Ultram

(tramadol)

3.4/ 5 average rating with 642 reviewsfortramadol
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Treats moderate to severe pain.

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Prescription opioids are used to treat several kinds of pain - but they carry significant risks, including addiction. Learn more about these drugs and be sure to discuss the risks with your doctor.

Our bottom line

Ultram (tramadol) works well for pain. Although it's a little weaker than other opioids, it can still be addictive.

Quick facts about tramadol
  • Drug class: Pain
  • Rx status: Prescription only
  • Generic status: Lower-cost generic available (tramadol)
Prices and discounts
Lowest price for 30 100mg tablets
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$45.60

Upsides

  • Relieves moderate to severe pain. It has been shown to work as well as other opioid pain medications.
  • Compared to typical opioids, it provides unique pain relief and effects on your mood when taken regularly.
  • Has a lower chance of causing breathing problems compared to other typical opioids.
  • Doesn't cause as much constipation as other opioid pain medicines. Staying hydrated and taking laxatives can help treat this side effect.

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What to expect from tramadol, on one page

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People’s experience with tramadol

642reviews so far. What do you think?

Downsides

  • Some people think it's weaker than other opioid pain medications. It can also cause more upset stomach.
  • Like other opioid pain relievers, Ultram (tramadol) has a high risk of addiction, abuse, misuse, overdose, and death.
  • The extended release version of Ultram (tramadol) should only be used for severe pain that requires daily, around-the-clock treatment once alternative treatments haven't worked.
  • It's a controlled substance regulated by the federal government. This means that your use of Ultram (tramadol) will be tracked to prevent potential prescription abuse.
  • Like all opioids, don't use when pregnant, since the baby can become dependent on it and have withdrawal symptoms after birth.

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What to expect from tramadol, on one page

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Prices and discounts
Lowest price for 30 100mg tablets
Determining your location...
$45.60
How it works

Ultram (tramadol) is an opioid pain reliever. Researchers don't know exactly how it works, but it alters certain brain chemicals to lower pain perception and improve mood.

Quick facts about tramadol
  • Drug class: Pain
  • Rx status: Prescription only
  • Generic status: Lower-cost generic available (tramadol)

Dosage forms

  • Pill
  • Extended release
  • Extended release capsule
  • Dissolving tablet
People’s experience with tramadol

642reviews so far. What do you think?

What to expect when you take Ultram (tramadol) for Pain

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Side effect rates for Ultram (tramadol)

From 427 clinical trials of tramadol when taken for pain
  • Dizziness
  • Nausea
  • Constipation
  • Headache
  • Sleepiness
  • Vomiting
  • Pruritus
  • CNS Stimulation
  • Asthenia
  • Sweating

Risks and Warnings for Ultram (tramadol)

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    • Higher risk if:
    • Age 65 or greater
    • Overdose
    • Using alcohol, benzodiazepines or other medicines that slow breathing

    Taking too much Ultram (tramadol) can cause irregular or slow breathing that can result in coma and death. If your lips and fingers start turning blue from low oxygen, see a doctor immediately. In the hospital, doctors can give you a medicine that reverses the effects of Ultram (tramadol). Don't take more than your doctor prescribes. Always check with your doctor before starting any new medicines or supplements.

    This is a black box warning. The FDA requires this warning when there is a significant risk of serious or life-threatening effects that anyone taking the drug should consider.

Means that some groups have a high risk of experiencing this side effect

Common concerns from people taking Ultram (tramadol)

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Interactions
  • Ultram (tramadol) can interact with your other medicines, which can change how it affects your pain. Stopping these medicines while taking Ultram (tramadol) can make you more likely to have serious, life-threatening side effects. Make sure your doctor and pharmacist know all the medicines you're taking, and let them know of any changes.
Food
  • Take Ultram (tramadol) with food to avoid an upset stomach.
  • Reviewed tramadolon 4/27/2017I took tramadol for years as a breakthrough medication for chronic pain. I suffer from lemierres syndrome and as a result ALL muscle had to be removed from my pelvis. I was given nucynta as an alternative (it's basically tramadol on steroids and still an opoid NOT and opiate) and it was much better. Unfortunately, nucynta does not have a generic version so my new insurance doesn't cover it. i was put back on tramadol and it does NOTHING to help.
    31
    Woman
    Two years or more
    Pain (moderate to moderately-severe)
Kidneys and liver
  • If you have liver or kidney disease, you may require a lower dose of Ultram (tramadol).
Pain
  • Relieves moderate to severe pain. It has been shown to work as well as other opioid pain medications.
  • The extended release version of Ultram (tramadol) should only be used for severe pain that requires daily, around-the-clock treatment once alternative treatments haven't worked.
  • Reviewed tramadolOnly thing that got me through a day of work with minimal pain.
    47
    Woman
  • Reviewed tramadolon 6/24/2016Of you are currently taking Norco or another narcotic daily for chronic pain, Ultram is worth a try. I have had less negative side effects and it has helped my pain!
    42
    Woman
    Chronic pain
  • Reviewed tramadolon 7/11/2016From dental to backaches this is for average pain. The benefit is it improves/elevates moods, almost like a depression drug. It is vitalto take on time and not to sudden stop or skip cause can cause mood swings, makes ur body hot & sweats.
    50
    Man
    Pain (moderate to moderately-severe)
Sleep
  • Reviewed tramadolon 11/17/2016makes me extremely drowsy and foggy after I wake up when taking it.
    17
    Woman
    Pain (moderate to moderately-severe)
  • Reviewed tramadolon 3/31/2017Take with food as it may cause nausea on an empty stomach. Lower doses seem to act as a "pick-me-up", while higher doses cause drowsiness. Split your daily dose accordingly. ABSOLUTELY causes physical dependency after regular, long-term use. The withdraw is more mild than other opioids though, more uncomfortable than anything. Recommend stepping down over a period of weeks rather than stopping the medication altogether.
    30
    Woman
    Two years or more
    Pain (moderate to moderately-severe)
  • Reviewed tramadolon 9/14/2017A good sleep aid
    26
    Woman
    Two years or more
    Chronic pain
Weight
  • Reviewed tramadolon 1/13/2016Slows down my digestion enough that I have bloating when I eat sugar or dairy, in addition to opioid induced constipation
    31
    Woman
    Two years or more
    Chronic pain
  • Reviewed tramadolon 4/1/2017Didn't seem to get any relief or uphoria. Took it for years & had weight gain during this time. If it helped my mood I didn't notice.
    67
    Woman
    Two years or more
    Pain (moderate to moderately-severe)