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Use lowest effective dose for shortest duration. Individualize. Less than or equal to 17 yrs: initially 25 mg every morning; increase by 25 mg increments every 3 days up to 100 mg/day (25 mg four times daily). Total daily dose may then be increased, as tolerated, by 50 mg every 3 days up to 200 mg/day (50 mg four times daily). Usual dose: 50-100 mg every 4-6 hours as needed; max 400 mg/day.
Elderly (greater than 75 years): max 300 mg/day. Renal impairment: max 100 mg every 12 hours. Cirrhosis: max 50 mg every 12 hours
Less than 17 yrs: not recommended.
Ultram Side Effects
-ULTRAM should not be administered to patients who have previously
demonstrated hypersensitivity to tramadol, opioids or to any component of this
-ULTRAM is contraindicated in any situation where opioids are contraindicated,
including acute intoxication with any of the following: alcohol, hypnotics, centrally
acting analgesics, opioids or psychotropic drugs. ULTRAM may worsen central
nervous system and respiratory depression in these patients.
The concomitant use of ULTRAM and MAO inhibitors (or within 14 days following
discontinuation of such therapy) is contraindicated.
Ultram is also contraindicated in:
-Children less than 12 yrs.
-Post-op management in children less than 18 yrs following tonsillectomy and/or adenoidectomy.
-Significant respiratory depression: Acute or severe bronchial asthma in an unmonitored setting or in the absence of resuscitative equipment.
-Known or suspected GI (gastro intestinal) obstruction, including paralytic ileus.
Ultram Warnings and Precautions
This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid alcoholic beverages.
-Risk of life-threatening respiratory depression and death related to ultra-rapid metabolizers of Ultram (especially in children for post-tonsillectomy and/or adenoidectomy pain).
-Avoid in adolescents 12-18 years with conditions associated with hypo-ventilation.
-Seizure disorders. Avoid in depressed, suicidal, or addiction-prone patients; consider non-narcotic analgesics. Buy Pain Pills Online . More information from Wikikipedia