Drug Uses

Ultram is used to relieve moderate to moderately severe pain. It also may be used to treat pain caused by surgery and chronic conditions such as cancer or joint pain. Ultram works by decreasing the brain's perception and response to pain. It also reduces the size or magnitude of the pain signal passed from one nerve to another. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

How Taken

Ultram comes as a tablet to take it orally. It usually is taken every 4-6 hours as needed. It may be taken with or without food. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Ultram exactly as directed. Ultram can be habit-forming. Do not take a larger dose take it more often, or for a longer period than your doctor tells you to.

Warnings/Precautions

Before taking Ultram, tell your doctor if you have kidney disease; liver disease; or a history of alcohol or drug dependence. You may not be able to take Ultram, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Ultram is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant. It is also not known whether Ultram passes into breast milk. Do not take Ultram without first talking to your doctor if you are breast-feeding a baby. If you are over 75 years of age, you may be more likely to experience side effects from Ultram. The maximum daily dose of Ultram for people over 75 years of age is 300 mg. Ultram is not approved by the FDA for use by children younger than 16 years of age.

Missed Dose

Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Possible Side Effects

Although side effects from Ultram are not common, they can occur. The most frequently reported events were in the central nervous system (Migraine, Speech disorders) and gastrointestinal system (Gastrointestinal bleeding, Hepatitis, Stomatitis, Liver failure). Tell your doctor if any of these symptoms are severe or do not go away: dizziness, headache, drowsiness, blurred vision, upset stomach, vomiting, and diarrhea. If you experience any of the following symptoms, call your doctor immediately: fast heartbeat, redness, swelling, and itching of the face, numbness or tingling of the hands and feet, difficulty breathing, changes in urination, seizures.

Storage

Dispense in a tight container. Store at 25°C (77°F); excursions permitted to 15 - 30°C (59 - 86°F).

Overdose

Seek emergency medical attention. Symptoms of a Ultram overdose include difficulty breathing; shallow, weak breathing; and seizures.

More Information

Do not drink alcohol while taking Ultram. Alcohol may cause a dangerous decrease in breathing and/ or liver problems when used during treatment with Ultram. Use caution when driving, operating machinery, or performing other hazardous activities. Ultram may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Avoid sleeping pills, tranquilizers, sedatives, and antihistamines except under the supervision of your doctor. These drugs may increase drowsiness caused by Ultram.

Disclaimer

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

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Pain Medicines
Pain medicines are used in three ways, to reduce pain, to lower a high temperature, and some of them reduce inflamation. There are three main analgesics.
Medicines to reduce temperature and fever are important. Use the right medicine, at the right dose, and repeat the dose in the right way.
Use your favourite brand correctly. Read the instructions before you take any medicine, even if you think you know how to take it. It is so easy to forget such important things as the correct dose to take, and how often to repeat it.
Children’s medicines should be used especially carefully. Especially check the instructions for the right dose to give for that age. Remember that as children get older they will need to take a higher dose of medicine for it to work properly.
Don’t take too much. All these medicines are perfectly safe to use according to the directions on the pack. Taking more than the maximum recommended dose can cause real problems, and can lead to poisoning, especially with paracetamol.
Be very careful about taking two medicines together. These can be medicines you are using yourself, or medicines your doctor has prescribed for you. It is always best to check with your pharmacist or doctor first. One danger is that you can double-up on the same ingredient, and that can give you an overdose, even though you are taking each separate medicine according to the directions. Paracetamol is in so many products, that there is a real danger of overdosing on paracetamol in this way.
Take enough. It is also important to take enough of your medicine, or it will not work. Many people are afraid of taking too much medicine, and take less than the recommended dose. The chances are that it will not work. A better way of thinking about any medicine, is that you should take it correctly when you need to, and stop as soon as you are better. Starting to take medicines when you first need is usually far more effective than leaving it for too long.
Plan it out. Anyone with a temperature or fever should be taking their medicine well spaced out over the whole 24 hours. If necessary write-out a time plan.
If you sleep through the night, then space your medicine evenly over the hours you are awake. Four times a day would then be when you wake up, two more evenly spaced doses during the day, and when you go to bed, e.g. 8am, 1pm, 6pm, 11pm.
If you are waking regularly at night, and sleeping regularly during the day; then space the medicine evenly over the 24 hours. Four times a day would then become every six hours, e.g. 10pm, 4am, 10am, 4pm.
There are three types of medicine to treat high temperature and fever, paracetamol, aspirin, and ibuprofen.
Paracetamol
Paracetamol is normally the first choice for high temperature and fever, and is the most popular. There are several popular brands available, as round tablets, capsule-shaped tablets, capsules, soluble tablets, and liquids for children. They all work the same way, but many people have their own particular favourite.
Paracetamol is kind to the stomach, and does not cause indigestion or stomach irritation. It can be taken on an empty stomach, and so you do not need to time the doses with meals or food.
Paracetamol is dangerous if you overdose. Read the label, and use the recommended dose

Aspirin
Aspirin has been used for far longer than paracetamol, and is just as good for high temperature and fever. There are popular brands available in tablet and soluble forms.
Aspirin should not be given to children. It has been linked with causing a rare childhood disorder, and should not be given to children under 16 years old.
Aspirin can irritate the stomach, and so should always be taken after food, or a meal. If you are not eating, then try to take it with something, even a milky drink is better than nothing.
Aspirin can cause problems with some medical conditions, and can be a problem taking it with some medicines on prescription. Check with your doctor or pharmacist.

Ibuprofen
Ibuprofen is the latest medicine for high temperature and fever to be available, and is just as good as paracetamol ands aspirin. It is more like aspirin than paracetamol.
Ibuprofen can irritate the stomach, and should always be taken after food, or a meal. If you are not eating, then try to take it with something, even a milky drink is better than nothing.
Ibuprofen can be given to children over one year old according to the directions.
Ibuprofen can cause problems with some medical conditions, and can be a problem taking it with some medicines on prescription. Check with your doctor or pharmacist.

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