Ultram Warnings and Precautions

Before using Ultram, precautions and warnings should be reviewed with your healthcare provider to help minimize risks. Check with your healthcare provider before taking this drug if you have certain health conditions, such as epilepsy, liver disease, or lung disease. Safety concerns with Ultram also apply to people with certain allergies and women who are pregnant or breastfeeding.

What Should I Tell My Healthcare Provider Before Taking Ultram?

You should talk with your healthcare provider prior to taking Ultram® (tramadol hydrochloride) if you have:
 
  • Seizures or epilepsy
  • Liver disease, such as cirrhosis, liver failure, or hepatitis
  • Kidney disease, such as kidney failure (renal failure)
  • A head injury or high intercranial pressure
  • Severe abdominal (stomach) pain
  • Lung disease of any sort
  • A history of drug or alcohol dependence
  • Any allergies, including allergies to foods, dyes, or preservatives.
     
Also, let your healthcare provider know if you are:
 
  • Pregnant or thinking of becoming pregnant
  • Breastfeeding.
     
Make sure to tell your healthcare provider about any other medications you are taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.
 

Specific Ultram Warnings and Precautions

Some warnings and precautions to be aware of prior to taking Ultram include the following:
 
  • Ultram can cause seizures, especially in people who have a history of them, who are withdrawing from alcohol or narcotics, who have a head injury, or who take certain medications (see Tramadol and Seizures for more information).
     
  • Ultram has a significant potential for abuse. It is not a good choice for people who have a history of alcohol or drug abuse (see Tramadol Abuse). Do not take Ultram more frequently, longer, or at a higher dose than prescribed. If you feel you may be developing a problem with addiction or abuse, please seek help from your healthcare provider.
     
  • Ultram can cause slow and irregular breathing. In severe situations, this may lead to life-threatening complications. This may be especially dangerous in people with lung problems.
     
  • The medication can cause problems in people with head injuries or high intercranial pressure. Ultram should only be used with extreme caution in such circumstances.
     
  • Ultram can interfere with the diagnosis of many conditions that cause severe abdominal (stomach) pain.
     
  • Ultram can cause dizziness and drowsiness, and may increase the risk of falls in elderly people.
     
  • Do not drive or operate heavy machinery until you know how this medication affects you. Your reflexes and reaction times may be significantly affected, even if you feel fine.
     
  • Ultram can potentially interact with several other medications (see Ultram Drug Interactions).
     
  • Ultram is considered a pregnancy Category C medication. This means that it may not be safe for use during pregnancy, although the full risks are not known (see Tramadol and Pregnancy).
     
  • Ultram does pass through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to taking the drug (see Tramadol and Breastfeeding).
     
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