Prescription Ultram ER Drug Information
ULTRAM may induce psychic and physical dependence of the morphine-type (u-opioid).Dependence and abuse, including drug-seeking behavior and taking illicit actions to obtain the drug are not limited to those patients with prior history of opioid dependence.The risk in patients with substance abuse has been observed to be higher.ULTRAM is associated with craving and tolerance development.Withdrawal symptoms may occur if ULTRAM is discontinued abruptly
BEFORE USING THIS MEDICINE:Some medicines or medical conditions may interact with this medicine.INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking.ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking "blood thinners" such as warfarin, appetite suppressants (such as phenylpropanolamine, phentermine or benzphetamine), certain medicine for mood or mental disorders (such as olanzepine, clozapine, haloperidol, loxapine, molindone, or thiothixene), selective serotonin reuptake inhibitor antidepressants (such as fluoxetine, sertraline, or paroxetine), tricyclic antidepressants (such as amitriptyline or imipramine), monoamine oxidase inhibitors (such as furazolidone, linezolid, moclobemide, phenelzine, procarbazine, selegiline, isocarboxazid, or tranylcypromine), quinolone antibiotics (such as ciprofloxacin or levofloxacin), narcotic analgesics (such as codeine or morphine), phenothiazines (such as promethazine or thioridazine), sleeping medicines (such as zolpidem or temazepam), bupropion, cyclobenzaprine, carbamazepine, or nefazodone.Inform your doctor of any other medical conditions including a history of seizures, head injury or trauma, breathing problems (such as asthma), bowel problems, allergies, pregnancy, or breast-feeding.
USE OF THIS MEDICINE is not recommended if you have severe bowel problems (such as pseudomembranous colitis).Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.HOW TO USE THIS MEDICINE:Follow the directions for using this medicine provided by your doctor.THIS MEDICINE MAY BE TAKEN WITH FOOD if it upsets your stomach. STORE THIS MEDICINE at room temperature, away from heat and light. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible.If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.Do NOT take 2 doses at once.
CAUTIONS:DO NOT TAKE THIS MEDICINE IF YOU HAVE HAD A SEVERE ALLERGIC REACTION to codeine, hydrocodone, dihydrocodeine, or oxycodone (such as Tylox, Tylenol with Codeine, vicodin).A severe allergic reaction includes a severe rash, hives, breathing difficulties, or dizziness.If you have a question about whether you are allergic to this medicine, or if a certain medicine contains codeine, hydrocodone, dihydrocodeine, or oxycodone, contact your doctor or pharmacist.IF YOU EXPERIENCE difficulty breathing, tightness of chest, swelling of eyelids, face, or lips; or if you develop a rash or hives, tell your doctor immediately.Do not take any more doses of this medicine unless your doctor tells you to do so.DO NOT EXCEED THE RECOMMENDED DOSE OR TAKE THIS MEDICINE for longer than prescribed.Exceeding the recommended dose or taking this medicine for longer than prescribed may be habit-forming.If using this medicine for an extended period of time, DO NOT SUDDENLY STOP taking this medicine without your doctor's approval.Your dose may need to be slowly lowered to avoid side effects.BEFORE YOU HAVE ANY MEDICAL OR DENTAL TREATMENTS, EMERGENCY CARE, OR SURGERY, tell the doctor or dentist that you are using this medicine.AVOID ALCOHOL while you are using this medicine. This medicine will add to the effects of alcohol and other depressants.Ask your pharmacist if you have questions about which medicines are depressants. This medicine may cause dizziness or drowsiness.DO NOT DRIVE, OPERATE MACHINERY, OR DO ANYTHING ELSE THAT COULD BE DANGEROUS until you know how you react to this medicine.Using this medicine alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. IP DIZZINESS OCCURS, sit or stand up slowly.BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist.Caution is advised when using this medicine in the elderly because they may be more sensitive to the effects of this medicine.FOR WOMEN:IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy.THIS MEDICINE IS EXCRETED IN BREAST MILK.DO NOT BREAST-FEED while taking this medicine.
POSSIBLE SIDE EFFECTS:SIDE EFFECTS, that may occur include dizziness, nausea, drowsiness, dry mouth, constipation, headache, or sweating.If they continue or are bothersome, check with your doctor.CHECK WITH YOUR DOCTOR IMMEDIATELY if you experience seizures or hallucinations. AN ALLERGIC REACTION to this medicine is unlikely, but seek immediate medical attention if it occurs.Symptoms of an allergic reaction include rash, itching, swelling, dizziness, or trouble breathing.If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.
OVERDOSE:If overdose is suspected, contact your local poison control center or emergency room immediately.Symptoms of overdose may include cold and clammy skin, low body temperature, slowed breathing, slowed heartbeat, lightheadedness, seizures, deep sleep, and loss of consciousness.ADDITIONAL INFORMATION:DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed.DO NOT USE THIS MEDICINE for other health conditions.KEEP THIS MEDICINE out of the reach of children.IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OP TIME, obtain refills before your supply runs out.The information in this monograph is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse effects.This information is generalized and is not intended as specific medical advice.If you have questions about the medicines you are taking or would like more information, check with your doctor, pharmacist, or nurse.