Ultram 50mg – Tramadol 50mg



$1.25 $2.00

Ultram 50mg

1. About Ultram

Ultram is a strong painkiller. It’s used to treat moderate to severe pain, for example after an operation or a serious injury.

It’s also used to treat long-standing pain when weaker painkillers no longer work.

Ultram is available only on prescription. It comes as tablets, capsules and liquid drops that you swallow. It can also be given by injection but this is usually only done in hospital.

2. Key facts

  • Ultram works by blocking pain signals from travelling along the nerves to the brain.
  • The most common side effects of Ultram are feeling sick and dizzy.
  • It’s possible to become addicted to Ultram, but this is rare if you’re taking it to relieve pain and your doctor is reviewing your treatment regularly.
  • It’s best not to drink alcohol with Ultram as you’re more likely to get side effects like feeling sleepy.
  • Ultram is also called by the brand names Invodol, Larapam, Mabron, Maneo, Marol, Maxitram, Oldaram, Tilodol, Tradorec, Tramquel, Tramulief, Zamadol, Zeridame and Zydol.

3. Who can and can’t take Ultram

Ultram can be taken by adults and children aged 12 and over.

Ultram is not suitable for some people. Tell your doctor or pharmacist before starting the medicine if you have:

  • had an allergic reaction to Ultram or any other medicines in the past
  • an illness which causes seizures
  • a head injury
  • an addiction to alcohol, strong painkillers or recreational drugs
  • breathing difficulties
  • kidney or liver problems
  • had a reaction to other strong painkillers in the past

4. How and when to take it

It’s important to take Ultram as your doctor has asked you to.

The dose can vary but you should not normally take more than 400mg a day.

Ultram doesn’t usually upset your stomach, so you can take it with or without food.

Different types of Ultram

Ultram comes as:

  • fast-acting tablets – these contain 50mg of Ultram
  • slow-acting tablets – these contain 50mg, 75mg, 100mg, 150mg, 200mg, 300mg or 400mg of Ultram
  • fast-acting capsules – these contain 50mg of Ultram
  • slow-acting capsules – these contain 50mg, 100mg, 150mg or 200mg of Ultram
  • drops that you swallow – these contain 100mg of Ultram in 1ml of liquid
  • an injection (usually given in hospital)
  • soluble tablets – these contain 50mg of Ultram
  • tablets that dissolve in the mouth – these contain 50mg of Ultram
  • an injection (usually given in hospital)

Ultram drops, injections and some tablets and capsules are fast-acting. They start to work within 30 to 60 minutes. They’re used for pain that is expected to last for only a short time. You may be told to take fast-acting tramadol only when you need it for pain or on a regular basis. Always follow the instructions given to you by your doctor.

Some Ultram tablets and capsules are slow-release. This means the Ultram is gradually released into your body over either 12 or 24 hours. This type of tramadol takes longer to start working but lasts longer. It’s used for long-term pain.

Your doctor will decide the right dose for you, depending on how sensitive you are to pain and how bad your pain is. Your dose may need to be changed several times to find what works best for you. In general, you will be prescribed the lowest dose that relieves your pain.

How much to take

Dosages vary from person to person. Your dose will depend on how bad your pain is, how you’ve responded to previous painkillers and if you get any side effects.

How to take it

Fast-acting Ultram comes as capsules, drops and 2 different tablets – soluble and dissolve-in-the-mouth tablets:

  • capsules: swallow each capsule whole with plenty of water
  • drops: mix the drops into a glass of water then drink the whole contents of the glass
  • soluble tablets: dissolve each tablet in 50ml (1/2 cup) of water and drink
  • dissolve-in-the-mouth tablets: make sure your hands are dry before handling the tablet. Take the tablet out of the blister pack and put it on your tongue. Suck the tablet, do not chew it. After it has melted, swallow or have a drink of water. You can also dissolve the tablet in a glass of water if you prefer.

Slow-release Ultram comes as tablets and capsules. It’s important to swallow slow-release Ultram tablets and capsules whole with a drink of water.


Do not break, crush, chew or suck slow-release tablets and capsules. If you do, the slow-release system won’t work and the whole dose might get into your body in one go. This could cause a potentially fatal overdose.

When to take it

When to take it depends on the type of Ultram that you have been prescribed:

  • fast-acting tablets and capsules – usually 3 to 4 times a day
  • drops – usually 3 to 4 times a day
  • slow-release tablets and capsules – usually 1 or 2 times a day

If you’re 65 and over, or you have liver or kidney problems, you may be asked by your doctor to take Tramadol less often.

You can take your Tramadol at any time of day but try to take it at the same time every day and space your doses evenly. For example, if you take tramadol twice a day and have your first dose at 8am, take your second dose at 8pm.

What if I forget to take it?

This will vary depending on which type of Ultram you are taking.

If you forget to take a dose, check the information on the patient information leaflet inside the packaging or ask your pharmacist or doctor for advice on what to do.

Never take 2 doses at the same time to make up for a forgotten one.

If you forget doses often, it may help to set an alarm to remind you. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine.

What will happen if I stop taking it?

If you need to take Ultram for a long time your body can become tolerant to it.

This isn’t usually a problem but you could get unpleasant withdrawal symptoms if you stop taking it suddenly.

If you want to stop taking Ultram, talk to your doctor first. Your dose will usually be reduced gradually so you don’t get unpleasant withdrawal effects.

Ultram can cause unpleasant withdrawal symptoms if you come off it suddenly, such as:

  • feeling agitated
  • feeling anxious
  • shaking
  • sweating


If you have been taking Ultram for more than a few weeks do not stop taking it without speaking to your doctor first.

What if I take too much?

Taking too much Ultram can be dangerous.

If you’ve taken an accidental overdose you may feel very sleepy, sick or dizzy. You may also find it difficult to breathe. In serious cases you can become unconscious and may need emergency treatment in hospital.

The amount of Ultram that can lead to an overdose varies from person to person.

If you’ve taken 1 extra dose by mistake, check the information that comes with the medicine packaging or ask your pharmacist or doctor for advice. Generally, you shouldn’t get any symptoms and you can take your next dose as usual.

If you take more than 1 extra dose of Ultram by accident call your doctor or go to A&E straight away

If you go to a hospital accident and emergency (A&E) department, do not drive yourself – get someone else to drive you or call for an ambulance.

Take the tramadol box or leaflet inside the packet plus any remaining medicine with you.

5. Taking Ultram with other painkillers

It’s safe to take tramadol with paracetamol, ibuprofen or aspirin(aspirin is suitable for most people aged 16 years and over).

Do not take Ultram with codeine-containing painkillers you can buy from a pharmacy. You’ll be more likely to get side effects.

Some everyday painkillers that you can buy from pharmacies contain codeine, which is a similar medicine to Ultram. Codeine-containing painkillers that you can buy from pharmacies include co-codamol, Nurofen Plus and Solpadeine.

6. Side effects

Like all medicines, Ultram can cause side effects although not everyone gets them. Talk to your doctor or pharmacist if the side effects listed below bother you or don’t go away.

Very common side effects

Very common side effects of Ultram happen in more than 1 in 10 people and include:

  • feeling sick
  • feeling dizzy

Common side effects

Common side effects of Ultram happen in more than 1 in 100 people. They include:

  • headaches
  • feeling sleepy, tired, dizzy or “spaced out”
  • feeling or being sick (vomiting)
  • constipation
  • dry mouth
  • sweating
  • low energy

Serious side effects

Serious side effects are rare. Call your doctor straight away if you get:

  • breathing difficulty or short shallow breathing
  • dizzy, tired and have low energy – these can be a sign of low blood pressure
  • hallucinations (seeing or hearing things that are not there)
  • confusion
  • very sleepy
  • trouble peeing or you can’t pee at all
  • seizures (fits)

If you have a fit go to A&E straight away.

Serious allergic reaction

In rare cases, it’s possible to have a serious allergic reaction (anaphylaxis) to Ultram.

Contact a doctor straight away if:

  • you get a skin rash that may include itchy, red, swollen, blistered or peeling skin
  • you’re wheezing
  • you get tightness in the chest or throat
  • you have trouble breathing or talking
  • your mouth, face, lips, tongue or throat start swelling

These are warning signs of a serious allergic reaction. A serious allergic reaction is an emergency.

These are not all the side effects of Ultram. For a full list see the leaflet inside your medicines packet.

Information:You can report any suspected side effect to the UK safety scheme.

7. How to cope with side effects

What to do about:

  • headaches – make sure you rest and drink plenty of fluids. It’s best not to drink alcohol with tramadol as you’re more likely to get side effects like feeling sleepy. Ask your pharmacist to recommend a painkiller. Headaches should usually go away after the first week of taking Ultram. Talk to your doctor if they last longer than a week or are severe.
  • feeling sleepy, tired, dizzy or “spaced out” – these side effects should wear off within a week or two as your body gets used to Ultram. Talk to your doctor if they carry on for longer. Do not drink any alcohol as this will make you feel more tired.
  • feeling or being sick (vomiting) – stick to simple meals and do not eat rich or spicy food. It might help to take your Ultram after you’ve eaten a meal or snack. If you’re being sick, try small frequent sips of water. If it carries on, tell your doctor. They may be able to prescribe an extra medicine to protect your stomach.
  • constipation – try to get more fibre into your diet such as fresh fruit and vegetables and cereals. Also try to drink several glasses of water or another non-alcoholic drink every day. If you can, it may also help to do some gentle exercise like swimming or going for a short walk. Speak to your doctor about medicine to help prevent or treat constipation caused by Ultram if your symptoms don’t go away.
  • dry mouth – try chewing sugar-free gum or sucking sugar-free sweets. Your doctor may also prescribe an artificial saliva substitute to keep your mouth moist. This comes as a spray, gel or lozenge.
  • sweating – try wearing loose clothing, using a strong anti-perspirant and keeping cool using a fan if that is possible. If this doesn’t help and you find it unbearable, speak to your doctor as you may need to be treated with a different type of painkiller.
  • low energy – speak to your doctor as they may be able to adjust your dose or give you a different painkiller.

8. Pregnancy and breastfeeding

Tramadol isn’t thought to be completely safe to take during pregnancy.

In early pregnancy, it’s been linked to some problems for your unborn baby. If you take tramadol at the end of pregnancy there’s a risk that your newborn baby may get withdrawal symptoms.

However, it’s important to treat pain in pregnancy. For some pregnant women with severe pain, tramadol might be the best option. Your doctor is the best person to help you decide what’s right for you and your baby.

For more information about how tramadol can affect you and your baby during pregnancy, read this leaflet on the Best Use of Medcines in Pregnancy (BUMPS) website.

Breastfeeding and tramadol

It’s safe to breastfeed while taking tramadol. Tramadol passes into breast milk in small amounts but it’s unlikely to harm your baby.

However, if your baby is premature, had a low birthweight or has an illness, talk to your doctor before breastfeeding.

Tell your doctor if you’re:

  • trying to get pregnant
  • pregnant
  • breastfeeding

9. Cautions with other medicines

Some medicines and Ultram interfere with each other and increase the chances of you having side effects.

Tell your doctor if you are taking any medicines:

  • for depression
  • for mental health problems
  • for pain relief
  • to help you sleep
  • to reduce tension or anxiety
  • to treat symptoms of an allergy
  • to thin the blood (such as warfarin)
  • to treat an infection

Some medicines may weaken and/or shorten the effect of Ultram. Tell your doctor if you’re taking:

  • carbamazepine (to treat epilepsy)
  • buprenorphine (a painkiller)
  • ondansetron (to stop you feeling sick)
  • rifampicin (an antibiotic)


Do not take medicines called monoamine oxidase inhibitors or MAOIs (which are used to treat depression) with Ultram.

Mixing tramadol with herbal remedies and supplements

It’s not known if complementary medicines and herbal teas are safe to take with Ultram. They’re not tested in the same way as pharmacy and prescription medicines. They’re generally not tested for the effect they have on other medicines.


Tell your doctor or pharmacist if you’re taking any other medicines, including herbal remedies, vitamins or supplements.

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Weight 250 g


Drug Uses

Tramadol (Ultram) is prescribed for:

–     treatment of the pain syndrome of average severity caused by the inflammatory, vascular or traumatic diseases.

–     For pain relief during light surgeries and also painful clinic and laboratory diagnostics.

Way of use and dosage

–     Tramadol (Ultram) is available in 50 mg tablets and also tablets of prolonged action of 100mg, 150mg, 200mg, 250 mg

–     The schedule of the treatment and dosage regimen is indicated for each patient individually according to the general analyses and also the characteristics of the pain syndrome.

–     For pain syndrome of middle severity, patients are prescribed 50 mg every 6 hours.

–     The tablets of the prolonged action containing tramadol 100 mg or tramadol 200 mg of the active component should be used once per 12 hours.

–     The drug is allowed persons older than 14 years old.

–     The maximally allowed daily dose of Tramadol (Ultram) is 400 mg.

–     In exceptional cases the oncological patients are allowed using higher daily doses but only under the supervision of the doctor.

–     The use of the tablets after meals will help to reduce the stomach upset and unpleasant side reactions of digestion organs.

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