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Ultram is one of the most potent pain medicine similar to an opioid. People buy Ultram online as it helps treat moderate to severe pain. Before placing an order of this drug, remember that it can be used only for adults (ages 18 years or older).
Ultram acts on the central nervous system of the body to relieve pain. The Ultram generic version is available with the name tramadol. The extended-release version of tramadol (Ultram ER) is meant to be used only for around-the-clock pain treatment.
It would be best not to take Ultram if you have severe medical issues concerning breathing, stomach issues, or intestinal blockage, or if you have been recently taking any of the following:
- sedatives, tranquilizers, alcohol, narcotic medication, or
- an MAO inhibitor (tranylcypromine, linezolid, isocarboxazid, phenelzine, methylene blue injection, selegiline, rasagiline, and others)
Ultram can sometimes slow or stop breathing and can be addictive. Misuse of this drug can result in addiction (physical or psychological dependence), overdose, or even death, especially in someone taking such a potent drug without a prescription.
Ultram uses during pregnancy may be life-threatening for the newborn. Also, fatal side effects are likely to occur if you take Ultram with alcohol or other medications that can add to your drowsiness (caused by tramadol) or slow your breathing.
Before taking this medicine
It would be best not to take Ultram if you are allergic to it or if you have any of the following health issues:
- severe asthma or other breathing problems;
- if you have been recently taking sedatives, alcohol or alcoholic beverages, tranquilizers, or narcotic medications;
- stomach or intestinal issues, bowel obstruction including paralytic ileus; or
- if you have been taking an MAO inhibitor in the previous two weeks, such as linezolid, isocarboxazid, phenelzine, tranylcypromine, linezolid, or methylene blue injection
To ensure Ultram is safe for use, share your medical history with the healthcare professional, especially if you have had any of the following medical conditions:
- liver disease;
- kidney disease;
- urination problems;
- sleep apnea (interrupted breathing during sleep) or other breathing issues;
- a stomach disorder
- problems with your thyroid, pancreas, or gallbladder; or
- mental illness, or suicidal thoughts (behavior or attempts)
Who should not take Ultram?
- One should not administer this drug to a child younger than 12 years old. Also, never give Ultram ER to anyone younger than 18 years of age.
- Any child taking Ultram belonging to the age group of 0 to 18 years is at the risk of severe side effects, and even death may occur.
- Do not give this drug to anyone younger than 18 years old who recently went through surgery to remove tonsils or adenoids.
- A pregnant woman should not use Ultram in any form as it may cause life-threatening withdrawal symptoms in the baby after birth, and the newborn may need medical treatment for several weeks.
- Before breastfeeding during treatment with this medicine, ask your healthcare professional. Also, inform them if you notice severe drowsiness or shallow breathing in your nursing infant.
Seizures have been reported in some people using Ultram. Your risk of stroke can be higher if you have ever had:
- drug or alcohol addiction;
- a metabolic disorder; or
- epilepsy or other similar seizure disorder, a head injury
Tips to Take Ultram Safely
Firstly, read the pharmacist’s medication guide or instruction sheet before you start taking this drug and each time you visit for a refill. Ask your healthcare professional (doctor or pharmacist) if you have queries.
Take the Ultram pills orally as instructed by the doctor, typically every 4 to 6 hours as required for pain management. It depends on you whether you take medicine with food or without food. If you are nauseated, it would be better to take Ultram with food. Some medically prescribed ways to reduce nausea include lying down for an hour or two with as minimal head movement as possible.
Your doctor will assign a safe and effective Ultram dosage schedule for you based on your medical condition and response to the initial phase of treatment. To lower the risk of side effects, your healthcare professional may instruct you to start Ultram at a low dose and gradually increase your amount per the health requirements.
The maximum recommended dose of Ultram is 400 mg per day. If you are more than 75 years older, your doctor may prescribe a dose of 300 mg per day. It would be best not to increase the amount of the drug, take it more frequently, or take it for an extended period than prescribed. Also, discontinue using this medication properly as directed, as sudden abrupt discontinuation may cause withdrawal symptoms.
How to deal with Ultram Overdose?
An overdose of Ultram can be fatal, especially in someone below 18 years of age or another person taking Ultram without a prescription. The overdose symptoms may include pinpoint pupils, severe drowsiness, shallow breathing, or no breathing.
A safe way to treat this issue is by getting naloxone, a drug to reverse an opioid overdose. It would help if you kept naloxone with yourself all the time, and your attendant or caregiver must be aware of where you have kept it. You need naloxone administration if you stop breathing or do not wake up. Even after giving naloxone, your caregiver must call for medical help and perform CPR (cardiopulmonary resuscitation) while waiting for the support to arrive.
Ultram Withdrawal Symptoms
- restlessness, changes in mood, or mental issues (such as difficulty in sleeping, anxiety, suicidal thoughts, or attempts of suicide);
- runny nose, watering eyes, nausea, diarrhea, muscle aches, sweating; or
- sudden changes in behavior
What are the side effects of Ultram?
Severe side effects of Ultram may include:
- slow heart rate or weak pulse;
- seizure (or convulsions);
- noisy breathing, shallow breathing, interrupted breathing during sleep, sighing;
- low cortisol levels- nausea, dizziness, vomiting, loss of appetite, worsening weakness or tiredness; or
- symptoms of serotonin syndrome- agitation, fever, hallucinations, sweating, rapid heart rate, muscle stiffness, shivering, twitching, nausea, diarrhea, vomiting, or loss of coordination
Nausea, constipation, vomiting, dizziness, lightheadedness, headache, or drowsiness may occur during the initial phase of treatment with Ultram. Some of these effects are likely to decrease after taking this medication. To prevent constipation, you may eat dietary fiber products, drink sufficient water, and exercise.