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This is not a complete list of side effects that can occur with Ultram. Ultram may be habit-forming, meaning that it is possible to become physically or mentally dependent on this medication. Withdrawal side effects can occur if Ultram is stopped suddenly. With any long-term pain treatment, tolerance may develop. Tolerance is the need for more medication in order to achieve the same amount of pain relief. It is a natural process of the body adjusting to pain medication. Tell your doctor if it seems like your pain medication is not working as well as it used to work. Do not stop or change the amount of medication you take without talking to your doctor first. For more specific information, consult with your doctor or local pharmacist for guidance based on your health status and current medications, particularly before taking any action. Sarah Lewis, PharmD
Q: Does tramadol cause withdrawal symptoms when combined with an opoid, or methadone, for a long-term user, who is probably physically addicted? A: Tramadol is in a drug class called opiate agonists. Tramadol is used for the management of moderate to moderately severe pain. Tramadol works by altering pain sensation in the body. According to tramadol’s prescribing information, withdrawal symptoms may happen if people who take tramadol discontinue tramadol abruptly. Withdrawal symptoms can include: anxiety; sweating; insomnia (trouble sleeping); rigors; pain; nausea; tremors; diarrhea; upper respiratory symptoms; erection of the hair of the skin; and rarely hallucinations. Other less frequent symptoms that have been seen upon the discontinuation of tramadol include: panic attacks, severe anxiety, and burning or prickling sensations. Withdrawal symptoms may be avoided by tapering (gradually decreasing) tramadol at the time of discontinuation.
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