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After titration has been completed, the recommended Ultram dose can range from 50 to 100 mg and is administered as needed for pain every 4 to 6 hours. The maximum daily dose of Ultram should not exceed 400 mg per day. Essentially, this means it is important not to exceed 8 tablets daily. Ultram may be taken with or without food. It is important to avoid alcohol while taking Ultram. Ultram may be habit-forming. Therefore, it is essential to take it exactly as directed by your doctor. To avoid unpleasant withdrawal symptoms, do not abruptly discontinue taking Ultram. Appropriate discontinuation of treatment with Ultram should only be done under the supervision of your physician. Some of the side effects, possible with Ultram treatment, include dizziness, nausea, constipation, headache, somnolence, vomiting, pruritus, weakness, sweating, dyspepsia, dry mouth and diarrhea.
Tramadol may also cause seizures. The risk of seizures is increased in people who have a seizure disorder or who are taking antidepressants or other opioid (or narcotic) pain relievers. Antidepressants and other drugs that affect serotonin can lead to a potentially life-threatening reaction, serotonin syndrome, with Tramadol. Serotonin syndrome is marked by mental-status changes (e.g., agitation, hallucinations, coma), autonomic instability (e.g., tachycardia, labile blood pressure, hyperthermia), neuromuscular aberrations (e.g., hyperreflexia, incoordination) and/or gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea).This is not a complete list of the side effects or drug interactions associated with tramadol. Michelle McDermott, RPh, PharmD
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