equigesic and ultram
What is the most important information I should know about Ultram?
• Seizures have been reported as a rare side effect of treatment with Ultram equigesic and ultram. The risk of seizures may be increased in patients who take more than the prescribeddose, have a history of seizures or epilepsy, have head trauma, have a metabolicdisorder, have a central nervous system infection, are experiencing alcoholor drug withdrawal, or are taking certain medications equigesic and ultram. Talk to your doctor aboutfactors that may increase the risk of seizures during treatment equigesic and ultram.
• Do not drink alcohol while taking Ultram equigesic and ultram. Alcohol may cause a dangerousdecrease in breathing and/or liver problems when used during treatment withUltram equigesic and ultram.
• Use caution when driving, operating machinery, or performing other hazardousactivities equigesic and ultram. Ultram may cause dizziness or drowsiness equigesic and ultram. If you experience dizzinessor drowsiness, avoid these activities equigesic and ultram.
• Do not take more of this medication than is prescribed for you equigesic and ultram. If thepain is not being controlled, talk to your doctor equigesic and ultram. Taking more than the prescribedamount of this medication could result in seizures or decreased breathing equigesic and ultram.
What is Ultram?
• Ultram is a pain reliever equigesic and ultram. Ultram affects chemicals and receptors inthe body that are associated with pain equigesic and ultram.
• Ultram is used to relieve moderate to moderately severe pain equigesic and ultram.
• Ultram may also be used for purposes other than those listed in thismedication guide equigesic and ultram.
What should I discuss with my healthcare provider before taking Ultram?
• Seizures have been reported as a rare side effect of treatment with Ultram equigesic and ultram. The risk of seizures may be increased in patients who have any of the conditionsor are taking any of the medications listed below: Do not take Ultram withoutfirst talking to your doctor if you
· have a history of seizures or epilepsy;
· have a head injury;
· have a metabolic disorder;
· have a central nervous system infection;
· are experiencing alcohol or drug withdrawal;
· are taking a tricyclic antidepressant such as amitriptyline (Elavil),nortriptyline (Pamelor), doxepin (Sinequan), imipramine (Tofranil), clomipramine(Anafranil), and others;
· are taking a monoamine oxidase inhibitor (MAOI) such as isocarboxazid(Marplan), phenelzine (Nardil), or tranylcypromine (Parnate);
· are taking a psychiatric medication such as chlorpromazine (Thorazine),fluphenazine (Prolixin), haloperidol (Haldol), loxapine (Loxitane), mesoridazine(Serentil), perphenazine (Trilafon), thioridazine (Mellaril), thiothixene (Navane),and others;
· are taking a selective serotonin reuptake inhibitor (SSRI) such asfluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), sertraline(Zoloft), or citalopram (Celexa);
· are taking a narcotic pain reliever such as codeine, fentanyl (Duragesic),hydromorphone (Dilaudid), meperidine (Demerol), hydrocodone (Vicodin, Lorcet,Lortab, others), morphine (MS Contin, MSIR, RMS, Roxanol, others), oxycodone(Roxicodone, Percocet, Percodan, others), propoxyphene (Darvon, Darvocet, others),and others;
· are taking promethazine (Phenergan) or prochlorperazine (Compazine);
· are taking sibutramine (Meridia);
· are taking bupropion (Wellbutrin, Zyban); or
· are taking cyclobenzaprine (Flexeril) equigesic and ultram.
• Before taking Ultram, tell your doctor if you have
· kidney disease;
· liver disease; or
· a history of alcohol or drug dependence equigesic and ultram.
• You may not be able to take Ultram, or you may require a dosage adjustmentor special monitoring during treatment if you have any of the conditions listedabove equigesic and ultram.
• Ultram is in the FDA pregnancy category C equigesic and ultram. This means that it is notknown whether it will be harmful to an unborn baby equigesic and ultram. Do not take this medicationwithout first talking to your doctor if you are pregnant equigesic and ultram.
• It is also not known whether Ultram passes into breast milk equigesic and ultram. Do not takeUltram without first talking to your doctor if you are breast-feeding a baby equigesic and ultram.
• If you are over 75 years of age, you may be more likely to experienceside effects from Ultram equigesic and ultram. The maximum daily dose of Ultram for people over 75years of age is 300 mg equigesic and ultram.
• Ultram is not approved by the FDA for use by children younger than 16years of age equigesic and ultram.
How should I take Ultram?
• Take Ultram exactly as directed by your doctor equigesic and ultram. If you do not understandthese directions, ask your pharmacist, nurse, or doctor to explain them to you equigesic and ultram.
• Take each dose with a full glass of water equigesic and ultram.
• Ultram can be taken with or without food equigesic and ultram.
• Side effects from treatment with Ultram may be decreased by a slow increasein dose, as directed by your doctor equigesic and ultram. The tablets can easily be broken in halfat the score if needed equigesic and ultram. The maximum dose of Ultram for an average healthy adultis 100 mg per dose, every 4 to 6 hours, up to 400 mg per day equigesic and ultram. People over 75years of age should not take more than 300 mg per day equigesic and ultram. People with liver orkidney disease may need lower daily doses equigesic and ultram. Follow your doctor's directions equigesic and ultram.
• Do not take more of this medication than is prescribed for you equigesic and ultram. If thepain is not being controlled, talk to your doctor equigesic and ultram. Taking more than the prescribedamount of this medication could result in seizures or decreased breathing equigesic and ultram.
• Store Ultram at room temperature away from moisture and heat equigesic and ultram.
What happens if I miss a dose?
• Since Ultram is taken on an as-needed basis, missing a dose is usuallynot a problem equigesic and ultram. Take the dose as soon as you remember, and do not take anotherdose for the amount of time prescribed by your doctor equigesic and ultram. Do not take a doubledose of this medication equigesic and ultram.
What happens if I overdose?
• Seek emergency medical attention equigesic and ultram.
• Symptoms of a Ultram overdose include difficulty breathing; shallow,weak breathing; and seizures equigesic and ultram.
What should I avoid while taking Ultram?
• Do not drink alcohol while taking Ultram equigesic and ultram. Alcohol may cause a dangerousdecrease in breathing and/or liver problems when used during treatment withUltram equigesic and ultram.
• Use caution when driving, operating machinery, or performing other hazardousactivities equigesic and ultram. Ultram may cause dizziness or drowsiness equigesic and ultram. If you experience dizzinessor drowsiness, avoid these activities equigesic and ultram.
• Avoid sleeping pills, tranquilizers, sedatives, and antihistamines exceptunder the supervision of your doctor equigesic and ultram. These drugs may increase drowsiness causedby Ultram equigesic and ultram.
• Ultram may increase the effects of other drugs that cause drowsiness,including antidepressants, alcohol, other antihistamines, pain relievers, anxietymedicines, seizure medicines, and muscle relaxants equigesic and ultram. Dangerous sedation, dizziness,drowsiness, or decreased breathing may occur if Ultram is taken with any ofthese medications equigesic and ultram. Tell your doctor about all medicines that you are taking,and do not take any other prescription or over-the-counter medicines, includingherbal products, without first talking to your doctor during treatment withUltram equigesic and ultram.
What are the possible side effects of Ultram?
• If you experience any of the following serious side effects, stop takingUltram and seek emergency medical attention or contact your doctor immediately:
· an allergic reaction (difficulty breathing; closing of your throat;swelling of your lips, tongue, or face; or hives); or
· seizures equigesic and ultram.
• Other, less serious side effects may be more likely to occur equigesic and ultram. Continueto take Ultram and talk to your doctor if you experience
· dizziness, drowsiness, or headache;
· nervousness, tremor, or anxiety;
· nausea, vomiting, constipation, or diarrhea; or
· itching, dry mouth, or sweating equigesic and ultram.
• Ultram is habit forming equigesic and ultram. Physical and/or psychological dependence canoccur, and withdrawal effects are possible if the medication is stopped suddenlyafter prolonged or high-dose treatment equigesic and ultram.
• Side effects other than those listed here may also occur equigesic and ultram. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome equigesic and ultram.
What other drugs will affect Ultram?
• Ultram may increase the risk of seizures especially in patients who haveepilepsy or another seizure disorder equigesic and ultram. Also, Ultram may increase the risk ofseizures if you are taking any of the following drugs:
· a tricyclic antidepressant such as amitriptyline (Elavil), nortriptyline(Pamelor), doxepin (Sinequan), imipramine (Tofranil), clomipramine (Anafranil),and others;
· a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan),phenelzine (Nardil), or tranylcypromine (Parnate);
· an antipsychotic medication such as chlorpromazine (Thorazine), fluphenazine(Prolixin), haloperidol (Haldol), loxapine (Loxitane), mesoridazine (Serentil),perphenazine (Trilafon), thioridazine (Mellaril), thiothixene (Navane), andothers;
· a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine(Prozac), fluvoxamine (Luvox), paroxetine (Paxil), sertraline (Zoloft), or citalopram(Celexa);
· a narcotic pain reliever such as codeine, fentanyl (Duragesic), hydromorphone(Dilaudid), meperidine (Demerol), hydrocodone (Vicodin, Lorcet, Lortab, others),morphine (MS Contin, MSIR, RMS, Roxanol, others), oxycodone (Roxicodone, Percocet,Percodan, others), propoxyphene (Darvon, Darvocet, others), and others;
· promethazine (Phenergan) or prochlorperazine (Compazine);
· bupropion (Wellbutrin, Zyban); or
· cyclobenzaprine (Flexeril) equigesic and ultram.
• Do not take Ultram without first talking to your doctor if you are takingany of the medicines listed above equigesic and ultram.
• Before taking Ultram, tell your doctor if you are taking any of the followingmedicines:
· carbamazepine (Tegretol);
· quinidine (Quinaglute Dura-Tabs, Cardioquin, Quinora, others);
· warfarin (Coumadin); or
· digoxin (Lanoxin, Lanoxicaps) equigesic and ultram.
• You may not be able to take Ultram, or you may require a dosage adjustmentor special monitoring during treatment if you are taking any of the medicineslisted above equigesic and ultram.
• Ultram may increase the effects of other drugs that cause drowsiness,including antidepressants, alcohol, antihistamines, sedatives (used to treatinsomnia), other pain relievers, anxiety medicines, and muscle relaxants equigesic and ultram. Tellyour doctor about all medicines that you are taking, and do not take any otherprescription or over-the-counter medicines, including herbal products, withoutfirst talking to your doctor during treatment with Ultram equigesic and ultram.
• Drugs other than those listed here may also interact with Ultram equigesic and ultram. Talkto your doctor and pharmacist before taking any prescription or over-the-countermedicines, including herbal products equigesic and ultram.
Where can I get more information?
• Your pharmacist has more information about Ultram written for healthprofessionals that you may read equigesic and ultram.
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