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Ultram is prescribed to treat moderate to moderately severe pain and works by changing the way your body senses pain. You should never start taking Ultram in the first place if you have an allergy to the active ingredient this medicine contains - tramadol, or such drugs as morphine, propoxyphene, meperidine, hydromorphone, hydrocodone, oxycodone, and codeine. If at the moment of getting a prescription you are also taking any other medications, supplements or other products of the kind, make sure your health care provider is aware of any of them. The following drugs can interfere with the effects of Ultram and should therefore be reported to your doctor: St. John's Wort, warfarin, medicine for seizures, depression or anxiety, cold medicine, muscle relaxants, MAO inhibitors, carbamazepine, digoxin, pain medications, rifampin, antidepressants, quinidine, ketoconazole, and erythromycin. If you are not sure about the name of the medicine you are taking at the moment – talk to your pharmacist, read the label carefully or use an online pill identifier to find out if any interactions are possible. People with a history of drug or alcohol addiction are not supposed to start taking this medicine without their doctor's consent as Ultram is a habit-forming medication. If you are taking Ultram and have a history of addictions, your condition will have to be monitored by the doctor and if you need to stop taking Ultram gradual withdrawal is supposed to be used. If you stop taking Ultram suddenly you may get nervousness, sweating, cough, runny nose, sneezing, diarrhea, hallucinations, nausea, pain, chills, difficulty falling asleep, uncontrollable shaking, numbness, and panic.
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