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What is Ultram like?
You may need to take Ultram (Tramadol) to treat pain that can range from moderate to moderately severe. This drug is an opiate agonist that works by changing the way your body senses pain. You will need to take your dose of Ultram once every 3-4 days, or every 5 days if you have been prescribed the extended-release form for round the clock pain relief. Therefore, in most cases your health care provider will recommend taking this drug 4-6 times a day or once a day if it is the extended-release tablet. In case you are allergic to any other opiate pain or cough medications, as well as any other ingredients or substances your tablet may contain, do not take Ultram. The following ones will need to be reported if you are allergic to any of them: hydromorphone, propoxyphene, codeine, oxycodone, Hydrocodone, morphine, or meperidine. This medicine can affect your thinking and coordination. Make sure you do not drive a car or perform other potentially hazardous activities if you are currently taking Ultram, as there is a risk you may not be able to do this task.
Medical conditions to discuss before using Ultram
You will have to talk to your health care provider about any of the following medical conditions you have that may affect the success of your treatment: seizures, lung disease, stomach disorder, depression, stroke, thoughts about harming yourself, infection in your brain or spine, a history of depression, mental illness, or suicide attempt, a head injury, brain tumor, diabetes, suicidal thoughts, breathing problems, kidney or liver disease, and any other ones. The conditions mentioned are important to report, as they are known to worsen side effects Ultram can cause and may require a dose adjustment for you to benefit from the treatment. You will need to let your doctor know if there are any other health aspects you have that may be important to mention - such as pregnancy or breastfeeding. Pregnant or breastfeeding women are not supposed to be taking Ultram as this drug may cause harm to an unborn child.
If you took too much of Ultram
Never use more of Ultram than prescribed, as this may result in a number of unpleasant overdose symptoms such as difficulty breathing, seizure, shallow breathing, extreme drowsiness, fainting, light-headedness, slow heartbeat, cold or clammy skin, heart attack, coma, unconsciousness, extreme weakness, as well as decreased size of the pupil. The overdose symptoms mentioned need to be reported as soon as possible, as an overdose of Ultram can be fatal.
Possible drug interactions with Ultram
Your doctor will need to know about any other drugs you are taking or are planning to take in the future that may affect the success of your treatment with Ultram. You will need to make sure you tell your health care provider about any of the following medications if you are using them at the moment, as interactions are possible: St. John's wort, tranylcypromine, carbamazepine, phenelzine, erythromycin, clomipramine, rifampin, amitriptyline, ketoconazole, citalopram, paroxetine, digoxin, quinidine, warfarin, imipramine, fluvoxamine, desipramine, fluoxetine, isocarboxazid, sertraline, nortriptyline, escitalopram, or selegiline. The list of drug that may interact with Ultram is not complete - there are many other ones that can interact with your medicine and cause unpleasant health effects. You will need to report to your doctor any of the following ones, as they can worsen your side effects and add to the drowsiness you may experience: narcotic pain medicine, depression or anxiety medications, sleeping pills, muscle relaxers, cold or allergy medicine, as well as medicine for seizures.
Should I report any side effects?
The following are possible side effects of Ultram that you will need to report only if they change in intensity or get bothersome: agitation, nausea, dizziness, sweating, itching, vomiting, heartburn, dry mouth, changes in mood, drowsiness, difficulty falling asleep or staying asleep, diarrhea, indigestion, muscle tightness, headache, chills, weakness, constipation, sleepiness, uncontrollable shaking of a part of the body, and nervousness. The side effects mentioned are considered mild and change in intensity only in very rare cases. At the same time more serious side effects are possible and include weak pulse, shallow breathing, swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs, hives, hallucinations, difficulty swallowing or breathing, blistering, peeling skin rash, flu-like symptoms, sores on the inside of your mouth, nose, eyes, or throat, rash, seizures, hoarseness, and some other ones. The serious side effects mentioned will need to be reported to your health care provider right away to make sure you get all the possible benefits of the treatment.
Is it possible to avoid Ultram withdrawal symptoms?
Ultram has been reported to cause an addiction - so you will need to make sure you always tell your health care provider about your plans to take this medicine at larger doses or for a longer time. Make sure your health care provider is aware of the fact you want to stop the treatment, as you will most likely be recommended to try gradual withdrawal and take less and less of this medicine every several days. The following are the possible withdrawal symptoms of Ultram you may experience if you stop taking it suddenly: numbness, chills, nervousness, uncontrollable shaking, panic, diarrhea, runny nose, difficulty staying asleep, pain burning, or tingling in your hands or feet, difficulty falling asleep, hallucinations, cough, sneezing, sweating, hair standing on end, anxiety, nausea, as well as tremors.