There are some things that you should keep in mind while using Tramadol (Ultram) to avoid unwanted effects.If you are on sedatives, tranquilizers or other related medications, then the simultaneous use of this drug should be avoided. Avoid consumption of alcohol with this medication as it can potentiate its harmful effects like dizziness and drowsiness.


It is very important to follow the dosing schedule ofTramadol (Ultram) properly. If you take more than recommended dose of this drug, then it can lead to liver damage or other severe problems.Call your physician, in case of any emergency. If you take drug in amounts less than advised then you will not get proper respite from pain and it may become worse. Take the medication at the same time daily so that you do not skip the dose.



There are very few harmful effects of acetaminophen, but in rare cases some of the users can suffer from skin problems like redness or rashes. Tramadol (Ultram)is a very safe drug as it is approved by FDA in the management of pain. But, if its use is continued for a long duration of time, then in those cases it can lead to addiction. Therefore, it should not be advised to others, especially those who have history of drug or alcohol abuse. It should be stored away from children and pets.


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Do not take this medication, if you are allergic to Tramadol and/or acetaminophen or related drugs. Its long-term use canlead to seizures or convulsions. It is very vital to take pain medication at right time so that it doesnot become difficult to handle.


For the immediateand instant relief from acute pain, the suggested dose of Tramadol (Ultram)is 2 tablets every 4 to 6 hours. The maximum dose of this drug is 8 tablets per day. In patients with Creatinine clearances of less than 30 mL/min, it is prescribed that the dosing interval of Ultracet be enhanced not to go beyond 2 tablets every 12 hours. Ultracet is to be taken with caution by elderly patients, individuals suffering from liver or kidney dysfunction, mental disorders, etc.


Avoid concurrent administration of other psychoactive drugs like benzodiazepines, barbiturates, or CNS stimulants along with Ultracet. Patients, who are on medications like muscle relaxants, anti-anxiety, sleeping pills, should avoid the use of Ultracet as they can potentiate its narcotic effects.


There are some temporaryadverse effects of Tramadol (Ultram), which do not have any long-standingharmful effect on the patient. These include tremor, and deprivation of sleep, faster heartbeat or vomiting, nervousness, diarrhea, constipation, delayed responses, depression,stomach ache, anxiety, spasms, hallucinations, etc.


Safety measures of Tramadol (Ultram)are:-

  • The use of this drug is not recommended during pregnancy and breast-feeding as it may have hurtful effect on the development of the fetus.
  • The use of this drug can enhance the risk of convulsions and/or seizures in those users who have a medical history of neurological disorders, alcohol or narcotic poisoning, etc.
  • Its use in the children below 16 years of age can result in severe outcomes.
  • Tramadol can lead to withdrawal effects, if the use of this drug is withdrawn abruptly.

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