Before Using This medicine: Before taking Ultram, tell your doctor and pharmacist if you are allergic to Ultram, codeine, or any other drugs. Tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially other pain relievers; carbamazepine (Tegretol); MAO inhibitors [phenelzine (Nardil) or tranylcypromine (Parnate)]; medications for depression; quinidine; sleeping pills; tranquilizers; and vitamins. Tell your doctor if you have or have ever had kidney or liver disease, a history of seizures, or a history of alcohol or drug abuse. Tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Ultram, call your doctor. If you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Ultram. You should know that this drug might make you drowsy. Do not drive a car or operate machinery until you know how this drug affects you. Remember that alcohol can add to the drowsiness caused by this drug.

Other Medical Problems: 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.

Proper Use of This Medicine: Take one tablet every 4-6 hours as needed.

Precautions While Using This Medicine: Use of Ultram is not recommended if you are also taking cyclobenzaprine or medicine for depression or other emotional or mood disorders. If you are taking any of these medicines, be sure your doctor knows. Additional monitoring of your dose or condition may be needed if you are taking bupropion, narcotic analgesics, or have a history of seizures. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about using Ultram.

Side Effects of This Medicine: Although side effects from Ultram are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away: Dizziness - headache - drowsiness - blurred vision - upset stomach - vomiting - diarrhea. If you experience any of the following symptoms, contact 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 or seizures If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include cold and clammy skin, low body temperature, slowed breathing, slowed heartbeat, drowsiness, dizziness, lightheadedness, seizures, deep sleep, and loss of consciousness.