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The use of Ultram in pediatric patients is not recommended. The most frequently reported adverse reactions were related to the central nervous system (CNS) and gastrointestinal system. Some of the common Ultram side effects, possible with treatment, include dizziness/vertigo, nausea, constipation, headache, somnolence, vomiting, pruritus, CNS stimulation (nervousness, anxiety, agitation, tremor, spasticity, euphoria, emotional instability and hallucinations), weakness, sweating, dyspepsia, dry mouth and diarrhea.
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