram away from excessive heat and moisture. Never share Ultram or other opioids with others, especially with people with a history of alcohol or drug abuse. Keep track of your medication, taking note of any missing doses.

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