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A FDA ruling has recently changed the status of this medication. As of 8/18/14, federal law will require that doctors can only prescribe Tramadol and Ultram upon seeing the patient in-person. To comply with the recent FDA ruling, this medication will no longer be available through TeleConsults and/or eConsults.


> Available pain medications that may be an appropriate alternative for your condition:
 
Gabapentin
Meloxicam
Diclofenac Sodium
Butalbital
Venlafaxine
Citalopram
Duloxetine



Ultram
 
Ultram (Tramadol) is used to relieve moderate to moderately severe pain. It also may be used to treat pain caused by surgery and chronic conditions such as cancer or joint pain. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.



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. Do not misunderstand this as an indication that consuming this drug is safe, appropriate, or effective for your condition. Always consult your healthcare professional first.

TRAMADOL - ORAL (TRAH-muh-dall)

COMMON BRAND NAME(S): Ultram

USES: Tramadol is used for pain relief.

HOW TO USE: Take Ultram by mouth as prescribed. It is usually taken every 4 to 6 hours as needed. Use this medication exactly as prescribed. Do not increase your dose on your own or ultilize it more frequently or use it for a longer period of time than prescribed because this drug can be habit-forming. Also, if used for an extended period of time, do not suddenly stop using this drug without speaking with your physician first. When used for extended periods, this medication may not work as well and may require an alternative dosing schedule. Consult your doctor if the medication stops working well.

SIDE EFFECTS: Ultram may cause dizziness, weakness, incoordination, 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 this medication: 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:: Avoid alcohol consumption while you are taking this medication. Alcohol may cause a dangerous decrease in your breathing when used together with tramadol, and so the combination should be strictly avoided.
 
Avoid using drugs that make you sleepy (such as cold medicine, other pain medications, muscle relaxants, and medicine for seizures, depression or anxiety). These drugs may slow your breathing or increase drowsiness when used together with tramadol.
 
Tramadol 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 and alert.
 
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 that you may purchase over the counter. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose of Ultram 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.

NOTES: Do not share this medication with others.

MISSED DOSE: If you miss a dose, 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.

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.


Related Products: Tramadol, Butalbital, Ultracet, Celebrex and Fioricet

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