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Ultram (Tramadol)

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Ultram is used to help relieve moderate to moderately severe pain. Ultram is similar to opioid analgesics. It works in the brain to change how your body feels and responds to pain. Pain medications work best if they are used as the first signs of pain occur. If you wait until the pain has worsened, the medication may not work as well.

Other names for this medication:
Adamon, Admadol, Anatram, Arodol, Axedol, Cadol, Cormadol, Decotram, Dolodol, Dolriz, Dolstar, Esgiypyrin, Inodol, Ivydol, Mandol, Medol, Ondol, Oshdol, Radol, Sigmadol, Stemadol, Takol, Tolydol, Tragesic, Tramadol, Tramafen, Tramak, Tramakind, Tramex, Transic, Urogendo, Zotadol

Similar Products:
Luvox, Soma, Risperdal, Glyburide, Ceclor, Neurontin, Urispas, Ventolin, Adalat, Lodine

Also known as: Tramadol


{name} ER is an pain medicine similar to an opioid. This medicine is used to treat moderate to severe pain.

The extended-release form of tramadol is for around-the-clock treatment of pain. This form of tramadol is not for use on an as-needed basis for pain.


Usual Adult Dose for Pain:

Adults (17 years or older): 50 to 100 mg orally every 4 to 6 hours as needed for pain -For patients not requiring rapid onset of analgesic effect: Initial dose: 25 mg orally once a day; titrate in 25 mg increments every 3 days to reach a dose of 25 mg four times a day; thereafter increase by 50 mg as tolerated every 3 days Maximum dose: 400 mg per day.

Usual Adult Dose for Chronic Pain:

Extended-Release (ER): 18 years or older (tramadol-naive): 100 mg orally once a day -Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions -Maximum Dose: 300 mg/day For patients CURRENTLY receiving Immediate-Release (IR) Ultram: Initial Dose: Calculate 24-hour IR requirement and initiate with a total daily ER dose rounded down to the next lowest 100 mg increment orally once a day Conversion from OTHER Opioids: Discontinue all other around the clock opioid drugs prior to initiating therapy -Initial dose: 100 mg ER orally once a day -Individually titrate in 100 mg increments every 5 days to an effective dose that minimizes adverse reactions -Maximum Dose: 300 mg/day.

Usual Geriatric Dose for Pain:

Dose selection should be cautious generally starting at the low end of the dose range Over 75 years: Maximum dose of Immediate-release: 300 mg per day.

Usual Geriatric Dose for Chronic Pain:

Dose selection should be cautious generally starting at the low end of the dose range Over 75 years: Maximum dose of Immediate-release: 300 mg per day.

Usual Pediatric Dose for Pain:

Ultram is not recommended for use in pediatric patients 17 years or older: See Adult Dose.

Detailed Ultram dosage information


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose can be fatal, especially in a child or other person using the medicine without a prescription. Overdose symptoms may include severe drowsiness, pinpoint pupils, slow breathing, or no breathing.

Your doctor may recommend you get naloxone (a medicine to reverse an opioid overdose) and keep it with you at all times. A person caring for you can give the naloxone if you stop breathing or don't wake up. Your caregiver must still get emergency medical help and may need to perform CPR (cardiopulmonary resuscitation) on you while waiting for help to arrive.

Anyone can buy naloxone from a pharmacy or local health department. Make sure any person caring for you knows where you keep naloxone and how to use it.


Store between 15 and 30 degrees C (59 and 86 degrees F) away from moisture and heat. Throw away any unused medicine after the expiration date. Keep out of the reach of children in a container that small children cannot open.

Side effects

The most common side effects associated with Ultram are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.


You should not take Ultram ER if you are allergic to it, or if you have:

severe asthma or breathing problems; a stomach or bowel obstruction (including paralytic ileus); if you have recently used alcohol, sedatives, tranquilizers, or narcotic medications; or if you have used an MAO inhibitor in the past 14 days (such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine).

Ultram ER should not be given to a child younger than 12 years old. Ultram ER should not be given to anyone younger than 18 years old.

Do not give Ultram ER to anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids.

Seizures have occurred in some people taking Ultram ER. Your seizure risk may be higher if you have ever had:

a head injury, epilepsy or other seizure disorder; drug or alcohol addiction; or a metabolic disorder.

Tell your doctor if you have ever had:

breathing problems, sleep apnea; liver or kidney disease; urination problems; problems with your gallbladder, pancreas, or thyroid; a stomach disorder; or mental illness, or suicide attempt.

If you use Ultram ER during pregnancy, your baby could be born with life-threatening withdrawal symptoms, and may need medical treatment for several weeks.

Ask a doctor before using Ultram ER if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.

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Evidence-based Guidelines for Precision Risk Stratification-Based Screening (PRSBS) for Colorectal Cancer: Lessons learned from the US Armed Forces: Consensus and Future Directions. The authors present a technique to prevent warping that involves transverse slicing of the sixth-seventh costal cartilaginous junction, that when sliced perpendicular to the long axis of the rib, provides multiple long, narrow, clinically useful grafts with balanced cross-sections. These results demonstrate that Syn-1A and -3 possess strong inhibitory actions on both insulin exocytosis and insulin biosynthesis whereas Syn-2 and -4 do not inhibit the insulin secretory process. Controlled trial of 4 three-times-weekly regimens and a daily regimen all given for 6 months for pulmonary tuberculosis. These results give us meaningful information for understanding and analyzing the epidemiology of cryptococcosis in Monteria city, Colombia. Female androgen insufficiency: the Princeton consensus statement on definition, classification, and assessment. We studied 42 CRD patients with exercise-induced ST depression by cardiopulmonary exercise testing (CPET). Clinical and pathological diagnoses were considered concordant if they agreed, discrepant if they differed without a resultant change in patient management, and discordant if they differed with a resultant change in patient management. Signal transduction requires association of FGF with its receptor tyrosine kinase (FGFR) and heparan sulphate proteoglycan in a specific complex on the cell surface. Adenocarcinoma of the ethmoid following radiotherapy for bilateral retinoblastoma.

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Pigments produced by the cocultured Monascus cells were more hydrophobic than pigments produced by control cells with no coculture. The changes in microfilaraemia (Mf) prevalence and vector infection rates were monitored for four (2005-2008) and six years (2005-2010) respectively after stopping ten rounds of annual mass diethylcarbamazine (DEC) administration in a group of five villages located in South India. However, the study most often referred to is a chemotherapy trial that mainly included node positive patients. The results of the assays should be complementary to other components in the test battery to avoid redundancy. In vitro chondrogenic activity was measured as glycosaminoglycan and type II collagen deposition in pellet cultures. The thick medial plantar flap allowed cover of the calcaneum and sensitivity. A new method using cheap homemade dual-electrodes has been developed to measure the antioxidant capacity of phenolic compounds. Daytime pulse oximetry measurements may not predict nocturnal desaturations in adult sickle cell patients.

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Data were analyzed by conditional logistic regression modeling that considered age, parity and copper surface of IUD as potential confounders. Laparoscopic repair of congenital diaphragmatic hernia with prosthesis: a case report. Two review authors independently abstracted study data and assessed trial quality. Primary effusion lymphoma is a rare type of B-cell lymphoproliferative disorder which is mainly observed in patients with HIV infection. Changes in the architectonics of the lymphatic system of the diaphragm in rabbits with Brown-Pierce tumor. A literature review identified only a few cases where systemic antifungal therapy was administered, with minimal or no surgery. All hospital admissions and emergency department visits associated with injury were longitudinally linked. These results suggest that the cognitive-behavioral factors related to nonseasonal depression may play a role in SAD. Comparing the fine specificity of DNA binding by NF-kappaB p50 and p52 using principal coordinates analysis. It is shown atenolol 25 mg aur that short birth spacings and type of marriage are more important determinants of infant mortality than maternal education.

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