MISUSE OF  Ultram ER CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep this medicine where others cannot get to it.
Ultram ER should not be given to a child younger than 12 years old, or anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids. Ultram ER should not be given to anyone younger than 18 years old.
Taking Ultram ER during pregnancy may cause life-threatening withdrawal symptoms in the newborn.
Fatal side effects may occur if you use also use alcohol or other drugs that cause drowsiness or slow breathing.
Before taking this medicine
You should not take Ultram ER if you are allergic to it, or if you have:
severe asthma or breathing problems;
a stomach or bowel obstruction (including paralytic ileus);
if you have recently used alcohol, sedatives, tranquilizers, or narcotic medications; or
if you have used an MAO inhibitor in the past 14 days (such as isocarboxazid, linezolid, methylene blue injection, phenelzine, or tranylcypromine).
Ultram ER should not be given to a child younger than 12 years old. Ultram ER should not be given to anyone younger than 18 years old.
Do not give Ultram ER to anyone younger than 18 years old who recently had surgery to remove the tonsils or adenoids.
Seizures have occurred in some people taking Ultram ER. Your seizure risk may be higher if you have ever had:
a head injury, epilepsy or other seizure disorder;
drug or alcohol addiction; or
a metabolic disorder.
Tell your doctor if you have ever had:
breathing problems, sleep apnea;
liver or kidney disease;
urination problems;
problems with your gallbladder, pancreas, or thyroid;
a stomach disorder; or
mental illness, or suicide attempt.
If you use Ultram ER during pregnancy, your baby could be born with life-threatening withdrawal symptoms, and may need medical treatment for several weeks.
Ask a doctor before using Ultram ER if you are breastfeeding. Tell your doctor if you notice severe drowsiness or slow breathing in the nursing baby.
