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Q: What are the side effects of Ultram ER? A: Ultram ER (tramadol) is a centrally acting synthetic analgesic in an extended-release formulation. Ultram ER is a non-narcotic pain reliever, similar in action to the narcotic pain relievers. Ultram ER is indicated for the management of moderate to moderately severe chronic pain in adults when around the clock treatment is warranted. The exact mechanism of action of Ultram ER to alleviate pain is not clearly defined. The side effects of Ultram ER appear to be dose dependent. During clinical trials, the frequency of adverse reactions, experienced by patients, generally increased with increasing doses from 100 mg to 400 mg.
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Long-term use of high doses of tramadol will cause physical dependence and withdrawal syndrome.[27] These include both symptoms typical of opioid withdrawal and those associated with SNRI withdrawal; symptoms include numbness, tingling, paresthesia, and tinnitus.[28] Psychiatric symptoms may include hallucinations, paranoia, extreme anxiety, panic attacks, and confusion.[29] In most cases, tramadol withdrawal will set in 12–20 hours after the last dose, but this can vary.[28] Tramadol withdrawal typically lasts longer than that of other opioids. Seven days or more of acute withdrawal symptoms can occur as opposed to typically three or four days for other codeine analogues.[28]
Q: What are the side effects of Ultram ER? A: Ultram ER (tramadol) is a centrally acting synthetic analgesic in an extended-release formulation. Ultram ER is a non-narcotic pain reliever, similar in action to the narcotic pain relievers. Ultram ER is indicated for the management of moderate to moderately severe chronic pain in adults when around the clock treatment is warranted. The exact mechanism of action of Ultram ER to alleviate pain is not clearly defined. The side effects of Ultram ER appear to be dose dependent. During clinical trials, the frequency of adverse reactions, experienced by patients, generally increased with increasing doses from 100 mg to 400 mg.
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