USES: This medicine is an analgesic
used to treat or prevent pain.
ULTRAM is a prescription-only pain medicine intended for
people who have moderate to moderately severe chronic pain.
ULTRAM helps your body's system relieve pain in two important
ways. Laboratory studies suggest that first, ULTRAM acts directly
on parts of the brain and spinal cord to reduce the amount
of pain. Second, it reduces the size of the pain signal passed
from one nerve to another.
ULTRAM works differently from an NSAID (which stands
for nonsteroidal anti-inflammatory drug and is pronounced
"EN-sayd"), such as ibuprofen. ULTRAM is also different
from other pain medications, such as codeine or morphine.
While the mode of action of ULTRAM is not completely understood,
laboratory studies suggest that at least two complementary
mechanisms appear applicable: binding of parent and M1 metabolite
to opioid receptors and weak inhibition of the re-uptake of
norephinephrine and serotonin.
BEFORE USING: Some medicines or medical conditions may
interact with this medicine. 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, pregnancy, or breast-feeding. Contact your doctor
or pharmacist if you have any questions or concerns about
using this medicine.
DIRECTIONS: Follow the directions
for using this medicine provided by your doctor. Store this
medicine at room temperature, away from heat and light. If
you miss a dose of this medicine, 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
doses at once.
CAUTIONS: Do not exceed the recommended
dose or take this medicine 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 this medicine. This medicine will add
to the effects of alcohol and other depressants. Do not drive,
operated machinery, or do anything else that could be dangerous
until you know how you react to this medicine. Using this
medicine 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. This medicine is excreted in breast
milk. Do not breast-feed while taking this medicine.
POSSIBLE SIDE EFFECTS: Side effects,
that 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,
POSSIBLE DRUG INTERACTIONS: Drug
interactions can result in unwanted side effects or prevent
a medicine from doing its job.
IF YOU TAKE TOO MUCH: 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.