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Re: INFO - On Ultram (tramadol HCl) dependence and addiction from the prescribing information

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Hi ,

I was reading this and I take Ultraset. When she gave the prescription she

gave me one of Ultram and one for Ultraset. The Rheumy suggested Ultraset, I am

wondering if they are related. I don't think Ultraset does a lot but it will

take the edge off of the pain. I think I probably need to investigate this.

How are you doing? It has been a long time since we spoke. I hope you and

your family are all well. I was just thinking is getting near the end of

college? Maybe she is in her third year. Isn't it amazing how time just flies

by.

Thank you for all the help you always provide.

Lynn

-------------- Original message --------------

From: " " <Matsumura_Clan@...>

Excerpts from the prescribing information on Ultram (tramadol HCl) from

RxList.com:

Withdrawal

Withdrawal symptoms may occur if ULTRAM is discontinued abruptly. (See DRUG

ABUSE AND DEPENDENCE.) These symptoms may include: anxiety, sweating,

insomnia, rigors, pain, nausea, tremors, diarrhea, upper respiratory

symptoms, piloerection, and rarely hallucinations. Clinical experience

suggests that withdrawal symptoms may be relieved by tapering the

medication.

Physical Dependence and Abuse

ULTRAM may induce psychic and physical dependence of the morphine-type

(?-opioid) (see DRUG ABUSE AND DEPENDENCE). ULTRAM should not be used in

opioid-dependent patients. ULTRAM has been shown to reinitiate physical

dependence in some patients that have been previously dependent on other

opioids. Dependence and abuse, including drug-seeking behavior and taking

illicit actions to obtain the drug, are not limited to those patients with

prior history of opioid dependence.

http://www.rxlist.com/cgi/generic/tramadol_wcp.htm

***************************

DRUG ABUSE AND DEPENDENCE

ULTRAM may induce psychic and physical dependence of the morphine-type

(?-opioid).(See WARNINGS.) Dependence and abuse, including drug-seeking

behavior and taking illicit actions to obtain the drug are not limited to

those patients with prior history of opioid dependence. The risk in patients

with substance abuse has been observed to be higher. ULTRAM is associated

with craving and tolerance development. Withdrawal symptoms may occur if

ULTRAM is discontinued abruptly. These symptoms may

include:anxiety,sweating,insomnia,rigors,pain,nausea,tremors,diarrhea,upper

respiratory symptoms, piloerection, and rarely hallucinations. Clinical

experience suggests that withdrawal symptoms may be relieved by

reinstitution of opioid therapy followed by a gradual, tapered dose

reduction of the medication combined with symptomatic support.

http://www.rxlist.com/cgi/generic/tramadol_ad.htm#DA

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

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Hi, Lynn.

Ultracet = Ultram + acetaminophen.

I posted this information about tramadol and physical dependence and

addiction not to alarm anyone, but rather to show that this information is

widely available; it is included in the manufacturer's prescribing

information itself.

http://www.rxlist.com/cgi/generic3/ultracet.htm

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org

Re: [ ] INFO - On Ultram (tramadol HCl) dependence and

addiction from the prescribing information

> Hi ,

> I was reading this and I take Ultraset. When she gave the prescription

> she gave me one of Ultram and one for Ultraset. The Rheumy suggested

> Ultraset, I am wondering if they are related. I don't think Ultraset does

> a lot but it will take the edge off of the pain. I think I probably need

> to investigate this.

> How are you doing? It has been a long time since we spoke. I hope you

> and your family are all well. I was just thinking is getting near

> the end of college? Maybe she is in her third year. Isn't it amazing how

> time just flies by.

> Thank you for all the help you always provide.

> Lynn

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