Brand Name: Ultram
Generic Name: Tramadol hydrochloride

Ultram [Tramadol HCl] Description

Tramadol Hydrochloride is an opioid analgesic. The medicine works like a narcotic pain reliever. It minimizes the brain's response to the signals of pain, and numbs the mind to such sensations. It is useful in treating pain in varying conditions. The medicine is considered to be a safe one, as it does not increase the risk of internal bleeding or formation of ulcers in the stomach.

Uses of Ultram

This is used for treating pain in patients who suffer from chronic diseases like cancer, or arthritis; but in osteoarthritis, it is given along with NSAIDs. Ultram is also given to treat acute musculoskeletal pain, as well as for moderate to severe pain in individuals who are recuperating from a surgery, which can also involve a dental procedure.

The safety of Ultram for children below 16 has not been established. For use in children, consult the pediatrician.

How to Use Ultram

Take the medicine exactly as prescribed. The dosage depends on the individual medical condition, and is usually given every 4-6 hours. The extended release tablets should not be crushed or chewed, but swallowed with water. The medicine can be taken without regard to food, but should be taken the same way, every time. Ultram should not be crushed and inhaled, or diluted with water and injected, for this can cause fatal results.

Missed Dose of Ultram

If you miss a dose, consult your doctor. If you remember well in time, you can take the missed dose but if time is nearing for your next dose, leave the missed dose and stick to your normal dosing pattern; don't ever double your dose.

Side-effects of Ultram

Some of the common, less serious side effects may include:-

• Drowsiness/dizziness
• Feeling lethargic
• Nausea, maybe even vomiting
• Constipation
• Loss of appetite
• Blurred vision
• Insomnia
• Flushing.

An allergic reaction can include: rash, itching, labored breathing, severe dizziness, or swelling of the lips/tongue/throat, for which you should contact your doctor for help at once and stop taking the medicine.

Overdose of Ultram

Overdose symptoms can include: shallow breathing, slow heartbeat, seizures, severe dizziness/drowsiness, cold/clammy skin, fainting, or coma. US residents can call the US national poison hotline at 1-800-222-1222. If the victim collapses or stops breathing, call local emergency services at 911.

Interactions of Ultram

Some of the medicines with which Tramadol interacts, are:-

• Tricyclic antidepressants such as Amitriptyline, or Clomipramine
• SSRI/SNRI antidepressants like Citalopram, Duloxetine, or Sertraline
• Anticonvulsants such as Carbamazepine
• Anti-seizure medications like Phenytoin
• MAOIs such as Phenelzine, Rasagiline, or Selegiline
• Antipsychotics like Aripiprazole, or Haloperidol
• Antifungals such as Ketoconazole
• Antihistamines like Promethazine, or Diphenhydramine
• Medicines for TB such as Rifabutin, or Isoniazid
• Medicines for COPD/asthma like Theophylline
• Sleep medicines such as Zolpidem

Storage of Ultram

When you buy Ultram store it at a room temperature of 25 C, away from heat, light and dampness and out of reach of children and pets.

Precautions of Ultram

• Do not take an MAOI at least 2 weeks before or after Ultram.
• Tramadol will work best if taken at the onset of pain. If your pain persists/worsens, consult your doctor.
• When used for long, it may not give as much relief as expected. If such a thing happens, inform your doctor, who may change the dose.
• Those who drive, operate machinery, or perform hazardous tasks, should refrain from doing so, until they know how this medicine affects them and are sure of handling its' effect.
• Ultram is a much-abused drug as it can be habit-forming. It is recommended that you don't overdose neither let anyone else in the house have access to it, and keep a count of the tablets taken by you.
• Do not stop the medicine on your own suddenly, or you will experience unpleasant withdrawal symptoms. Speak to your doctor.

Notes of Ultram

• Read the Patient Information carefully each time you purchase a refill – it may contain new information. Your doctor/pharmacist will be able to tell you more about the uses, precautions, side effects, and interactions linked to this medicine. Discard any unused medicine after your treatment is over.