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Ultram pills are not used, however there are Ultram tablets which are taken every four to six hours when you need them. Ultram can be a habit forming drug, so you need to follow your doctor's instructions about taking Ultram. If you miss a dose, do not double up. Instead take the next scheduled dose. This way you will be back on schedule.

Ultram side effects are not very common, but include the following: Nausea, vomiting, diarrhea, events in the Central Nervous and Gastrointestinal systems, dizziness, and sleepiness. If you have any itching, swelling, trouble breathing, seizures, or difficulty going to the bathroom, seek medical help immediately.

You must also have your doctor take a complete history and physical before prescribing Ultram for you. People with liver and kidney disease or a history of alcohol dependence should not be taking Ultram. It is unknown if Ultram will harm an unborn child or if Ultram passes into the breast milk.