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Ultram Indications

Ultram is indicated to relieve moderate to moderately severe pain.

Ultram Contraindications

Ultram is contraindicated if you have any of the following conditions:
- if you are allergic to Ultram;
- if you are taking large doses of sleeping pills such as Halcion, Dalmane, and Restoril;
- if you are taking narcotic pain relievers such as Demerol, morphine, Darvon, Percocet;
- if you are taking psychotherapeutic drugs such as antidepressants and tranquilizers;
- If you have any kind of breathing problem;
- If you have experienced a head injury;
- If you have liver or kidney disease;
- If you have stomach problems such as an ulcer;

Ultram Interactions

Do not take Ultram with any of the following drugs:
- Cyclobenzaprine (Flexeril);
- Drugs Known as MAO inhibitors, including the antidepressants Nardil and Parnate;
- Major Tranquilizers such as Thorazine and Stelazine;
- Narcotic pain relievers (Demerol, morphine, Darvon, Percocet);
- Promethazine (Mepergan, Phenergan);
- Quinidine (Quinidex);
- Serotonin-boosting antidepressants such as Paxil, Prozac, and Zoloft;
- Sleeping pills (Halcion, Dalmane, Restoril);
- Tranquilizers (Valium, Xanax);
- Tricyclic antidepressants such as Elavil, Norpramin, and Tofranil;

Ultram Side Effects

Ultram side effects that you should report to your health care professional or doctor as soon as possible:
- Abdominal pain;
- Accidental injury;
- Agitation;
- Allergic reaction;
- Altered taste;
- Amnesia;
- Anxiety;
- Bloating and gas;
- Coma;
- Confusion;
- Constipation;
- Convulsive movements;
- Coordination problems;
- Diarrhea;
- Difficult or labored breathing;
- Difficulty concentrating;
- Dizziness or light-headedness upon standing;
- Dizziness;
- Drowsiness;
- Dry mouth;
- Fainting;
- Feeling of "pins and needles;
- Feeling of elation;
- Feeling of illness;
- fever;
- Flushing;
- Frequent urination;
- Hallucinations;
- Headache;
- Heightened reflexes;
- Hives;
- Inability to urinate;
- Indigestion;
- Itching;
- Loss of appetite;
- Menopausal symptoms;
- Menstrual problems;
- Mental sluggishness or clouding;
- Nausea;
- Nervousness;
- Painful urination;
- Rapid heartbeat;
- Rash;
- Seizures;
- Seizures;
- Shivering;
- Sleeping problems;
- Suicidal tendencies;
- Sweating;
- Tremor;
- Visual problems;
- Vomiting;
- Weakness;
- Weight loss;

Ultram Overdose

Reported Ultram overdose symptoms are:
- Cardiac arrest;
- Coma;
- Difficult or slowed breathing;
- Drowsiness;
- Seizures;

Ultram Dosage

CHILDREN

Safety and effectiveness in children under 16 years of age have not been established.

ADULTS

For people with kidney problems, the usual starting dose is 50 to 100 milligrams every 12 hours and the maximum per day is 200 milligrams. For those with cirrhosis, the usual dose is 50 milligrams every 12 hours.

The usual starting dose for chronic pain is 25 milligrams once a day in the morning. The daily dosage is then increased every 3 days until it reaches 200 milligrams taken in four doses of 50 milligrams each. After the phase-in period, Ultram may be taken in doses of 50 to 100 milligrams every 4 to 6 hours, depending on the severity of pain. If rapid pain relief is needed, the phase-in steps can be skipped, though side effects will be more likely. The maximum dosage under any circumstances is 400 milligrams a day (300 milligrams for those over age 75).