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Ultram drug information
Ultram Description and Indications
Ultram contains the active ingredient Tramadol which is a type of opiate pain killer. It is indicated for treating and managing medium to severe pains in adult patients. Unlike other opiate drugs, Ultram is not usually associated with dependence or addiction. Also, users are less likely to build up a tolerance to Ultram. Because of these distinctions from other opiates, Ultram is not a controlled substance in most nations. In some nations, such as Mexico and many Asian countries, Ultram is available without a prescription. In the United States, Ultram is available by prescription only but only a standard prescription is needed.
Ultram Formulations
Ultram is available in tablet forms. The tablets are either immediate release or extended release. Immediate release Ultram comes as 50 mg tablets which are whitish-colored, capsule shaped, have a film coating, have a score line on one side, are incised with ULTRAM on one side, and have 0659 incised on the other side. Ultram extended release tablets are all whitish colored, round with convex sides, have film coated. They have printed on one side "ER" with the corresponding dosage strength underneath (100, 200, or 300).
Ultram Dosage and Administration
Ultram should only be taken exactly as it was prescribed to you by your doctor. Ultram immediate release comes in tablets of 50 mg. Treatment usually starts with a half tablet (25 mg) on the first day. This dosage is then increased every three days until it reaches 100 mg per day. Dosages may be divided throughout the day to deal with pain on an as-needed basis. For patients requiring immediate relief of pain, treatment with Ultram may be initiated immediately at dosages of 50-100 mg daily taken on an as-needed basis every 4-6 hours. The maximum daily dosage of Ultram immediate release should not be more than 400 mg in a period of 24 hours. Ultram ER is usually initiated with 100 mg daily and then increased by 100 mg every 5 days to a maximum of 300 mg daily. Ultram ER should not be taken on an as-needed basis for the immediate relief of pain. Ultram ER should always be swallowed whole and never chewed or broken in any way.
What You Should Know About Ultram
Even though there is a lesser risk of tolerance and dependency occurring with Ultram compared to other opiates, these risks are still possible. You should never take more Ultram than recommended or use Ultram for longer than advised. If Ultram stops being effective in relieving your pains, immediately tell your doctor as you may be developing a tolerance. If you start to crave Ultram or have desires to use the drug other than indicated, tell your doctor at once. Though it is unlikely you will develop a serious dependence to Ultram, it may be necessary for you to have your dosage amount reduced slowly to avoid serious withdrawal effects. The most common withdrawal effects from Ultram were: feeling nauseous, dizziness, tiredness, sweats, dry mouth, and head rushes.
Adverse Effects from Ultram
It is common for Ultram to cause adverse effects patients. The following adverse effects occurred in 5-26% of patients in clinical trials and are listed in order of likelihood: feeling dizzy, nausea, infrequent bowel movements, headaches, vomiting, itchiness, excited moods, loss of strength, perspiration, upset stomach, dry mouth, and diarrhea. These adverse effects are not usually cause for concern but you should let your doctor know promptly if they are bothersome, continuous or become worse. The following adverse effects are not likely but may be serious and should be reported to your doctor at once: strange moods/behaviors, excruciating abdomen pains, or troubles urinating. Seek medical help at once in the rare event you have these serious adverse effects from Ultram: extreme lethargy, breathing very slowly or shallowly, seizures, you faint, symptoms of serotonin syndrome (hallucinating, becoming emotionally/physically restless, losing coordination, rapid pulse, becoming very dizzy, or having troubles breathing), or symptoms of an allergic reaction.
Ultram during Pregnancy and Breastfeeding
Ultram is listed as FDA pregnancy category C which means there is currently inadequate information to determine the exact dangers of taking it during pregnancy. However, it is known that Ultram can cause severe or even deathly effects in newborns who were born to mothers who took the drug while pregnant. These effects may include neonatal withdrawal. Therefore, it is highly advised against using Ultram while pregnant. Small amounts of Ultram are passed into breast milk. Do not breastfeed while taking Ultram without first discussing the risks and benefits with your doctor.
Interactions with Ultram
Do not take Ultram without first informing your doctor of all drugs/treatments you use, may use, or have recently used as a serious interaction could take place. The following are only some of the drugs which potentially may interact with Ultram: monoamine oxidase (MAO) inhibitors, narcotic drugs, pain relievers, drugs which raise levels of serotonin in the brain (antidepressants, psychiatric drugs, MDMA, many illicit drugs, triptan-type drugs, and others), and drugs which could interfere with how Ultram is removed from the body (including antibiotics, antiviral drugs, fungal infection treatments, and anticonvulsants). Avoid consuming alcohol and any drug which may make you feel drowsy.