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    A: Ultram (tramadol) is a narcotic-like medication used to treat pain, which lists „uncontrollable shaking of a body part“ as a side effect. The medication was created as an alternative to addictive narcotics, but the metabolite (what it breaks down into) can cause dependence in some people. Other common side effects may include dizziness/drowsiness, headache, insomnia, nervousness, muscle tightness, sweating, dry mouth, heartburn, nausea, vomiting, constipation, diarrhea, and itching. This is not a complete list of the side effects associated with Ultram (tramadol). Patti Brown, PharmD
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