Ultram ER (Tramadol) – 200mg 24Hr Tablets
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Tramadol extended-release tablets
What should I tell my health care
provider before I take this medicine?
They need to know if you have any of these conditions:
ï¿½drug abuse or addiction
ï¿½if you frequently drink alcohol-containing drinks
ï¿½kidney disease or problems going to the bathroom
ï¿½lung disease, asthma, or breathing problems
ï¿½taken isocarboxazid, phenelzine,
tranylcypromine, or selegiline in the past 2 weeks
ï¿½an unusual reaction to tramadol, other
medicines, foods, dyes, or preservatives
ï¿½pregnant or trying to get pregnant
How should this medicine be used?
Take this medicine by mouth with a glass of water. You may take with food, but
always take the medicine either with food or without food. Do not break, crush,
or chew the medicine. Do not take a tablet that is not whole. A broken or
crushed tablet can be very dangerous. You may get too much medicine. Follow the
directions on the prescription label. Take the medicine at the same time each
day. Do not take more medicine than you are told to take.
Contact your pediatrician or health care professional regarding the use of this
medicine in children. Special care may be needed.
Patients over 65 years old may have a stronger reaction and need a smaller
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your
next dose, take only that dose. Do not take double or extra doses. If you take
too much medicine, immediately call your local emergency number or poison
This medicine may also interact with the following medications:
ï¿½alcohol or medicines that contain alcohol
ï¿½medicines for depression, anxiety, or psychotic disturbances
ï¿½medicines for pain like pentazocine, buprenorphine, butorphanol, nalbuphine,
morphine, and propoxyphene
ï¿½medicines for sleep
ï¿½phenothiazines like chlorpromazine, mesoridazine, prochlorperazine, thioridazine
ï¿½St. John’s wort
What side effects may I notice
from receiving Tramadol?
Side effects that you should report to your doctor or health care professional
as soon as possible:
ï¿½allergic reactions like skin rash, itching or hives, swelling of the
face, lips, or tongue
ï¿½breathing difficulties, wheezing
ï¿½changes in vision
ï¿½dizziness or fainting spells
ï¿½passing urine more frequently than usual, or not passing urine as often
ï¿½redness, blistering, peeling or loosening of the skin, including inside
ï¿½slow or fast heartbeat
ï¿½unusually weak or tired
Side effects that usually do not require medical attention (report to your
doctor or health care professional if they continue or are bothersome):
What should I watch for while
Tell your doctor or health care professional if your pain does not go away, if
it gets worse, or if you have new or a different type of pain. You may develop
tolerance to the medicine. Tolerance means that you will need a higher dose of
the medicine for pain relief. Tolerance is normal and is expected if you take
this medicine for a long time.
Do not suddenly stop taking your medicine because you may develop a severe
reaction. Your body becomes used to the medicine. This does NOT mean you are
addicted. Addiction is a behavior related to getting and using a drug for a
non-medical reason. If you have pain, you have a medical reason to take pain
medicine. Your doctor will tell you how much medicine to take. If your doctor
wants you to stop the medicine, the dose will be slowly lowered over time to
avoid any side effects.
Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and
drinking plenty of water may help. Contact your doctor if the problem does not
go away or is severe.
This medicine will cause constipation. Try to have a bowel movement at least
every 2 to 3 days. If you do not have a bowel movement for 3 days, call your
doctor or health care professional.
This medicine may cause dry eyes and blurred vision. If you wear contact lenses
you may feel some discomfort. Lubricating drops may help. See your eye doctor
if the problem does not go away or is severe.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that
needs mental alertness until you know how this medicine affects you. Do not
stand or sit up quickly, especially if you are an older patient. This reduces
the risk of dizzy or fainting spells. Alcohol may interfere with the effect of
this medicine. Avoid alcoholic drinks.