Drug: Ultram

tramadol hydrochloride (pronounced TRAH-muh-dol high-droh-KLOR-ighd)

Common Side Effects: dizziness, whirling feeling, headache, sleepiness, overstimulation, muscle weakness, nausea, vomiting, constipation, itching.

Less Common Side Effects: anxiety, confusion, coordination disturbance, euphoria, nervousness, sleep disorder, vision disturbances, upset stomach, dry mouth, diarrhea, stomach pain, loss of appetite, gas, urine retention, urinary frequency, menopausal symptoms, sweating, rash, uneasiness.

Missed Dose: Take the missed dose as soon as possible. If it's almost time for your next dose, skip the missed dose and take your next dose as scheduled. Don't double the dose.

Drug Interactions: Combining certain medications may alter their actions or produce unwanted effects. Tell your health care provider about other prescription medications, nonprescription medications, herbs, and supplements you're taking, especially:

carbamazepine (Tegretol)
MAO inhibitors (antidepressants)
medications that slow down the central nervous system (such as cold and allergy medications, tranquilizers, and sedatives)
quinidine
selective serotonin reuptake inhibitors (antidepressants such as Prozac, Paxil, and Sarafem)
tricyclic antidepressants (such as amitriptyline).

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