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Ultram is a medicine that helps to relieve pain (moderate to severe) by binding to opioid receptors in the brain that are responsible for transmitting the signals of pain. This drug is not intended for anyone younger than 18, nor should it be taken by people with a history of an allergic reaction to tramadol (the active ingredient of Ultram), as well as pregnant or breastfeeding women. In general, before you start taking Ultram regularly, make sure you let your doctor know if you are taking any of the following medications: MAO inhibitors, quinidine, medicine for seizures, depression or anxiety, pain medications, St. John's Wort, cold medicine, erythromycin, muscle relaxants, ketoconazole, antidepressants, warfarin, rifampin, digoxin, or carbamazepine. Also discuss with your doctor your full medical history and make sure you mention any of the following states and conditions: liver disease, suicide attempt, stomach disorder, mental illness, kidney disease, or a history of depression, and any other conditions you think may be of importance. In general, you need to keep your doctor updated on the way you feel and if you notice any symptoms that appear to be bothersome – make sure you notify your health care provider as soon as possible, as you may be required a dose adjustment or some other changes may need to be made to your treatment.
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