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About Ultram
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Talking to your doctor about Ultram
Before you take Ultram
Possible side-effects of Ultram
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Before taking Ultram

Before you take Ultram, it is wise to discuss the risks with your physician. Depending on your health circumstances, it may not be advisable for you to take Ultram at all, you may have to adjust the dosage or you may have to delay taking Ultram until you receive separate treatment for the disorders or illnesses causing the pain.

Have you any history of addiction to drugs or alcohol? You are warned that Ultram can be addictive. The fact that you have become dependent on other substances should be a serious warning to you not to start taking Ultram. More importantly, you must not drink alcohol while you are taking Ultram. This mixture can lead to a serious slow-down in your rate of breathing. If you have chest and lung problems, or sleeping problems like sleep apnoea, drinking alcohol with Ultram puts your life in danger.

In a few rare cases, people taking Ultram have suffered seizures. This risk seems to be greater if the person taking Ultram has:

a history of dependence on alcohol or any medication;
epilepsy or any other seizure disorder;
suffered an injury to the head or neck;
a metabolic disorder whether genetic or induced by his/her diet or an infection; or
a routine of taking any medication to control feelings of nausea and the reality of vomiting, or any of the more common tranquillisers or sedatives, or antidepressants such as sertraline (Zoloft).

There are also risks if you suffer from liver or kidney disease requiring you to be on dialysis, any longer-term stomach disorder, or if you have a history of mental illness or have made one or more suicide attempts.

Finally, take notice of the following problems:

1. It can always be dangerous to combine different medications. If you are already taking any of the following, you should get professional advice before adding Ultram:

Erythromycin — this is a macrolide antibiotic that is often prescribed for people who cannot take penicillin because of an allergic reaction;
one of the Monoamine Oxidase Inhibitors (MAOIs) antidepressants including Moclobemide and Selegiline. MAOIs are usually prescribed to relieve the more serious symptoms of atypical depression. Note that some physicians have been prepared to prescribe MAOIs off-label to help people who want to quit smoking, which has made these medications slightly more common. Always allow at least fourteen days free of MAOIs before starting to take Ultram.
any of the drugs such as carbamazepine (Teretol) used to treat epilepsy and bipolar disorder significantly reduce the effectiveness of Ultram;
warfarin is the generic name for an anticoagulant also sold as Marevan and Corumadin to control the risk of an embolism or thrombosis;
digoxin (the generic name for Lanoxin) which is prescribed as a treatment for a number of heart conditions, and Quinidine which is prescribed to control arrhythmia, both increase the strength of Ultram by as much as sixty percent; and
ketoconazole — one of the slightly older drugs used to prevent and treat skin and fungal infections (often in patients with an HIV infection). You are warned that this drug is sold as an antidandruff shampoo under the brand name Nizoral.

This site is not designed to give comprehensive information. You should give your physician a complete list of all the prescribed and non-prescription medications, and herbal, dietary or health products that you are taking. Then, once you have started to take Ultram, do not add any new medicines or products to the mixture, no matter how innocent they may seem, e.g. vitamin tablets, unless you get the approval of your physician or a pharmacist.

2. There is evidence that taking Ultram while you are pregnant can put your baby’s life at risk. A few babies have been born with serious defects. A very small number were born dead. Under no circumstances should you use Ultram to control pain during the pregnancy or during labour. Moreover, Ultram enters the blood stream when you take it. Small quantities can contaminate your breast milk. If you feed your baby while taking Ultram, this can represent a serious risk to your baby’s health.

3. Under normal circumstances, Ultram should not be given to any person under the age of 18 years. If there is a medical emergency, do not administer Ultram to a young person while waiting for professional help to arrive. The risks are real and it is better for the person injured or ill to endure a few minutes of pain than face the possibility of serious complications in any treatment that should follow.