ULTRAM®TRANSCRIPT (page 1 of 3)If you have moderate to severe pain, you may be prescribed Ultram. You may be morefamiliar with its generic name, Tramadol.Ultram is a high alert medication, which means if you do not take it exactly asprescribed it may cause illness or injury.To understand how Ultram works, let’s look at how pain affects your body.Thousands of tiny nerve cells in your body sense many feelings; cold, heat, pressure,and pain. When your body is injured, the tiny nerve cells send a message to your brainthat says: I’m in pain here!Ultram works in the brain to change how your body feels and responds to pain.Ultram comes in a tablet and is available in different types of doses. You maybe prescribed a short-acting dose for pain that comes and goes. Or you may beprescribed an extended release dose for pain that is there all the time. In some cases,your doctor may recommend a combination of short-acting and extended releasedoses. Make sure you understand exactly what you are taking and how you aresupposed to take it to avoid injury.Ultram is a powerful medication. Some people should not take it. Do not take Ultram ifyou are allergic to Tramadol.Do not take Ultram if you have a blockage in your stomach or intestines.If you are pregnant, or planning to get pregnant, tell your healthcare provider. Do notbreastfeed while taking Ultram.Before taking Ultram, tell your healthcare provider if you have a history of seizures,head injury, liver or kidney disease, stomach disorders, or depression.20% gradient meshUltram can be highly addictive. If you have a history of abuse of: street drugs,prescription medications, or alcohol, tell your healthcare provider. There mayhealthclipsbe adifferent medication available for you.healthclipsUltram may interact with certain medications like anti-depressants and cause severeside effects. Before taking Ultram, give your healthcare provider a complete listof allhealthclipsother medications you use, including vitamins and herbal supplements.healthclips(Continued on next page)4% gradient meshThis program is for informational purposes only. Publisher disclaims all guarantees regarding the accuracy, completeness, orsuitability of this video for medical decision making. For all health related issues please contact your healthcare provider.hc_md_10015_98_en_t00002.pdf healthclips© Milner-Fenwick, Inc.5% gradient meshULTRAM®TRANSCRIPT (page 2 of 3)Some side effects of Ultram include: headache, dizziness, tired feeling, nausea,constipation, diarrhea, feeling nervous, itching, sweating, and redness.If you do notice any of these side effects, contact your healthcare provider about howto manage them.Be aware that you are at an increased risk of falling while taking Ultram. Get up from asitting or lying position slowly.Do not drive or operate heavy machinery, including your car, until you know howUltram affects you.Do not drink alcohol while taking Ultram. Drinking alcohol while taking Ultram cancause serious side effects leading to death.If you have an allergic reaction like: trouble breathing, hives, or swelling of your faceor throat, call 911.If you have: seizures, weak or shallow breathing, fast heartbeat, hallucinations, feellike you might pass out, a severe rash on your face or upper body, increased bodytemperature, or loss of coordination, call 911 and get help right away.This is not a complete list of side effects. Make sure you discuss all possible sideeffects with your healthcare provider.Take Ultram exactly as prescribed. Do not change your dose or take it for longer thanprescribed.If you are taking Ultram Extended Release, always swallow the tablet whole withplenty of water. Do not cut, break, chew, crush, dissolve or inject this medication.20% gradient meshUltram Extended release should be taken at the same time every day. If you miss adose, take your Ultram as soon as you remember.healthclipsDo not double dose to make up for a missed dose. Return to your normal medicationhealthclipsschedule as soon as possible.If you think you have taken too much Ultram, call 911. An overdose of Ultramhealthclipscancause serious breathing problems that can lead to death.healthclips(Continued on next page)4% gradient meshThis program is for informational purposes only. Publisher disclaims all guarantees regarding the accuracy, completeness, orsuitability of this video for medical decision making. For all health related issues please contact your healthcare provider.hc_md_10015_98_en_t00002.pdf healthclips© Milner-Fenwick, Inc.5% gradient meshULTRAM®TRANSCRIPT (page 3 of 3)Store Ultram away from moisture and direct sunlight. Your bathroom medicine cabinetis not the best place because of moisture. Do not leave your medication where it canget too hot or too cold. Always store your medication out of sight and out of reach ofchildren to prevent accidents.Because Ultram is a medication that can cause dependency, it can be a very desirabledrug to addicts. Lock this medication up to prevent stealing and abuse.When you are done taking Ultram, crush all of your remaining pills and mix them withundesirable trash like kitty litter or coffee grounds.Do not sell or give your Ultram to anyone else. It is against the law and can seriouslyharm anyone else taking it. Contact your local police station for more information onproper disposal directions.Ultram can help you relieve your pain. But it is a powerful medication that shouldonly be taken exactly as prescribed. If you have any questions about Ultram, ask yourhealthcare provider and pharmacist for more information.20% gradient meshhealthclipshealthclipshealthclipshealthclips4% gradient meshThis program is for informational purposes only. Publisher disclaims all guarantees regarding the accuracy, completeness, orsuitability of this video for medical decision making. For all health related issues please contact your healthcare provider.hc_md_10015_98_en_t00002.pdf healthclips© Milner-Fenwick, Inc.5% gradient mesh