Generic Ultram

Null 50/100mg
Pain Relief

TRAMADOL (Ralivia ER™, Ralivia™ Flashdose®, Ultram®) is used to treat pain in adults. The medicine is for pain that lasts for more than a few days. The medicine is not for use on an as needed basis.

Package	Per Pill	Price	Order
50mg x 30 pills	$1.19	$35.66	Buy Now!
50mg x 60 pills	$1.08	$64.87	Buy Now!
50mg x 90 pills	$1.10	$98.87	Buy Now!
50mg x 10 pills	$2.30	$23.04	Buy Now!

Package	Per Pill	Price	Order
100mg x 30 pills	$1.63	$48.92	Buy Now!
100mg x 10 pills	$3.40	$33.98	Buy Now!
100mg x 60 pills	$1.52	$91.35	Buy Now!
100mg x 90 pills	$1.58	$142.27	Buy Now!

Ultram

Generic name: Tramadol
Tramadol tablets

What are tramadol tablets ?

TRAMADOL (Ultram®) is an analgesic that can relieve moderate to moderately severe pain following surgery such as cesarean section, hysterectomy, hip replacement or other bone surgery, and dental surgery. This drug also helps relieve chronic pain associated with cancer, nerve pain, or low-back pain. Generic tramadol tablets are available.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

an alcohol or drug abuse problem

breathing difficulty

head injury or brain tumor

kidney disease

liver disease

seizures (convulsions) or seizure disorder (epilepsy)

stomach or intestinal problems

an unusual or allergic reaction to tramadol, codeine, other pain medicines, foods, dyes, or preservatives

pregnant or trying to get pregnant

breast-feeding

How should I take this medicine?

Take tramadol tablets by mouth. Follow the directions on the prescription label. Swallow the tablets with a drink of water. If tramadol upsets your stomach, take it with food or milk. Do not take more than 100 mg of tramadol at one time or more than 400 mg of tramadol per day. Older patients (more than 75 years of age) should not take more than 300 mg of tramadol per day. Higher doses may cause severe side effects, do not take more medication than your prescriber has instructed.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What drug(s) may interact with tramadol?

alcohol

antihistamines (commonly found in allergy or cold products)

bupropion

cocaine

digoxin

droperidol

drugs to regulate heart rhythm such as amiodarone, propafenone, quinidine

furazolidone

imatinib

isoniazid, INH

linezolid

medicines called MAO inhibitors-phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®), selegiline (Eldepryl®)

medicines for anxiety, depression, or sleeping problems

medicines for nausea or vomiting

medicines for Parkinson's disease such as entacapone, pramipexole, ropinirole or tolcapone

medicines for mental problems like schizophrenia

muscle relaxants

naloxone

other medicines for pain such as codeine, morphine, nalbuphine, pentazocine, or propoxyphene

procarbazine

rifampin

ritonavir

seizure medicines

stimulants such as amphetamine or dextroamphetamine

St. John's wort

warfarin

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What side effects may I notice from taking tramadol?

Side effects that you should report to your prescriber or health care professional as soon as possible:
Rare or uncommon:

changes in vision

difficulty breathing, shortness of breath

fast or irregular heartbeat

hallucinations (seeing and hearing things that are not really there)

passing urine more frequently than usual, or not passing urine as often as usual

redness, blistering, peeling or loosening of the skin, including inside the mouth

skin rash, itching

seizures (convulsions)
More common:

anxiety, agitation

nausea

vomiting

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

constipation or diarrhea

difficulty sleeping

dizziness, drowsiness

dry mouth

false sense of well being, feeling of unreality, mood changes

headache

indigestion

itching

What should I watch for while taking tramadol?

Tell your prescriber or health care professional if your pain does not go away. Visit your prescriber or health care professional for regular checks on your progress if you are taking tramadol regularly.

Do not drive, use machinery, or do anything that needs mental alertness until you know how tramadol affects you. Be careful taking other medicines which may also make you tired. This effect may be worse when taking these medicines with tramadol. Alcohol can increase possible drowsiness, dizziness, confusion and affect your breathing. Avoid alcohol while taking tramadol.

Your mouth may get dry. Chewing sugarless gum, sucking hard candy and drinking plenty of water will help.

If you are going to have surgery, tell your prescriber or health care professional that you are taking tramadol.

Where can I keep my medicine?

Keep out of reach of children in a container that small children cannot open.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.

What is the shelf life of the pills?

The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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