ULTRAM ER can be abused by crushing, chewing, or snorting the dissolved tablets. This increases the risk of overdose and death.

This medication passes into breast milk and may harm a nursing baby. Tell your doctor if you are breastfeeding or plan to nurse.

This medication can cause serious, life-threatening side effects if mixed with alcohol or other drugs that depress the central nervous system.

What is Ultram?

Ultram is a pain reliever that acts on the central nervous system to ease pain. It is available in an immediate-release tablet (Ultram) and a long-acting tablet called Ultram ER that works over a longer period of time to provide around-the-clock treatment of chronic pain. It is also available in a combination with the pain reliever acetaminophen in tablets that are taken on an as-needed basis to treat acute pain. It is a Schedule IV drug, meaning it has a potential for abuse and addiction.

This medication should not be used in children under 12 years of age unless a doctor has determined that the benefits outweigh the risk. Abrupt discontinuation of opioid analgesics in patients who are physically dependent on them may result in withdrawal symptoms including anxiety, sweating, nausea, vomiting, tremors, diarrhea and hallucinations. Withdrawal symptoms can be minimized by reducing the dose gradually under medical supervision.

Like other narcotic analgesics, this medication can cause side effects such as dizziness, drowsiness, upset stomach, vomiting, constipation and headache. These side effects can be made worse if you drink alcohol or take other medications that affect the central nervous system such as antidepressants, anti-seizure drugs, sedatives and sleeping pills. It is important to tell your doctor or pharmacist about all of the medicines you are taking, including those that do not appear on this list.

This medicine can pass into breast milk and may harm a nursing baby. Do not breastfeed while taking this medication. Ultram ER is not approved for use during pregnancy, as it can cause life-threatening withdrawal symptoms in the infant. However, if you must take it during pregnancy, tell your doctor right away.

Each capsule-shaped, white, extended-release tablet contains 50 mg of tramadol hydrochloride. The nonmedicinal ingredients include carnauba wax, corn starch, hypromellose, lactose, magnesium stearate, microcrystalline cellulose, polyethylene glycol, and titanium dioxide. The ER tablets are imprinted with “ULTRAM” on one side and “06 59” on the scored side.

This medication should be kept in a secure place where others cannot access it. It should be stored at room temperature and out of reach of children. Do not let it come into contact with moist heat or sunlight.

How does Ultram work?

Ultram is an opioid pain medication and serotonin-norepinephrine reuptake inhibitor (SNRI). It works to relieve moderate to severe pain by slowing the central nervous system and changing how your brain senses and responds to pain. It is also available in an extended-release version that can be taken around the clock for chronic pain conditions like arthritis. Doctors will usually start patients on a low dose of Ultram and slowly increase it as needed until they reach the right pain management level.

While it is considered an opioid, it’s not as potent as morphine and doesn’t produce the high that people get from other prescription opioids. However, it can still be abused and cause addiction. It’s important to take the drug only as prescribed by your doctor.

If you take too much, it can cause serious side effects such as slowed breathing or seizures. It can also interact with some medications, so it’s important to discuss your treatment plan with a medical professional before taking it. This includes other drugs, supplements and vitamins, especially MAO inhibitors (isocarboxazid, linezolid, methylene blue injection, rasagiline, phenelzine, selegiline, or tranylcypromine).

It’s also important to keep in mind that Ultram can cause withdrawal symptoms if it’s stopped suddenly. These can include anxiety, sweating, trouble sleeping, tremors, nausea, diarrhea, and hallucinations. It’s best to taper the dose slowly under a doctor’s supervision, so you can avoid withdrawal and reduce your risk of drug abuse and addiction.

Ultram can be dangerous to take during pregnancy, as it can pass through the mother’s breast milk and cause life-threatening withdrawal symptoms in the infant. It is not recommended to take this medication if you’re breastfeeding, or if you’ve recently used an MAO inhibitor (isocarboxazid, methylene blue injection, linezolid, phenelzine, rasagiline, tranylcypromine). It’s also unsafe to take this drug if you have liver disease, kidney disease, or stomach or intestinal blockage. This drug can also cause drowsiness or slow breathing when taken with alcohol or other sedatives.

Where can I buy Ultram?

Tramadol (Ultram) is an opioid pain medication. It works by changing the way the body senses pain and is used to treat moderate to severe pain. It may be taken alone or with other medications. Tramadol may cause side effects. These side effects can include slowed or stopped breathing, nausea, vomiting, constipation, diarrhea, dizziness, lightheadedness, drowsiness, headache, stomach/intestinal problems, confusion, depression, suicidal thoughts, and mental/mood changes. This medication is not recommended for use during pregnancy. It can increase the risk of birth defects if used in early pregnancy or when nearing delivery date. It can also cause addiction and withdrawal symptoms in newborn babies.


The recommended dose of Ultram for adults is 100 mg taken orally once a day. The tablets should be swallowed whole and not chewed or crushed. If you accidentally crush or chew a tablet, seek emergency medical attention immediately. If you have a seizure, your doctor may need to decrease your dosage or give you other medications.

You should not use this drug if you have certain risk factors for serotonin syndrome. Serotonin syndrome is a rare but serious side effect of this medication. It can be life-threatening, especially in children. It can cause slowed breathing, seizures, and hallucinations. It can also cause other problems, including stomach pain and nausea.

Ultram should be used with caution in people with depression, psychotic, or bipolar disorders. It can worsen these conditions and may result in increased suicidal thoughts or behavior. It can also interact with other drugs that affect the brain and nervous system, such as antidepressants, sedatives, and MAO inhibitors. It can also increase the risk of a rare but dangerous blood disorder, called aplastic anemia.

This medication can cause addiction and overdose, so it should only be taken as directed. It is a Schedule IV controlled substance, so it can be abused or misused. You should not share it with other people, and you should keep it out of reach of children. If you become addicted to this medication, it is important to quit as soon as possible. Your doctor can help you get rid of this habit.

It is not known if this medication passes through breast milk, so it is best to avoid breastfeeding while taking this drug. If you have an unplanned pregnancy, ask your doctor about safe ways to stop the baby from being born with this condition.

This medication may cause other side effects, including drowsiness, stomach pain, or headache. You should tell your doctor about any other medicines you are taking, including vitamins, herbs, and supplements. This medicine can interact with some drugs, such as MAO inhibitors, cold or allergy medicines, sedatives, other opioids, and alcohol.