Drug Uses

Ultram is used to relieve moderate to moderately severe pain. It also may be used to treat pain caused by surgery and chronic conditions such as cancer or joint pain. Ultram works by decreasing the brain's perception and response to pain. It also reduces the size or magnitude of the pain signal passed from one nerve to another. This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

How Taken

Ultram comes as a tablet to take it orally. It usually is taken every 4-6 hours as needed. It may be taken with or without food. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Ultram exactly as directed. Ultram can be habit-forming. Do not take a larger dose take it more often, or for a longer period than your doctor tells you to.

Warnings/Precautions

Before taking Ultram, tell your doctor if you have kidney disease; liver disease; or a history of alcohol or drug dependence. You may not be able to take Ultram, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Ultram is in the FDA pregnancy category C. This means that it is not known whether it will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant. It is also not known whether Ultram passes into breast milk. Do not take Ultram without first talking to your doctor if you are breast-feeding a baby. If you are over 75 years of age, you may be more likely to experience side effects from Ultram. The maximum daily dose of Ultram for people over 75 years of age is 300 mg. Ultram is not approved by the FDA for use by children younger than 16 years of age.

Missed Dose

Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Possible Side Effects

Although side effects from Ultram are not common, they can occur. The most frequently reported events were in the central nervous system (Migraine, Speech disorders) and gastrointestinal system (Gastrointestinal bleeding, Hepatitis, Stomatitis, Liver failure). Tell your doctor if any of these symptoms are severe or do not go away: dizziness, headache, drowsiness, blurred vision, upset stomach, vomiting, and diarrhea. If you experience any of the following symptoms, call your doctor immediately: fast heartbeat, redness, swelling, and itching of the face, numbness or tingling of the hands and feet, difficulty breathing, changes in urination, seizures.

Storage

Dispense in a tight container. Store at 25°C (77°F); excursions permitted to 15 - 30°C (59 - 86°F).

Overdose

Seek emergency medical attention. Symptoms of a Ultram overdose include difficulty breathing; shallow, weak breathing; and seizures.

More Information

Do not drink alcohol while taking Ultram. Alcohol may cause a dangerous decrease in breathing and/ or liver problems when used during treatment with Ultram. Use caution when driving, operating machinery, or performing other hazardous activities. Ultram may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Avoid sleeping pills, tranquilizers, sedatives, and antihistamines except under the supervision of your doctor. These drugs may increase drowsiness caused by Ultram.

Disclaimer

This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.

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Arthritis Pain Relief
In a recent survey on pain conducted by the Stanford University Medical Center, arthritis pain was cited as the chief complaint among America's seniors, with thirty-two percent of the senior population listing arthritis as the specific cause of their suffering. Arthritis does strike children and young adults as well, although it afflicts the mature segment of the population more frequently. It is estimated that 15% of the American adult population suffer from arthritis, and this number is rising, increasing the demand for arthritis pain relief.

Arthritis is a general term encompassing over 100 different medical conditions that affect the musculoskeletal system, the three most common being osteoarthritis, rheumatoid arthritis, and gout. It causes inflammation in the joints, tendons and ligaments. It manifests in every part of the body, ranging from mild joint stiffness to crippling disability.
Sufferers experience the pain of arthritis differently, too; for some, arthritis is at it is most severe upon waking up, while others report that their condition worsens throughout the day. No one knows exactly what causes arthritis, but it is among the oldest of human afflictions.
The type of arthritis and intensity of the condition determine the course of treatment. There is no cure for arthritis, but there are traditional and alternative treatments that can bring arthritis pain relief. Prescription and over-the-counter medications are popular for treating arthritis pain. Acetaminophen (Tylenol) is often recommended for osteoarthritis patients with little or mild inflammation, while aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen work best for patients with inflammatory rheumatoid arthritis.
The healing touch of massage may stimulate the flow of blood, bringing heat and relief to stiff joints. Alternative therapies such as acupuncture, relaxation, yoga, and even emu oil are have proven effective for many arthritis sufferers.
Heat and cold can help alleviate pain too, but since moist heat, such as that from a bath, acts differently than the dry heat of a heating pad or the cold of an ice pack, this type of treatment needs to be discussed with a doctor or physical therapist. Doctors also often recommend patients wear splints or braces to relieve joint pressure and protect them from further injury.
Another technique, called transcutaneous electrical nerve stimulation (TENS), works by blocking nerve endings from sending pain messages to the brain, so that the pain is never felt! A small TENS device sends mild electrical pulses to the nerve endings of the painful area, which seem to 'scramble' their message to the brain.
Medications top the list for long-term arthritis pain relief, and include several families of prescription drugs. Weight reduction, exercise, and stretching can all go a long way toward reducing stress on joints.
Surgery may be necessary for patients with severe arthritis. The operation may realign the joint or replace the damaged joint with an artificial one. Total joint replacement has resulted in dramatic arthritis pain relief and improved range of motion for many patients.
The most difficult but often the most effective pain reliever is establishing a healthy lifestyle - eating a healthy diet, getting enough sleep at night, and daily exercise. All of these help ease the pain of chronic arthritis. Support groups, a good physician, and making the effort to stay informed about arthritis treatment often benefits of patients suffering from arthritis as well.

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