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ULTRAM DRUG INFO

IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

TRAMADOL - ORAL (TRAH-muh-dall)

COMMON BRAND NAME(S): Ultram

ULTRAM USES: Ultram is used for pain relief.

HOW TO USE ULTRAM: Take Ultram by mouth as prescribed. It is usually taken every 4 to 6 hours as needed. Use Ultram exactly as prescribed. Do not increase your dose of Ultram, use it more frequently or use it for a longer period of time than prescribed because Ultram can be habit-forming. Also, if used for an extended period of time, do not suddenly stop using Ultram without your doctor's approval. When used for extended periods, Ultram may not work as well and may require different dosing. Consult your doctor if Ultram stops working well.

ULTRAM SIDE EFFECTS: Ultram may cause dizziness, weakness, poor coordination, nausea or vomiting, stomach upset, constipation, headache, drowsiness, anxiety, irritability, dry mouth, or increased sweating. If any of these effects persist or worsen, inform your doctor. Notify your doctor if you develop any of these serious effects while taking Ultram: chest pain, rapid heart rate, skin rash or itching, mental confusion, disorientation, seizures, tingling of the hands or feet, trouble breathing. In the unlikely event you have an allergic reaction to this drug, seek immediate medical attention. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, breathing trouble. If you notice other effects not listed above, contact your doctor or pharmacist.

ULTRAM PRECAUTIONS: Tell your doctor your medical history, especially of: kidney disease, liver disease, seizure disorder, lung disease, history of drug or alcohol dependency, any allergies you may have. Limit alcohol as it may add to the dizziness or drowsiness effects caused by the medication. Because Ultram may make you dizzy/drowsy, use caution performing tasks requiring alertness such as driving. Ultram should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. Ultram is excreted into breast milk. Because the effects on a nursing infant are not known, consult your doctor before breast- feeding.

ULTRAM DRUG INTERACTIONS: Tell your doctor of all prescription and nonprescription medications you may use, especially of: carbamazepine, narcotic pain relievers (e.g., codeine), drugs used to aid sleep, antidepressants (e.g., SSRI-types such as fluoxetine or fluvoxamine), MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, procarbazine, selegiline, tranylcypromine), psychiatric medicine (e.g., nefazodone), "triptan"-type drugs, anti-anxiety drugs (e.g., diazepam), sibutramine. Also, report use of certain antihistamines (e.g., diphenhydramine) which are also present in many cough-and-cold products. Do not start or stop Ultram without doctor or pharmacist approval.

ULTRAM OVERDOSE: If Ultram overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include cold and clammy skin, low body temperature, slowed breathing, slowed heartbeat, drowsiness, dizziness, lightheadedness, deep sleep, loss of consciousness, or seizures.

ULTRAM NOTES: Do not share this medication with others.

ULTRAM MISSED DOSE: If you miss a dose of Ultram, take it as soon as remembered; do not take it if it is near the time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

ULTRAM STORAGE: Store Ultram at room temperature between 59 and 86 degrees F (15 to 30 degrees C) away from heat and light. Do not store in the bathroom. Keep this and all medications out of the reach of children.