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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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Q: I sometimes take tramadol for rheumatoid arthritis although I do not like the side effects. But my doctor says it is best to stay on something non-addictive for as long as possible and as long as the arthritis does not progress further. This has been about 4 years now. My dose has gradually increased to 2 50mg tablets 4-6 times a day. I am noticing that I have a lot of involuntary muscle movements. Nothing major, sort of just a twitch. Is this normal?
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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