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These medications may potentially reduce the metabolism of Ultram and increase the risk for serious adverse reactions, including seizures and serotonin syndrome. In patients with hepatic dysfunction, such as advanced cirrhosis of the liver, the metabolism of Ultram is reduced. According to the prescribing information, in patients who have cirrhosis of the liver, adjustment of the Ultram dosing regimen is recommended. The usual recommended dose of Ultram is 50 mg to 100 mg administered as needed for pain every four to six hours. In patients with cirrhosis of the liver, the recommended dose is 50 mg administered as needed for pain every 12 hours.
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Q: I sometimes take tramadol for rheumatoid arthritis although I do not like the side effects. But my doctor says it is best to stay on something non-addictive for as long as possible and as long as the arthritis does not progress further. This has been about 4 years now. My dose has gradually increased to 2 50mg tablets 4-6 times a day. I am noticing that I have a lot of involuntary muscle movements. Nothing major, sort of just a twitch. Is this normal?
These medications may potentially reduce the metabolism of Ultram and increase the risk for serious adverse reactions, including seizures and serotonin syndrome. In patients with hepatic dysfunction, such as advanced cirrhosis of the liver, the metabolism of Ultram is reduced. According to the prescribing information, in patients who have cirrhosis of the liver, adjustment of the Ultram dosing regimen is recommended. The usual recommended dose of Ultram is 50 mg to 100 mg administered as needed for pain every four to six hours. In patients with cirrhosis of the liver, the recommended dose is 50 mg administered as needed for pain every 12 hours.
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