Generic name: Tramadol.

Ultram is a centrally acting pain reliever.

Quick Facts About Ultram


Used to relieve moderate to moderately severe pain.

Ultram Dosage

Take exactly as prescribed. Do not increase dose without your doctor’s permission.

  • Usual adult dose: initially — 50 to 100 milligrams every 4 to 6 hours, up to no more than 400 milligrams total per day. Seniors, 75 years and over — up to 300 milligrams total per day.
  • Usual child dose: not prescribed for children under 16 years.
  • Missed dose: take as soon as possible, unless almost time for next dose. In that case, do not take missed dose; go back to regular schedule. Do not double doses.

Ultram Side Effects

Overdose symptoms:

difficult or slowed breathing,  seizures. Overdose of Ultram can be fatal. If you suspect an overdose, immediately seek medical attention.

More common side effects: agitation, anxiety, bloating and gas, constipation, convulsions, diarrhea, dizziness, drowsiness, dry mouth, feeling of elation, hallucinations, headache, indigestion, itching, nausea, nervousness, sweating, tremor, vomiting, weakness.

Less common Ultram side effects: abdominal pain, appetite loss, confusion, coordination problems, flushing, general feeling of ill health, menopausal symptoms, rash, sleeping problems, urinating problems, vision problems. Rare side effects: accidental injury, difficulty breathing or concentrating, dizziness or light-headedness when rising from a sitting or lying position, hives, menstrual problems, “pins and needles,” rapid heartbeat, seizures, taste changes, weight loss.


Inform your doctor before combining Ultram with:

carbamazepine (Tegretol); MAO inhibitors such as Nardil and Parnate; narcotic pain relievers such as Demerol, morphine, Darvon, and Percocet; quinidine (Quinidex); sleeping pills such as Halcion, Dalmane, and Restoril; tranquilizers such as Thorazine, Stelazine, Valium, and Xanax.

Do not combine alcohol with this medication; may intensify the effects of alcohol.

Special Cautions

Effects of Ultram on pregnant women not known. If pregnant or planning to become pregnant, inform your doctor immediately. Appears in breast milk; could affect a nursing infant.

Seniors are prescribed a lower dose.

Not generally prescribed for children.

  • If you have kidney or liver problems, lower dosage required.
  • May cause drowsiness and impair your ability to drive a car or operate machinery. Do not take part in any activity that requires alertness.
  • Do not take more than prescribed dose; may cause seizures, especially if you have epilepsy or take other medications that may cause seizures.
  • Inform your doctor before treatment if you have a history of stomach problems (including ulcers) or head injury.


HealthSurvey.org provides accurate and independent information prescription pills, over-the-counter medicines and natural products. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. If you have questions about  dosage, or Ultram side effects, please contact your healthcare provider