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After titration has been completed, the recommended Ultram dose can range from 50 to 100 mg and is administered as needed for pain every 4 to 6 hours. The maximum daily dose of Ultram should not exceed 400 mg per day. Essentially, this means it is important not to exceed 8 tablets daily. Ultram may be taken with or without food. It is important to avoid alcohol while taking Ultram. Ultram may be habit-forming. Therefore, it is essential to take it exactly as directed by your doctor. To avoid unpleasant withdrawal symptoms, do not abruptly discontinue taking Ultram. Appropriate discontinuation of treatment with Ultram should only be done under the supervision of your physician. Some of the side effects, possible with Ultram treatment, include dizziness, nausea, constipation, headache, somnolence, vomiting, pruritus, weakness, sweating, dyspepsia, dry mouth and diarrhea.
However, serotonin syndrome is more likely to occur when Ultram is concomitantly administered with other serotonergic medications, such as SSRIs, TCAs, MAOIs, serotonin norepinephrine reuptake inhibitors (SNRIs), the triptans (medications used in the treatment of migraine headaches), linezolid, lithium or St. John’s Wort. Serotonin syndrome is a potentially life-threatening medical condition, which can lead to death if left untreated. Serotonin syndrome, related to Ultram treatment, occurred in less than one percent of patients during clinical studies and/or post marketing experience.
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However, serotonin syndrome is more likely to occur when Ultram is concomitantly administered with other serotonergic medications, such as SSRIs, TCAs, MAOIs, serotonin norepinephrine reuptake inhibitors (SNRIs), the triptans (medications used in the treatment of migraine headaches), linezolid, lithium or St. John’s Wort. Serotonin syndrome is a potentially life-threatening medical condition, which can lead to death if left untreated. Serotonin syndrome, related to Ultram treatment, occurred in less than one percent of patients during clinical studies and/or post marketing experience.
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