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Ultramis a prescription pain medication that contains the active ingredient tramadol. It is used to treat moderate to severe pain in adults. Ultram works by changing how the body senses pain and how it responds to it. It is available in tablet and extended-release forms.

Ultram (tramadol) works by binding to certain receptors in the brain and spinal cord that are responsible for transmitting pain signals. This action changes the way the body perceives and responds to pain, ultimately reducing the intensity of the pain sensation. In addition, Ultram also increases the levels of certain neurotransmitters, such as serotonin and norepinephrine, which can further help to alleviate pain.

Ultram (tramadol) should be taken exactly as prescribed by your healthcare provider. It is typically taken orally, with or without food, every 4-6 hours as needed for pain relief. The dosage may vary depending on the severity of the pain, your medical condition, and your response to the medication. It's important not to exceed the recommended dosage or take it more frequently than prescribed, as this can increase the risk of side effects and addiction. Extended-release  Ultram tablets should be swallowed whole and should not be crushed or chewed. Always talk to your healthcare provider before starting or stopping any medication.

Ultram (tramadol) may cause some side effects, which can vary depending on the individual and the dosage used. Some common side effects of Ultram may include:

• Dizziness

• Nausea and vomiting

• Constipation

• Headache

• Drowsiness

• Dry mouth

• Sweating

• Itching

• Weakness

In some cases, Ultram can also cause more serious side effects, such as seizures, breathing difficulties, low blood pressure, serotonin syndrome, and addiction. If you experience any severe or persistent side effects, or have concerns about the medication, talk to your healthcare provider as soon as possible.

Before taking Ultram (tramadol), it's important to inform your healthcare provider about any medical conditions you have and any medications you are currently taking. Some precautions to keep in mind when using Ultram may include:

• Allergic reactions: If you have a history of allergic reactions to tramadol or any other opioids, you should not take Ultram.

• Respiratory problems: Ultram can slow down breathing, which can be dangerous for people with respiratory problems such as asthma or COPD.

• Seizures: Ultram can increase the risk of seizures, particularly in people with a history of seizures or epilepsy.

• Liver and kidney problems: People with liver or kidney problems may need a lower dose of Ultram, as the medication can accumulate in the body.

• Pregnancy and breastfeeding: Ultram may not be safe to use during pregnancy or while breastfeeding. Talk to your healthcare provider before using Ultram if you are pregnant or breastfeeding.

• Drug interactions: Ultram may interact with other medications, such as certain antidepressants, antifungal medications, and some antibiotics. It's important to inform your healthcare provider about all the medications you are taking.

Always follow the instructions of your healthcare provider and the medication label when using Ultram, and contact your healthcare provider if you have any questions or concerns.