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Takes steps to secure your tramadol in a safe place at home to prevent theft or accidental overdose. Do not abruptly stop taking tramadol as withdrawal symptoms like nausea, diarrhea, anxiety, sweating, difficulty in sleep, shivering, pain, tremors, or rarely, hallucinations may occur. Consult with your doctor before discontinuing tramadol treatment; do NOT discontinue treatment on your own. Withdrawal symptoms may be relieved by re-initiation of opioid therapy followed by a slow, dose reduction combined with symptomatic support, as directed by your doctor.

Both the immediate-release and extended-release formulation of tramadol are available generically and can possibly save you hundreds of dollars on your prescription. If you prefer generic medications due to cost-savings, ask your physician to only write for generic drugs whenever possible. If you cannot afford your medication, do not walk away from the pharmacy. Ask your doctor or pharmacist for more affordable alternatives. The extended-release form of tramadol is for around-the-clock treatment of pain and not for use on an as-needed basis.

Tramadol extended-release tablets must be taken whole, and not split, chewed or crushed. A combination product of tramadol and acetaminophen Ultracet is also available by prescription in both brand and generic form as a tablet. Here's another good reason not to share your tramadol with others: the dose you are prescribed may not be the right dose for someone else, and could lead to serious consequences like slowed or stopped breathing, coma, or even death.

As with many medications, if you are young, elderly, or have kidney or liver disease dose adjustments are often required. Support groups may be helpful for patients who take tramadol, who use medications for pain relief, who are in need of addiction support, and for many other needs. Joining one or more support groups is a great way to discover others taking related medications with similar medical conditions, keep up with the news, and share your own experience.

Remember, this information is NOT intended to endorse tramadol or recommend therapy. While these reviews may or may not be helpful to you, they are NOT a substitute for the expertise, skill, knowledge and judgement of your individual healthcare provider. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Blue Cross makes changes to its drug testing policy on urine, oral fluids, hair

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Sources Ultram product label. Janssen Pharmaceuticals, Inc. Accessed Dec. Office of Diversion Control.


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Trade Names: Ultram, Ultracet. Bush DM. Drug and Chemical Evaluation Section. Accessed Feb.

Full Frame Close Up: Prescribing Pain

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Currently, urine is the most commonly used biologic substance. Note: Oral fluid drug testing and hair drug testing are considered experimental. No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use.

In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM. All rights reserved.