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    Q: Can Ultram cause serotonin syndrome? A: Ultram (tramadol) is a narcotic-like pain reliever. Ultram is approved for the management of moderate to moderately severe pain. The extended-release formulation of Ultram is indicated for the management of moderate to moderately severe chronic pain when around the clock treatment is required. According to the prescribing information, serotonin syndrome has been reported in patients taking Ultram. Serotonin syndrome may occur within the recommended dose of Ultram. However, Ultram related serotonin syndrome occurred in less than one percent of patients during clinical trials and/or post marketing research. Although there is a risk for serotonin syndrome while taking Ultram alone, it is more likely to occur with the concomitant use of other serotonergic drugs. Serotonin syndrome is a potentially life-threatening medical condition, which can be fatal if left untreated. According to the National Institutes of Health (NIH), serotonin syndrome most often occurs when a patient takes two medications that affect serotonin levels. Serotonin syndrome may develop with the concomitant use of Ultram and other serotonergic medications, such as the triptans (medications used to treat migraine headaches), selective serotonin reuptake inhibitors (SSRIs), serotonin norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs) or monoamine oxidase inhibitors (MAOIs). Serotonin syndrome may also occur, and caution is advised,
    Q: Is tramadol an opiate? A: Ultram (tramadol) (//www.everydayhealth.com/drugs/tramadol) is a non-narcotic pain reliever. Tramadol binds to some opioid receptors and inhibates the reuptake of norepinephrine and serotonin (neurotransmitters in the brain). Tramadol may be habit-forming and should be used only by the person it was prescribed for. Tramadol should be taken exactly as how the doctor prescribed. Do not take more medication than the doctor prescribed. Side effects of tramadol include dizziness, drowsiness, blurred vision, and sleep problems such as insomnia. (//www.everydayhealth.com/arthritis/osteoarthritis/index.aspx). When your doctor prescribes a new medication, be sure to discuss all your prescription medications and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals and herbals, as well as foods you eat. Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist. If possible, use one pharmacy for all your prescriptions and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and advise you about drug interactions and side effects. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Kimberly Hotz, PharmD.
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    Q: Is tramadol an opiate? A: Ultram (tramadol) (//www.everydayhealth.com/drugs/tramadol) is a non-narcotic pain reliever. Tramadol binds to some opioid receptors and inhibates the reuptake of norepinephrine and serotonin (neurotransmitters in the brain). Tramadol may be habit-forming and should be used only by the person it was prescribed for. Tramadol should be taken exactly as how the doctor prescribed. Do not take more medication than the doctor prescribed. Side effects of tramadol include dizziness, drowsiness, blurred vision, and sleep problems such as insomnia. (//www.everydayhealth.com/arthritis/osteoarthritis/index.aspx). When your doctor prescribes a new medication, be sure to discuss all your prescription medications and over-the-counter drugs, including dietary supplements, vitamins, botanicals, minerals and herbals, as well as foods you eat. Always keep a current list of the drugs and supplements you take and review it with your health care providers and your pharmacist. If possible, use one pharmacy for all your prescriptions and over-the-counter products. This allows your pharmacist to keep a complete record of all your prescription drugs and advise you about drug interactions and side effects. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Kimberly Hotz, PharmD.
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