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UltramPain Medicine / Ultram
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Information about Ultram

Tramadol is an analgesic that is used to treat moderate to moderately severe pain. Mechanism of action is the decreasing of brain's perception and response to pain and reducing of the size or magnitude of the pain signal passed from one nerve to another.

You should not use Tramadol in case you have any condition mentioned below: you are allergic to any ingredient in Tramadol; you have severe diarrhea due to taking an antibiotic; you are intoxicated with alcohol, other opioids or narcotics (eg, morphine, codeine), sedatives or sleeping medicines (eg, temazepam, zolpidem), or other medicines; you are taking nefazodone, carbamazepine, or sodium oxybate (GHB).

In such cases it is obligatory to consult with your doctor or health care provider before taking this drug.

Before using Tramadol

Before using Tramadol you should tell your doctor if you have any medical conditions listed below: you are pregnant, planning to become pregnant, or are breast-feeding a baby; you are taking any prescription (especially depression medicines) or nonprescription medicine, herbal preparation, or dietary supplement; you have allergies to medicines, foods, or other substances; you are allergic to codeine, a codeine-related medicine (eg, hydrocodone, dihydrocodeine, oxycodone), morphine, or a morphine-related medicine (eg, hydromorphone); you have a history of alcohol abuse, substance abuse, or suicidal thoughts or behaviors; you have or recently have had any head injury, brain injury or tumor, increased pressure in the brain, or infection of the brain or nervous system; you have a history of stomach or intestinal problems, asthma or other lung or breathing problems, epilepsy, seizures, or chronic inflammation or ulceration of the bowels; you have had recent abdominal surgery; you have heart problems, liver problems (eg, hepatitis), kidney problems, thyroid problems, enlargement of the prostate gland, or urinary problems.

Be aware that Tramadol may interact with some medicines. Consult with your health care provider in case you are taking any other drugs, especially any of the following: carbamazepine because it may decrease Tramadol 's effectiveness and increase the risk of seizures; certain medicines for mental or mood disorders (eg, olanzapine, haloperidol), cyclobenzaprine, isoniazid, other opioid pain medicine (eg, codeine, hydrocodone), phenothiazines (eg, promethazine), sleeping medicines (eg, zolpidem), sodium oxybate (GHB), tricyclic antidepressants (amitriptyline), or weight loss medicines (eg, phentermine) because side effects, including excessive drowsiness, trouble breathing, liver problems, or seizures, may be increased; furazolidone, monoamine oxidase (MAO) inhibitors (eg, phenelzine), nefazodone, selegiline, or selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine) because they may cause serious and sometimes fatal reactions, including restlessness, fever, excessive sweating, confusion, twitching, and seizures; oral anticoagulants (eg, warfarin) because its side effects, including bleeding, may be increased by Tramadol; digoxin because the risk of side effects, including nausea, vomiting, or slow heartbeat, may be increased by Tramadol.

It may not be a complete list of all interactions with other drugs. To prevent any complications you should check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Tramadol

Use Tramadol as prescribed by your doctor. It is recommended to take Tramadol orally with or without food.

In case you miss a dose of Tramadol, take it as soon as possible. If it is almost time for your next intake, skip the missed dose and take it according to your regular dosing schedule. Do not take double doses to catch up.

Important safety information

Be careful when driving, operating machinery, or performing other hazardous activities as Tramadol usage may lead to dizziness or drowsiness. Try to avoid such activities. Do not take alcohol while using Tramadol as it causes an increase in breathing and/or liver problems. Sleeping pills, tranquilizers, sedatives, and antihistamines may increase drowsiness. Use them only under the supervision of your doctor.

Alcohol, hot weather, exercise, or fever may increase dizziness while taking Tramadol. To prevent it, you should sit up or stand slowly, especially in the morning. It is also recommended to sit or lie down at the first sign of this effect.

Notice your doctor or dentist that you take Tramadol before you undergo any medical or dental care, emergency care, or surgery.

The ELDERLY are likely to be more sensitive to Tramadol effects. Use it with caution in this group.

Do not use Tramadol in CHILDREN younger than 16 years old as safety and effectiveness in these children have not been proved.

PREGNANCY and BREAST-FEEDING

Tramadol is known to be harmful to unborn baby. In case you could become pregnant, consult with your doctor and discuss the benefits and risks of using Tramadol while pregnancy. It is known that Tramadol passes into breast milk. Avoid breast-feeding a baby while taking Tramadol.

Tramadol may not work properly in case it is used for long periods of time without a break. It is TOLERANCE. You should know that it is not effective to increase the dose in such situation. Do not take more than prescribed and consult with your doctor in case Tramadol stops working well.

The other condition you may experience in case you take Tramadol for a long time without a break is DEPENDENCE. In this situation you may have WITHDRAWAL symptoms. They include anxiety; diarrhea; fever, runny nose, or sneezing; goose bumps and abnormal skin sensations; nausea; vomiting; pain; rigid muscles; rapid heartbeat; seeing, hearing or feeling things that are not there; shivering or tremors; sweating; and trouble sleeping.

Possible side effects of Tramadol

You should consult with your doctor in case you have any of side effects especially bothersome listed below: constipation; diarrhea; dizziness; drowsiness; increased sweating; loss of appetite; nausea.

Seek emergency immediately in case you have any of these severe side effects: severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); agitation; fainting; fever; incoordination; muscle stiffness or tremor; seizures.

What is the expiration date of the pills?

This information is mentioned on each blister. The expiration date is 2 years from the date of manufacture.

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