NEW PRODUCT LIMITED IN PIECES Generic Name: tramadol (TRAM a dol) Brand Names: Ultram, Ultram ER What is tramadol used for? Tramadol is used to treat moderate to severe pain. Tramadol extended-release is used to treat moderate to severe chronic pain when treatment is needed around the clock. Tramadol may also be used for other purposes not listed in this medication guide. Important information about tramadol: You should not take tramadol if you have ever been addicted to drugs or alcohol. Seizures (convulsions) have occurred in some people taking tramadol. You may be more likely to have a seizure while taking tramadol if you have a history of seizures or head injury, a metabolic disorder, or if you are taking certain medicines such as antidepressants, muscle relaxers, or medicine for nausea and vomiting. Take tramadol exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Do not take more than 300 milligrams of tramadol in one day. Seek emergency medical attention if you think you have used too much of this medicine. A tramadol overdose can be fatal. Overdose symptoms of a tramadol overdose may include drowsiness, shallow breathing, slow heartbeat, extreme weakness, cold or clammy skin, feeling light-headed, fainting, or coma. Tramadol may be habit-forming and should be used only by the person it was prescribed for. Tramadol should never be given to another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. Tramadol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Do not stop using tramadol suddenly, or you could have unpleasant withdrawal symptoms such as anxiety, sweating, nausea, diarrhea, tremors, chills, hallucinations, trouble sleeping, or breathing problems. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication. Do not crush the tramadol tablet. This medicine is for oral (by mouth) use only. Powder from a crushed tablet should not be inhaled or diluted with liquid and injected into the body. Using this medicine by inhalation or injection can cause life-threatening side effects, overdose, or death. Before taking tramadol: You should not take tramadol if you have ever been addicted to drugs or alcohol, if you are currently intoxicated (drunk), or if you have recently used any of the following drugs: alcohol; narcotic pain medicine; sedatives or tranquilizers (such as Valium); medicine for depression or anxiety; medicine for mental illness (such as bipolar disorder, schizophrenia); or street drugs. Seizures have occurred in some people taking tramadol. Your risk of a seizure may be higher if you have any of these conditions: a history of drug or alcohol addiction; a history of epilepsy or other seizure disorder; a history of head injury; a metabolic disorder; or if you are also taking an antidepressant, muscle relaxer, or medicine for nausea and vomiting. Talk with your doctor about your individual risk of having a seizure while taking tramadol. Before taking tramadol, tell your doctor if you are allergic to any drugs, or if you have: kidney disease; liver disease; a stomach disorder; or a history of depression, mental illness, or suicide attempt. If you have any of these conditions, you may need a dose adjustment or special tests to safely take tramadol. Please consult your personal physitian before taking any type of medication.