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It is always best to let an employer, or whoever the testing is being conducted for, know all of the medications you are taking, especially prescription medication. Ultram (tramadol) is legally available by prescription only in the United States. The half-life, which is how long it takes until medication is at half the level in the system, which is considered to be when it is no longer at a dose high enough to provide any benefit, of Ultram (tramadol) is approximately 5-6 hours, but the metabolite will add on another 9 hours. However, the medication will still show up on a urine test, that is made to look for it, for approximately 2-4 days. Ultram (tramadol) comes in an immediate release version, but there is also an extended release version that will stay in the system even longer. Patti Brown, PharmD
The seizure risk is also increased in patient taking Ultram concomitantly with selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants (TCAs) or other tricyclic medications, such as cyclobenzaprine or promethazine, other opioids, monoamine oxidase inhibitors (MAOIs), neuroleptics or other medications that reduce the seizure threshold. The risk of convulsions may also be increased in patients with epilepsy, a history of seizures, or in patients who already have a risk for seizures, such as head trauma. There is also a suicide risk possible with Ultram treatment.
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The seizure risk is also increased in patient taking Ultram concomitantly with selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants (TCAs) or other tricyclic medications, such as cyclobenzaprine or promethazine, other opioids, monoamine oxidase inhibitors (MAOIs), neuroleptics or other medications that reduce the seizure threshold. The risk of convulsions may also be increased in patients with epilepsy, a history of seizures, or in patients who already have a risk for seizures, such as head trauma. There is also a suicide risk possible with Ultram treatment.
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