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Q: Is there any difference between tramadol and Ultram? A: Tramadol is the generic equivalent of Ultram. All generic medications have to use the same active ingredient in the same amount. The manufacturer of generics are required to prove to the FDA that their version is just as effective and just as safe as the brand. However, inactive ingredients can be different. If you purchase the generic, you are still getting the same active ingredient as the brand. Patti Brown, PharmD
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