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Generic Ultram (Tramadol) is an effective pain killer (analgesic). Ultram may also be used for other conditions not listed in this medication guide.

Take Ultram pills as it was prescribed by your doctor for you. Never exceed the dosage or taking period. Consult a doctor immediately if you have taken too much of it. Keep track of how many pills have been used from each new bottle of this medicine.

Ultram pills is a drug of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription. Never take generic Ultram if you ever been addicted to drugs and alcohol. Convulsions may happen in some people taking Ultram. It is more likely to happen in people who have history of head injury or seizures, or who take the medicine along with certain medicines such as drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety) or antidepressants.

The other drugs you should never take generic Ultram with are: alcohol containing medicines, tranquilizers, medicines for depression or mental illness, pain reliever narcotics, street drugs. Before taking Ultram, tell your doctor if you are allergic to any drugs, or if you have: kidney disease; liver disease; a stomach disorder; or a history of depression, mental illness, or suicide attempt. If you have any of these conditions, you may need a dose adjustment or special tests to safely take Ultram (Tramadol) pills. The drug is contraindicated during pregnancy and breast-feeding, as the medicine can pass into breast milk and harm a nursing baby. Keep the medicine out of reach of children. It can not be given to children under 18.

What happens if you miss a dose?
Take the missed dose as soon as you remember. If too much time has passed and it is almost time for your next dose, skip the missed dose and take the medicine at the next scheduled time. Never take extra medicine to make up the missed dose.

What happens if you overdose?
Seek emergency attention if you have used too much of this medicine. A Ultram overdose can be fatal. Overdose symptoms may include drowsiness, shallow breathing, slow heartbeat, extreme weakness, cold or clammy skin, feeling light-headed, fainting, or coma.

What should you avoid while taking Ultram (Tramadol)? Do not drink alcoholic drinks while you are taking Ultram. Alcohol may cause a dangerous decrease in your breathing when used together with generic Ultram pills. Cold or allergy medicine, narcotic pain medicine, sleeping pills, and medicines for convulsions, depression or anxiety can add to drowsiness caused by Ultram. Tell your doctor if you regularly use any of these other medicines. Ultram can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake.

Side effects Get emergency medical help if you have any of these signs of an allergic reaction: difficulty breathing; hives; swelling of your face, tongue, lips, or throat. Stop using Ultram and check your doctor at once if you have any of these serious side effects: convulsions; blistering, peeling skin rash; or shallow breathing, weak pulse. Less serious side effects are: drowsiness, dizziness, weakness; nausea, constipation, vomiting, loss of appetite; blurred vision; flushing (redness). Discontinuation of drug. Do not stop taking Ultram suddenly, or you could have unpleasant withdrawal symptoms such as anxiety, sweating, diarrhea, nausea, tremors, hallucinations, chills, trouble sleeping, or breathing problems.

Consult your doctor about how to avoid withdrawal symptoms when stopping the medication.

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