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Ultram ER 100 mg

Dosage: 50 mg & 100 mg ER Tablets

Imprints: “MCNEIL” “659” & “100 ER”

Shape/Color: White Oblong Tablets

Manufacturers: Ortho-McNeil-Janssen Pharmaceuticals, Inc.

Delivery time:
USA: 4 to 24 hours
Canada: 1 to 2 Days
International Delivery: 3 to 4 Days

To treat your moderate and severe pain.

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Description

Ultram is an opioid pain medication used to treat moderate to moderately severe pain. When taken by mouth in an immediate-release formulation, the onset of pain relief usually begins within an hour.  It is also available by injection and tablets. It may be sold in combination with paracetamol (acetaminophen) or as longer-acting formulations.

Ultram (tramadol) is a narcotic-like pain reliever. Ultram is used to treat moderate to severe pain.

The extended-release form of this medicine is for around-the-clock treatment of pain. This form of Ultram is not for use on an as-needed basis for pain. ULTRAM (tramadol hydrochloride) is indicated for the management of moderate to moderately severe pain in adults. Tramadol (Ultram) is an inexpensive drug used to treat moderate to severe pain in adults. This drug is more popular than comparable drugs. It is available in generic and brand versions. Generic tramadol is covered by most Medicare and insurance plans. This medication is used to help relieve moderate to moderately severe pain. Tramadol is similar to opioid (narcotic) analgesics. It works in the brain to change how your body feels and responds to pain.

Ultram is indicated for the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate. Ultram is a synthetic (man-made) pain reliever (analgesic).  Like morphine, Ultram binds to receptors in the brain (narcotic or opioid receptors) that are important for transmitting the sensation of pain from throughout the body to the brain. Like other narcotics used to treat pain, patients taking Ultram may abuse the drug and become addicted to it. Ultram (tramadol) is a narcotic-like pain reliever. Ultram is used to treat moderate to severe pain. The extended-release form of this medicine is for around-the-clock treatment of pain. This form of Ultram is not for use on an as-needed basis for pain. Ultram is a drug that contains the active ingredient tramadol. It’s a Schedule IV controlled substance, and it’s prescribed to relieve pain. It impacts the central nervous system to relieve pain and also to induce feelings of well-being and relaxation. Ultram is meant to treat pain that’s moderate to severe, and there’s an extended-release version of the medicine that can be used to treat chronic pain that’s ongoing.

Tramadol, which is the generic name of Ultram, is part of a group of medicines that are classified as opioid analgesics. It impacts the central nervous system to relieve pain, and it may lead to physical dependence when it’s used for a period of time. ULTRAM (tramadol hydrochloride) tablets is a centrally acting analgesic.  It is readily soluble in water and ethanol. ULTRAM is indicated in adults for the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate. Ultram is a pain reliever that is available as a regular option for as-needed pain relief, as well as an extended-release version. ULTRAM tablets contain 50 mg of tramadol hydrochloride and are white in color. Inactive ingredients in the tablet are pregelatinized corn starch, modified starch (corn), hypromellose, lactose, magnesium stearate, microcrystalline cellulose, polyethylene glycol, polysorbate 80, sodium starch glycolate, titanium dioxide and carnauba wax.

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DOSAGE AND INDICATION

DOSAGE FORMS AND STRENGTHS

ULTRAM (tramadol hydrochloride) Tablets – 50 mg are white, capsule-shaped, coated tablet imprinted “ULTRAM” on one side and “06 59” on the scored side.

Start ULTRAM at 25 mg/day and titrated in 25 mg increments as separate doses every 3 days to reach 100 mg/day (25 mg four times a day). Thereafter the total daily dose may be increased by 50 mg as tolerated every 3 days to reach 200 mg/day (50 mg four times a day). After titration, ULTRAM 50 to 100 mg can be administered as needed for pain relief every 4 to 6 hours not to exceed 400 mg/day.

Dosage Modification in Patients with Renal Impairment

In all patients with creatinine clearance less than 30 mL/min, it is recommended that the dosing interval of ULTRAM be increased to 12 hours, with a maximum daily dose of 200 mg.

Dosage Modification in Patients with Hepatic Impairment

The recommended dose for adult patients with cirrhosis is 50 mg every 12 hours.

HOW TO USE

Take this medication by mouth as directed by your doctor, usually every 4 to 6 hours as needed for pain relief. If a patient misses a dose, they should take their next dose as soon as they remember.

 

Adult:

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

Children:

Less than 17 yrs: not recommended.

Ultram Side Effects

Agitation, spinning sensation, seizures (convulsions), nervousness, dizziness, anxiety, skin rash, hallucinations, abnormal or decreased touch sensation, bloating,  increased blood pressure, change in walking and balance, chest pain or discomfort, blood in the urine, dark urine, fast heartbeat, dizziness or lightheadedness when getting up from a lying or sitting position, gaseous abdominal or stomach pain, indigestion, blisters under the skin, chills, blurred vision, difficult urination, fainting, frequent urge to urinate and irregular heartbeat. Consult your doctor for a complete list of Ultram side effects.

-Dizziness

-Nausea

-Constipation

-Vertigo

-Headache

-Vomiting

-Agitation

-Anxiety

-Euphoria

-Nervousness

-Dyspepsia (indigestion)

-Asthenia (weakness)

-Pruritus (itchiness)

-Dry mouth

-Diarrhea

-Fatigue

-Sweating

CONTRAINDICATIONS

  • Ultram should not be administered to patients who have previously demonstrated hypersensitivity to tramadol, any other component of this product or opioids.
  • Ultram is contraindicated in any situation where opioids are contraindicated, including acute intoxication with any of the following: alcohol, hypnotics, narcotics, centrally acting analgesics, opioids or psychotropic drugs.
  • Ultram may worsen central nervous system and respiratory depression in these patients.
  • Ultram is contraindicated in patients with known or suspected gastrointestinal obstruction, including paralytic ileus as the tramadol in ULTRAM may cause spasm of the sphincter of Oddi.
  • Ultram is contraindicated for all children younger than 12 years of age.
  • Ultram is also contraindicated in patients with Significant respiratory depression.

-ULTRAM should not be administered to patients who have previously

demonstrated hypersensitivity to tramadol, opioids or to any component of this

product.
-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

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