Generic Ultram (Tramadol) is used to relieve moderate to moderately severe pain, including pain after surgery. The extended-release or long-acting tablets are used for chronic ongoing pain.

Tramadol belongs to the group of medicines called opioid analgesics. It acts in the central nervous system (CNS) to relieve pain. When tramadol is used for a long time, it may become habit-forming (causing mental or physical dependence). Physical dependence may lead to side effects when you stop taking the medicine.

What are the effects of Generic Ultram (Tramadol)?
Tramadol is an opiate. Although it is weaker than heroin and methadone, it still causes all the typical opiate effects, alongside some effects due to increases in serotonin activity. The effects include:
- Feelings of warmth and well-being, relaxation and sleepiness.
- Typical opiate effects of fatigue, drowsiness, nausea and retching, constipation and sometimes confusion.
- Less often, diarrhoea, dizziness or fainting, excessive sweating, itching, raised blood pressure, tightness in the airways, muscle weakness, sensory disturbances, hallucinations, fits and blood disorders.

How it should be taken?
Take exactly as prescribed. Never take tramadol in larger amounts, or for longer than recommended by your doctor. Follow the directions on your prescription label. Tell your doctor if the medicine seems to stop working as well in relieving your pain.

Tramadol can be taken with or without food, but take it the same way each time.
Do not crush, chew, or break a tramadol tablet. Swallow it whole. Breaking the pill may cause too much of the drug to be released at one time.

This medicine is for oral (by mouth) use only. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhalation or injection can cause life-threatening side effects, overdose, or death.

What are the precautions when taking Generic Ultram (Tramadol)?
Before taking Tramadol, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: brain disorders (such as head injury, tumor, seizures), breathing problems (such as asthma, sleep apnea, chronic obstructive pulmonary disease-COPD), kidney disease, liver disease, mental/mood disorders (such as confusion, depression, suicidal thoughts), personal or family history of regular use/abuse of drugs/alcohol, stomach/intestinal problems (such as blockage, constipation, diarrhea due to infection, paralytic ileus).

How to store Generic Ultram (Tramadol)?
Keep all medicines out of the reach and sight of children.
Store in a cool, dry place, away from direct heat and light.