The following information is a summary about Ultram. It is not intended to replace a doctor's instructions.

Generic Name: TRAMADOL (TRA-ma-doll)

USES
Ultram is an analgesic used to treat or prevent pain.

BEFORE USING
Some medicines or medical conditions may interact with Ultram. Inform your doctor or pharmacist of all prescription and over-the-counter medicine that you are taking.

Use of this medicine is not recommended if you are also taking cyclobenzaprine or medicine for depression or other emotional or mood disorders. If you are taking any of these medicines, be sure your doctor knows. Additional monitoring of your dose or condition may be needed if you are taking bupropion, narcotic analgesics, or have a history of seizures.

Inform your doctor of any other medical conditions, allergies, or if you are pregnant or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about using Ultram.

HOW TO TAKE THIS MEDICATION
Follow the directions for using this medicine provided by your doctor. Store it at room temperature, away from heat and light.

If you miss a dose of Ultram, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. DO NOT TAKE 2 AT ONCE.

SIDE EFFECTS
Side effects which may go away during treatment include: dizziness, nausea, drowsiness, dry mouth, constipation, headache, or sweating. If they continue or are bothersome, check with your doctor.

Check with your doctor as soon as possible if you experience skin rash, itching, seizures, or hallucinations. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

PRECAUTIONS
Do not exceed the recommended dose or take Ultram for longer than prescribed. If you experience difficulty breathing or tightness of chest; swelling of eyelids, face, or lips; or develop a rash or hives, tell your doctor immediately.

Do not take any more of this medicine unless your doctor tells you to do so. Avoid alcohol while you are using Ultram. It will add to the effects of alcohol and other depressants. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to this medicine. Using Ultram alone, with other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks. Before you begin taking any new medicine, either prescription or over-the-counter, check with your doctor or pharmacist.

FOR WOMEN: if you plan on becoming pregnant, discuss with your doctor the benefits and risks of using this medicine during pregnancy. Ultram is excreted in breast milk. DO NOT BREAST-FEED WHILE TAKING THIS MEDICINE.

DRUG INTERACTIONS
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other.

OVERDOSE
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include: cold and clammy skin, low body temperature, slowed breathing, slowed heartbeat, drowsiness, dizziness, lightheadedness, seizures, deep sleep, and loss of consciousness.

STORAGE
Store at room temperature away from sunlight and moisture. Keep this and all medications out of the reach of children.