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Take Ultram by mouth as prescribed. It is usually taken every 4 to 6 hours as needed. Use Ultram exactly as prescribed. Do not increase your dose, use it more frequently or use it for a longer period of time than prescribed because Ultram can be habit-forming.

Also, if used for an extended period of time, do not suddenly stop using Ultram without your doctor's approval. When used for extended periods, Ultram may not work as well and may require different dosing. Consult your doctor if the medication stops working well.

Tell your doctor your medical history, especially of: kidney disease, liver disease, seizure disorder, lung disease, history of drug or alcohol dependency, any allergies you may have.

Limit alcohol as it may add to the dizziness or drowsiness effects caused by the medication. Because Ultram may make you dizzy/drowsy, use caution performing tasks requiring alertness such as driving. Ultram should be used only when clearly needed during pregnancy.Tramadol is excreted into breast milk. Because the effects on a nursing infant are not known, consult your doctor before breast- feeding.

Discuss the risks and benefits with your doctor.


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