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Ultram is a potent pain reliever that comes in immediate release tablets (50 mg) and extended release tablets (100, 200 or 300 mg) depending on the nature of your pain. Extended-release tablets are intended for chronic pain cases and should be taken once a day only. The extended-release tablets come in three different dosages – 100, 200 and 300 mg – and in most cases the patients are stared on the lowest dosage. The general rule of taking drugs states that you should take the minimal dose that is efficient for you – and your doctor will stop increasing the dosage as soon as you feel the benefits of Ultram without suffering from any side effects. Before you start taking Ultram let your doctor know if you have ever attempted a suicide of if you have brain tumor, depression, breathing problems, head injury, kidney or liver disease, infection in your brain or spine, seizures, stroke, suicidal thoughts, or diabetes. These factors and some other ones can affect your dosage, dosing schedule and some other aspects of your treatment that you will needs to take care of. Taking Ultram for a long time of in high doses can cause addiction. Make sure you keep all the appointments you have and do not stop taking Ultram suddenly without first discussing it with your doctor. Gradual withdrawal is recommended to avoid such symptoms as panic, sneezing, numbness, chills, sweating, cough, uncontrollable shaking, pain, diarrhea, runny nose, nausea, hallucinations, nervousness, and difficulty falling asleep. You will typically be required to take less of this medicine every 3-5 days.
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