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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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Tramadol may also cause seizures. The risk of seizures is increased in people who have a seizure disorder or who are taking antidepressants or other opioid (or narcotic) pain relievers. Antidepressants and other drugs that affect serotonin can lead to a potentially life-threatening reaction, serotonin syndrome, with Tramadol. Serotonin syndrome is marked by mental-status changes (e.g., agitation, hallucinations, coma), autonomic instability (e.g., tachycardia, labile blood pressure, hyperthermia), neuromuscular aberrations (e.g., hyperreflexia, incoordination) and/or gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea).This is not a complete list of the side effects or drug interactions associated with tramadol. Michelle McDermott, RPh, PharmD
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