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Overview	Photos	How To Use	Side Effects	Precautions	Missed Dose	Drug Interactions

Tramadol Ultram, DispenseQuick Tramadol Hydrochloride, Ultram ER Uses Treats moderate-to-severe pain in adults who require around-the-clock treatment for an extended period of time. Storage Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any outdated medicine or medicine no longer needed. Keep all medicine away from children and never share your medicine with anyone. How To Use APPEARANCE: Tablet, Long Acting Tablet. Your doctor will tell you how much of this medicine to use and how often. Your dose may need to be changed several times in order to find out what works best for you. Do not use more medicine or use it more often than your doctor tells you to. Swallow the extended-release tablet whole. Do not crush, break, or chew it. You may take this medicine with or without food. Drink plenty of fluids to help avoid constipation. Side Effects Call your doctor right away if you notice any of these side effects: Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing. Blistering, peeling, red skin rash. Lightheadedness, dizziness, or fainting. Seizures. Severe sleepiness or unusual drowsiness. Trouble breathing. Precautions You should not use this medicine if you have had an allergic reaction to tramadol or other narcotic pain medicines such as codeine, MS Contin®, OxyContin®, Percocet®, or Vicodin®. In some situations, you should not use this medicine if you are also using alcohol, street drugs, sedatives, medicines for depression or mental illness, or other pain medicines. If you are using any of these, ask your doctor if you can still use tramadol. Missed Dose If you miss a dose or forget to use your medicine, use it as soon as you can. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose. Drug Interactions Make sure your doctor knows if you are pregnant or breastfeeding, or if you have epilepsy, kidney disease, liver disease, breathing problems, or ulcers or other digestive problems. Tell your doctor if you have a history of head injury, seizures, or drug or alcohol dependence. This medicine can increase thoughts of suicide. All of the warnings in this leaflet are true for a person who is using this medicine. Tell your doctor right away if you start to feel more depressed. Also tell your doctor right away if you have thoughts about hurting yourself. Report any unusual thoughts or behaviors that trouble you, especially if they are new or get worse quickly. Make sure your caregiver knows if you have trouble sleeping, get upset easily, have a big increase in energy, or start to act reckless. Also tell your doctor if you have sudden or strong feelings, such as feeling nervous, angry, restless, violent, or scared. Let your doctor know if you or anyone in your family has bipolar disorder (manic-depressive) or has tried to commit suicide. This medicine may make you dizzy or drowsy. Avoid driving, using machines, or doing anything else that could be dangerous if you are not alert. This medicine may be habit-forming. If you feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions. Do not stop using this medicine suddenly without asking your doctor. You may need to slowly decrease your dose before stopping it completely. Make sure any doctor or dentist who treats you knows that you are using this medicine. This medicine may cause constipation. This is more common if you use it for a long time. Ask your doctor if you should also use a laxative to prevent and treat constipation.

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.