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Ultram

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Ultram Uses
Ultram, dispensed in it's generic form as Tramadol, is a non-opiod analgesic used in the treatment and prevention of pain.

Ultram Directions
For the treatment of painful conditions Tramadol 50 mg to 100 mg can be administered as needed for relief every four to six hours, not to exceed 400 mg per day. For moderate pain Tramadol 50 mg may be adequate as the initial dose, and for more severe pain, Tramadol 100 mg is usually more effective as the initial dose.

Individualization of Dose :

Patients 65 to 75 years of age : No dose adjustment is necessary.

Patients over 75 years old : No more then 300 mg/day in divided doses

Patients with kidney impairment : The dosing interval of Tramadol should be increased to 12 hours with a maximum daily dose of 200 mg.

Dialysis patients : These patients can receive their regular dose on the day of dialysis.

Patients with cirrhosis : Recommended dosage is 50 mg every 12 hours.

Patients receiving chronic carbamazepine : Doses up to 800 mg daily may be required, this is up to twice the recommended dose of Tramadol.

Ultram Adverse Reactions
Tramadol was administered to 550 patients during the double-blind or open-label extension periods in U.S. studies of chronic nonmalignant pain. Of these patients, 375 were 65 years old or older. TABLE 2 reports the cumulative incidence rate of adverse reactions by 7, 30 and 90 days for the most frequent reactions (5% or more by 7 days). The most frequently reported events were in the central nervous system and gastrointestinal system. Although the reactions listed in the table are felt to be probably related to Tramadol administration, the reported rates also include some events that may have been due to underlying disease or concomitant medication. The overall incidence rates of adverse experiences in these trials were similar for Tramadol and the active control groups, acetaminophen 300 mg with codeine phosphate 30 mg, and aspirin 325 mg with codeine phosphate 30 mg.

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