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Q: Does tramadol aggravate the liver?A: Tramadol (Ultram) is a medication used to treat moderate to moderately severe pain. Tramadol is an opioid-like analgesic. The metabolism of tramadol is reduced in patients with liver dysfunction. It is recommended to decrease the dose of tramadol in patients with liver problems. Some of the most common side effects associated with tramadol include flushing, dizziness, headache, drowsiness, insomnia, itching, constipation, nausea, vomiting, upset stomach and weakness. The prescribing information for tramadol does list hepatitis and liver failure as rare potential side effects. Tramadol can affect the ability to perform tasks that require mental alertness such as driving, do not drive or operate machinery until you know how tramadol will affect you. Alcohol should be avoided in patients taking tramadol. Alcohol can increase the side effects of tramadol and alcohol also has negative effects on the liver.
Ultram ER may be habit-forming and withdrawal symptoms may occur with abrupt discontinuation of treatment. Symptoms of withdrawal from Ultram ER may include anxiety, sweating, insomnia, rigors, pain, nausea, tremors, diarrhea, or upper respiratory symptoms. Patients are advised against abrupt discontinuation of treatment with Ultram ER. According to the prescribing information, withdrawal symptoms may be reduced by appropriately tapering Ultram ER under the supervision of a health care provider. Patients should be advised that Ultram ER is intended for single-dose administration in a 24-hour period. The daily dose of Ultram ER should not exceed 300 mg per day. Doses that exceed what is recommended may result in respiratory depression, seizures and death.
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