Pain relief Tramadol (Ultram) What are generics? Generic drugs, marketed without brand names, contain the exact same active ingredients used in their brand-name counterparts, but cost significantly less. The drugs are required to meet US Food and Drug Administration (FDA) standards for safety, purity and effectiveness.

 Prozac (Generic)

Tramadol (Ultram) belongs to the category of opioid analgesic (analgesic) drugs and is a strong central acting analgesic. Tramadol is a medication for relieving the pain syndrome of moderate and severe intensity of various etiology, including pain in patients with cancer, pain in case of trauma and in the postoperative period.

When using the drug, it is necessary to avoid driving the car and practicing potentially dangerous activities that require an increased concentration of attention and speed of psychomotor reactions. Dizziness or severe drowsiness may lead to falls or other accidents.

This medication should be used with special care in case of various disorders of consciousness, craniocerebral trauma, seizure of intracranial hypertension, epileptic syndrome and other conditions, accompanied by a loss of control over oneself and the functions of the respiratory system.

Avoid drinking alcohol. When alcohol is combined with tramadol, dangerous adverse effects or even death can occur. Check your medicine and food labels to be sure they do not include alcohol.

Tramadol can impair your thinking or reactions.

Tramadol (Ultram) Price Comparison

Product Info

Tramadol is available in oral tablet formulation and it is taken after proper medical consultation only. Tramadol is prescribed by the doctor and the dosage regimen is selected individually, depending on the severity of the pain syndrome and the sensitivity of the patient. Any manipulation in the dosage can be very harmful. For additional safety, it is also advised that the users follow all the precautions mentioned on the drug label for proper use.

The Tramadol (Ultram) tablets are formulated for consumption as a whole. You should not break down the tablets for consumption. This will lead to the sudden release of the drug in high quantity in your body which can result in serious consequences. Also, you should inform your doctor, if you have an alcohol abuse, history of drug or any kind of allergy or if you use any other sedative drug. Also if you feel any unusual change from the intake of Tramadol, you must immediately consult your doctor.
Tramadol should be prescribed in the following dosages:

For adults and teenagers over the age of 14 years - 1 tablet (50 mg). If necessary, after 30-60 minutes, you can take another tablet; in case of severe pain, a single dose can be 100 mg (2 tablets). Tablets are swallowed without chewing, chasing down with a small amount of liquid or pre-dissolved in ½ cup of water regardless of food intake. The daily dose should not exceed 400 mg (8 tablets).

To treat pain in patients with cancer and severe pain in the postoperative period, higher doses may be used.

For elderly patients (those aged 75 years and over), due to the possibility of delayed excretion, the interval between administration of the drug can be increased in accordance with individual characteristics.

In patients with kidney and liver diseases, Tramadol can last longer. For such patients, the doctor may recommend an increase in the interval between the administration of single doses. Tramadol should not be prescribed for longer than it is therapeutically necessary.
The use of Tramadol can lead to the development of the following conditions:

  • The CNS may react to Tramadol in the form of headache, dizziness, and increased nervousness. Patients suffer from denudation, weakness, disturbance of sleep, daytime drowsiness, mood swing, and anxiety. Depressed mood, clouding of consciousness, manifestations of amnesia, sense of gait instability are possible. In severe cases, there can be convulsions, hallucinations, and attempted suicide.
  • As to the heart and blood vessels, there can be a decrease in pressure (orthostatic hypotension), provoking unconsciousness and tachycardia.
  • The digestive system reacts to Tramadol in the form of intestinal disorders (diarrhea or constipation), abdominal pain, nausea, dry mouth, and flatulence.
  • Disorders in the urinary system are expressed in difficult urination, retention of urine, and dysuria.
  • There are allergic reactions to Tramadol (Ultram), which are manifested by itching, bullous rash and urticaria. In addition, Tramadol can cause a visual impairment, change in taste. Seek emergency medical help if you have allergy signs such as hives, swelling of your face, tongue, lips, or throat.
  • The risk of dependence is the main danger of opiate analgesics. A discontinuation of the medication can cause withdrawal syndrome. This condition is accompanied by a strong craving for analgesic, sneezing, runny nose, and lacrimation. There are digestive disorders, nausea, febrile condition, insomnia, tachycardia and pressure rises. To avoid unpleasant consequences, the medication should not be used for a long time and the intake of it should be stopped gradually.
  • Seek urgent medical attention if you have serotonin syndrome symptoms such as: hallucinations, fever, agitation, sweating, twitching, shivering, loss of coordination, and vomiting.


This is not a full list of adverse effects of Tramadol and other effects may occur. Extra dose of Tramadol can lead to such serious conditions as indomitable vomiting, respiratory center depression, convulsions, collapse, respiratory arrest, and coma. In these cases, emergency medical care and provision of medical measures to maintain the respiratory and cardiovascular system functions are required.
When using the drug, it is necessary to avoid driving the car and practicing potentially dangerous activities that require an increased concentration of attention and speed of psychomotor reactions. Dizziness or severe drowsiness may lead to falls or other accidents.

This medication should be used with special care in case of various disorders of consciousness, craniocerebral trauma, seizure of intracranial hypertension, epileptic syndrome and other conditions, accompanied by a loss of control over oneself and the functions of the respiratory system.

Avoid drinking alcohol. When alcohol is combined with tramadol, dangerous adverse effects or even death can occur. Check your medicine and food labels to be sure they do not include alcohol.

Tramadol can impair your thinking or reactions.
Tramadol can interact with many drugs, including the over-the-counter and prescription medicines, herbal products, and vitamins. Some medicines can trigger dangerous or unwanted effects when they are combined with tramadol. Ask your doctor before taking tramadol with a narcotic muscle relaxer, pain medicine, sleeping pill, medicine for anxiety, seizures and depression.

Tramadol should not be administered simultaneously with NSAIDs (indomethacin, diclofenac), nitroglycerin, and MAO inhibitors. A decrease in the effectiveness of the drug is noted with simultaneous admission with barbiturates.

You can not take Tramadol simultaneously with alcoholic beverages, as it increases the inhibitory effect of ethanol on the central nervous system. You can not combine the opioid analgesic with furazolidone and antipsychotrophic drugs, since such interaction can lead to seizures.
Do not take extra medicine to compensate the missed dose. Skip any missed dose if it is almost time for your next scheduled dose.

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