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Proper name: tramadol hydrochloride

Chemical name: (±)cis-2-[(dimethylamino)methyl]-1-(3-methoxyphenyl) cyclohexanol hydrochloride

Molecular formula and molecular mass: C16H25NO2 •HCl and 299.84

Physicochemical properties: Tramadol hydrochloride is a white to off-white, crystalline, odourless powder with a melting point between 180-184°C.



How to use Ultram


 Take this medication by mouth, usually every 4 to 6 hours as needed for pain relief. You may take this drug with or without food. If you have nausea, it may help to take this drug with food

The dosage is based on your medical condition and response to treatment. To reduce your risk of side effects, start this medication at a low dose and gradually increase your dose.

The maximum recommended dose is 400 milligrams per day.

 If you are older than 75 years, the maximum recommended dose is 300 milligrams per day. Do not increase your dose, take the medication more frequently, or take it for a longer time.

Pain medications work best if they are used as the first signs of pain occur. If you wait until the pain has worsened, the medication may not work as well.

 Suddenly stopping this medication may cause withdrawal, especially if you have used it for a long time or in high doses. To prevent withdrawal, you may lower your dose slowly.



What happens if I miss a dose?


   Since Ultram is used for pain, you are not likely to miss a dose.

  Skip any missed dose if it is almost time for your next scheduled dose.

 Do not take extra medicine to make up the missed dose.



Initial Dosage


Initiating Treatment With Ultram

 For patients not requiring rapid onset of analgesic effect, the tolerability of ULTRAM can be improved by initiating therapy with the following titration regimen: Start ULTRAM at 25 mg/day and titrated in 25 mg increments as separate doses every 3 days to reach 100 mg/day (25 mg four times a day).

Thereafter the total daily dose may be increased by 50 mg as tolerated every 3 days to reach 200 mg/day (50 mg four times a day). After titration, ULTRAM 50 to 100 mg can be administered as needed for pain relief every 4 to 6 hours not to exceed 400 mg/day.

 For the subset of patients for whom rapid onset of analgesic effect is required and for whom the benefits outweigh the risk of discontinuation due to adverse events associated with higher initial doses, ULTRAM 50 mg to 100 mg can be administered as needed for pain relief every four to six hours, not to exceed 400 mg per day.

What is tramadol (Ultram) used to treat?

 Tramadol (Ultram) is a strong painkiller used to treat moderate to severe pain.

It is generally used when non-opioid painkillers don't work as well to control the pain anymore.

Does tramadol (Ultram) make you happy?

Tramadol (Ultram) may cause a feeling of happiness or euphoria as it works on the same receptors as certain antidepressants.





Relieves moderate to severe pain. Studies show tramadol (Ultram) works as well as other opioid pain medications.

Compared to typical opioids, tramadol (Ultram) provides unique pain relief by working on the same receptors as certain antidepressants.

Doesn't cause as much constipation as other opioid pain medicines.

Staying hydrated and taking laxatives can help treat this side effect.