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Some of the frequently reported side effects of Ultram ER include dizziness, nausea, constipation, headache, somnolence, flushing, pruritus, vomiting, insomnia, dry mouth, diarrhea, and weakness. More serious side effects with Ultram ER are possible. Risks, or warnings, associated with Ultram ER treatment include seizures, suicide, serotonin syndrome, anaphylactic reactions and respiratory depression. Ultram ER may impair a patient’s mental or physical abilities necessary for performing hazardous tasks, including operating machinery or driving a motor vehicle.
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