General precautions about Ultram and using Ultram with other drugs

Ultram PrecautionsUltram is one of the most sought after pain medications due to its potency in managing pain that may be mild or severe, even if it is acute or chronic. Available as the brand name of Tramadol, Ultram is an opioid pain reliever that works by increasing the person’s pain threshold and also by blocking the pain signals sent by the brain. The properties of Ultram are strong and therefore there are certain precautions with regard to using this drug along with other medications. All healthcare providers should be aware of the potential danger of mixing Ultram with certain other substances and write the Ultram prescription only after taking into account all the possible drug interactions.

As Ultram is a narcotic pain reliever, the drug sometimes causes other effects like drowsiness, and also certain side effects. Tolerance to the drug varies from one person to another. Also, there are certain conditions like asthma, metabolic disorder, depression, seizures, history of drug abuse, or alcoholism where a use of Ultram is not recommended. Some of the warnings for possible drug interactions relate to the medication taken for these conditions. The adverse drug interaction may be such that it results in harmful effects on the user or it lessens the efficacy of Ultram. The patient who requires taking Ultram should disclose to the doctor regarding any drugs that are currently being taken like a prescription, herbal supplements, vitamins, and even over the counter pills in order to ensure the safety of taking the painkiller pills.

What are the potentially harmful interactions to avoid while using Ultram?

Ultram Drug InteractionsIf you wish to know about all the drugs that can interact with Ultram, the list is too long to follow through till the end. Be sure to check with the doctor if you are doubtful about taking any other drug or substance along with Ultram. It is much better to take suitable precautions than to face the consequences. Ultram drug interactions that can occur are:

  • The way the body responds to and absorbs Ultram can be interfered with if not careful. This is the effect of other painkillers like naltrexone and butorphanol.
  • MAO inhibitors and antidepressants also interfere with Ultram’s effects and can cause harmful reactions. Patients should wait for a minimum of two weeks before using Ultram if a MAO inhibitor has been used. Antidepressants like Lexapro and Paxil, when used in conjunction with the opioid can result in seizures.
  • Any drug or substance that in some way affects the serotonin in the body should be taken into consideration. These include lithium, St. John’s wort, sibutramine, and even the illegal drug ‘ecstasy.’
  • Inform the doctor if using any medications like Adderall or Ritalin for attention deficit hyperactivity disorder (ADHD).
  • Some medications that reduce the effect of Ultram almost completely are antibiotics and antifungal formulations. These drugs stop the body’s ability to use Ultram.
  • Drugs taken for blood pressure and heart disease should also be taken into account.
  • The patient should also inform the doctor of any antiretroviral or HIV medications being taken.
  • Other drugs to be wary about are sleeping pills, benzodiazepines, and narcotic pain meds that have similar effects as Ultram. The drug interactions that occur can increase the depressive effects and also raise the risk of side effects.