Generic Name: Tramadol

Brand Name: Ultram, Ultram ER


Ultram is useful to relieve moderate to tolerably severe pain, including discomfort after the medical procedure. The extended-release capsules or tablets are helpful for interminable progressing chronic pain. Ultram has a place within the class of drugs called narcotic analgesics. It acts in the focal sensory system or CNS to soothe the pain.

When you use Ultram for quite a while, it might become habit-forming, causing mental or physical dependence. However, individuals who have acute or chronic pain ought not to let the dread of dependence and addiction, prevent them from utilizing opiates to alleviate their pain condition. Mental dependence (fixation) isn’t probably going to happen when you use opioids for the reason of pain relief at the recommended dose.

Physical dependence may prompt withdrawal symptoms if you stop the treatment out of nowhere. Be that as it may, extreme withdrawal reactions can, as a rule, be forestalled by progressively decreasing the dosages over some undefined time frame before you stop the treatment.

This medication is accessible just under a limited circulation program called the Opioid Analgesic REMS (Risk Evaluation and Mitigation Strategy) program.

Uses of Tramadol 

This medicine is useful to help alleviate moderate to tolerably extreme pain. Ultram is like narcotic (opiate) analgesics. It works in the cerebrum to change how your body feels and reacts to pain.

Take this drug by mouth as coordinated by your doctor, typically every 4 to 6 hours varying for help with discomfort. You may take Ultram with or without water and food. On the off chance that you are debilitating, a doctor might assist with taking this medication with food. Get information about different approaches to diminish discomfort (for example, resting for 1-2 hours with as meagre head development as could be allowed).

The daily dosage schedule depends on your ailment and reaction to treatment. To decrease your danger of reactions, your primary care physician may guide you to begin this medicine at a low dose, and bit by bit increment your doses. Adhere to your primary care physician’s guidelines cautiously.

The most extreme prescribed dose is 400 milligrams every day. If you are elder than 65 years of age, the most extreme suggested doses are 300 milligrams for each day. Try not to make your doses, take the drug all the more as often as possible, or take it for a longer time period than prescribed. Appropriately stop the medicine when so coordinated.

Pain prescriptions work best when you use them as the primary indications of pain happen. If you hold up until the pain has reached its extreme, the medicine may not function properly. If you have progressing pain (for example, because of joint pain), your primary health care provider may guide you likewise to take long-acting narcotic drugs.

This medicine may be useful for unexpected pain. Your doctor may recommend other pain relievers (for example, acetaminophen, ibuprofen) likewise. Get some information about utilizing Ultram securely with different medications.


The usual Ultram dosage for chronic pain is:

  • Starting dose: 100 mg every morning once a day
  • Dosage increase: A health care provider may increase your dosage as required
  • Maximum dose: 300 mg per day

The usual Ultram dosages for moderate pain are:

  • Starting dose: 25 mg per day
  • Dosage increase: A health care provider may increase your dosages as required
  • Maximum dose: 400 mg per day


In choosing to use a medication, the dangers of taking medicine, you must weigh against the great it will do. This is a choice you and your health care provider will make. For this medication, read the following precautions before you buy Ultram (Tramadol) online:


Tell your drug specialist or doctor if you have ever had any strange or unfavourably susceptible response to this medication or some other prescriptions. Likewise, tell your doctor if you have some different sorts of sensitivities, for example, to nourishments, colours, additives, or creatures. For inactive ingredients items, read the mark or label of the medication cautiously.


There are no proper studies to establish the safety and usefulness of Ultram or Ultram ER for pediatric patients below 16 years of age.


Proper examinations performed to date have not exhibited geriatric-explicit issues that would constrain the helpfulness of Ultram in older people. Older patients are likely to have undesirable symptoms (e.g., blockage, unsteadiness, dazedness, or blacking out, stomach upset, shortcoming) and age-related liver, kidney, heart, or lung issues, which may require alert and a modification in the doses for patients accepting Ultram.


Studies in ladies breastfeeding have exhibited harmful newborn child impacts. You should consider some other option in contrast to this drug, or you should quit breastfeeding while utilizing this medication.

Medication Interactions

Different medications interact with each other; in various cases, you can use two distinct prescriptions together regardless of whether an interaction may happen. In these cases, your health care provider might need to change the doses, or different safety measures might be essential. At the point when you are taking this medication, it is particularly significant that your doctor knows whether you are taking any of the drugs given beneath:

Using this medication with any of the accompanying medicines isn’t prescribed. Your primary care physician may choose not to treat you with this prescription or change doses of different medications you take.

  • Furazolidone
  • Iproniazid
  • Isocarboxazid
  • Linezolid
  • Methylene Blue
  • Moclobemide
  • Nalmefene
  • Naltrexone
  • Nialamide

Using this medication with any of the accompanying medicines is generally not suggested; however, you may require it sometimes. On the off chance that your doctor may recommend taking the two prescriptions together, he may change the doses or how regularly you utilize either of the medications.

  • Acepromazine
  • Alfentanil
  • Almotriptan
  • Alprazolam
  • Amifampridine
  • Amineptine
  • Amiodarone and many others

Using this medication with any of the accompanying prescriptions may cause an increased danger of specific reactions; however, using the two drugs might be the best treatment for you. If the two medications are prescribed together, your health care provider may change the doses or how frequently you utilize either of the drugs.

  • Warfarin

Different Interactions

Certain medicines are not for use at or around the hour of eating food or eating particular kinds of beverages since interactions may happen. Using alcohol, tobacco, or other substances with specific medicines may likewise make interaction happen. The accompanying interactions have been chosen based on their potential centrality and are not comprehensive.

Using this medication with any of the following usually is not suggested; however, it might be unavoidable at times. Whenever used together, your doctor may change the doses or how frequently you utilize this medication or give you different directions about the utilization of food, liquor, or tobacco.

  • Ethanol
  • Grapefruit Juice

Other Medical Problems

The occurrence of other clinical issues may influence the use of this medication. Ensure you tell your health care provider that you have some other clinical problems, notably:

  • Adrenal issues or
  • Liquor misuse, history of or
  • Mind tumour or
  • Despondency, history of or
  • Medication misuse or reliance, history of or
  • Gallstones or
  • Head injury or
  • Hormonal issues or
  • Expanded weight in the head or
  • Diseases of the focal sensory system (CNS) or
  • Lung or breathing issues (e.g., COPD, cor pulmonale, hypercapnia, hypoxia, rest apnea) or
  • Psychological instability (e.g., self-destructive ideation), history of or
  • Phenylketone hypersensitivity, history of or
  • Seizures or epilepsy, history of or
  • Stomach issues, extreme—Use with alert. May expand hazard for increasingly genuine symptoms.
  • Kidney ailment or
  • Liver ailment (counting cirrhosis)— Use with alert. The impacts might be expandable in light of the more slow expulsion of the medication from the body.
  • Lung or breathing issues (e.g., asthma, hypercapnia, respiratory gloom), extreme or
  • Stomach or entrail blockage (e.g., disabled or damaged ileus) or
  • Medical procedure (e.g., nasopharyngeal tonsils, tonsils)— Should not be utilized in patients with these conditions.
  • Phenylketonuria (PKU)— The orally breaking down tablet contains phenylalanine, which can aggravate this condition.

Side Effects

Some frequently occurring side effects of Ultram include:

  • Nausea
  • Dry mouth
  • Dizziness
  • Abdominal pain
  • Indigestion
  • Constipation
  • Vomiting
  • Vertigo
  • Headache
  • Drowsiness

Less common Ultram side effects include:

  • Bloating
  • Blisters on the skin
  • Blood in urine
  • Dark urine
  • Increased blood pressure
  • Fainting
  • Irregular or fast heartbeat
  • Loss of memory
  • Seizures
  • Sweating