Tramadol(Ultram) is a narcotic-like pain reliever. It is used to treat moderate to severe pain. Tramadol(Ultram)-ER (extended-release) is for around-the-clock treatment of pain that is not controlled by other medicines
You should not take Tramadol(Ultram) if you have used alcohol, sedatives, tranquilizers, or narcotic medications within the past few hours.
Tramadol(Ultram) can slow or stop your breathing, especially when you start using this medicine or whenever your dose is changed. Never take Tramadol(Ultram) in larger amounts, or for longer than prescribed. Furthermore do not crush or break an extended-release pill. Swallow it whole to avoid exposure to a potentially fatal dose.
Seizures (convulsions) have occurred in some people taking this medicine. Tramadol(Ultram) may be more likely to cause a seizure if you have a history of seizures or head injury, a metabolic disorder, or if you are taking certain medicines such as antidepressants, muscle relaxers, narcotic, or medicine for nausea and vomiting
Tramadol may be habit-forming, even at regular doses so Take this medicine exactly as prescribed by your doctor. Never share the medicine with another person. MISUSE OF NARCOTIC PAIN MEDICATION CAN CAUSE ADDICTION, OVERDOSE, OR DEATH, especially in a child or other person using the medicine without a prescription.
Taking tramadol during pregnancy may cause life-threatening withdrawal symptoms in the newborn.
Fatal side effects can occur if you use tramadol especially with alcohol, or with other drugs that cause drowsiness or slow your breathing.
Tramadol can interact with many other drugs and cause dangerous side effects or death. Tell your doctor about all your current medicines and any you start or stop using.
Most noteworthy do not crush an Tramadol(Ultram) tablet. This medicine is for oral (by mouth) use only. therefore powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhalation or injection can also result in life-threatening side effects, overdose, or death.
Before taking this medicine
You should not take Tramadol(Ultram) if you are allergic to tramadol, or if you have:
- severe asthma or breathing problems;
- a blockage in your stomach or intestines;
- 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, rasagiline, selegiline, or tranylcypromine).
Seizures have occurred in some people taking tramadol hence talk to your doctor about your seizure risk, which may be higher if you have:
- a history of head injury, epilepsy or other seizure disorder;
- a history of drug or alcohol addiction;
- a metabolic disorder; or
- if you also use certain antibiotics, antifungal medications, heart or blood pressure medications, or medicines to treat HIV or AIDS.
Some medicines can interact with tramadol and cause a serious condition called serotonin syndrome. Be sure your doctor knows if you also take medicine for depression, mental illness, Parkinson’s disease, migraine headaches, serious infections, or prevention of nausea and vomiting. Ask your doctor before making any changes in how or when you take your medications.
To make sure Tramadol(Ultram) is safe for you, tell your doctor if you have:
- liver or kidney disease;
- a stomach disorder; or
- a history of drug abuse, alcohol addiction, mental illness, or suicide attempt.
Tramadol(Ultram) is more likely to cause breathing problems in older adults and people who are severely ill, malnourished, or otherwise debilitated.
Tramadol may be habit forming and should be used only by the person it was prescribed for. Never share Tramadol(Ultram) with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Selling or giving away Tramadol(Ultram) to any other person is against the law.
It is not known whether Tramadol(Ultram) will harm an unborn baby. If you use tramadol while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks. Tell your doctor if you are pregnant or plan to become pregnant.
Tramadol can pass into breast milk therefore it can harm a nursing baby. You should not breast-feed while you are taking Tramadol(Ultram).
Do not give this medication to anyone younger than 16 years old without the advice of a doctor. Tramadol(Ultram) ERshould not be given to anyone younger than 18 years old.
How should I take Tramadol(Ultram)?
Take Tramadol(Ultram) exactly as prescribed. Follow all directions on your prescription label. Tramadol(Ultram) can slow or stop your breathing, especially when you start using this medicine or whenever your dose is changed. Never take Tramadol(Ultram) in larger amounts, or for longer than prescribed. Tell your doctor if the medicine seems to stop working as well in relieving your pain.
Stop taking all other around-the-clock narcotic pain medications when you start taking Tramadol(Ultram).
Do not crush or break an extended release Tramadol(Ultram) ER tablet. Swallow the tablet whole to avoid exposure to a potentially fatal dose.
Never crush or break a Tramadol(Ultram) tablet to inhale the powder or mix it into a liquid to inject the drug into your vein because this practice can result in death with the misuse of tramadol and similar prescription drugs.
If you use the Tramadol(Ultram) ER extended-release tablet, the tablet shell may pass into your stools (bowel movements). This is normal and does not mean that you are not receiving enough of the medicine.
Do not stop using Tramadol(Ultram) suddenly since it has an unpleasant withdrawal symptoms. Ask your doctor how to safely stop using Tramadol(Ultram).
Store at room temperature away from moisture and heat.
Keep track of the amount of medicine used from each new bottle. Tramadol is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.
Tramadol(Ultram) side effects
Get emergency medical help if you have any signs of an allergic reaction to Tramadol(Ultram): hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Tramadol is not for use in children. Seek emergency medical attention if a child has taken this medicine and has: noisy breathing, sighing, slow breathing with long pauses between breaths; being unusually sleepy or hard to wake up; blue colored lips.
Call your doctor at once if you have:
- seizure (convulsions);
- weak or shallow breathing;
- infertility, missed menstrual periods;
- impotence, sexual problems, loss of interest in sex; or
- low cortisol levels – nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness; or
- severe skin reaction – fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.
Seek medical attention right away if you have symptoms of serotonin syndrome, such as: agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, or diarrhea.
Serious side effects may be more likely in older adults and those who are ill or debilitated.
Common Tramadol(Ultram) side effects may include:
- headache, dizziness, drowsiness, tired feeling;
- constipation, diarrhea, nausea, vomiting, stomach pain;
- feeling nervous or anxious; or
- itching, sweating, flushing (warmth, redness, or tingly feeling).
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
What other drugs will affect Tramadol(Ultram)?
Tramadol(Ultram) can interact with many other drugs and cause dangerous side effects or death. Be sure your doctor knows if you also use:
- narcotic medications – opioid pain medicine or prescription cough medicine;
- drugs that make you sleepy or slow your breathing – a sleeping pill, muscle relaxer, sedative, tranquilizer, or antipsychotic medicine; or
- drugs that affect serotonin levels in your body – medicine for depression, Parkinson’s disease, migraine headaches, serious infections, or prevention of nausea and vomiting.
This list is not complete. Other drugs may interact with tramadol, including prescription and over-the-counter medicines, vitamins, and herbal products.