Buy Ultram 200 MG

Buy Ultram 200 MG

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Quantity Strength Unit Price Price Cart
30 Tablets Ultram 200mg $2.10 $63.00
90 Tablets Ultram 200mg $1.20 $108.00
150 Tablets Ultram 200mg $1.10 $165.00
200 Tablets Ultram 200mg $1.05 $210.00


Ultram is a narcotic pain reliever that is used in the treatment of severe to moderate pain. It is a highly potent medication which is to be used when all other medication fails to act. It is used in the treatment of pain after surgery, cancer pain and to tender the muscles.


Mechanism of action of Ultram

Ultram contains Tramadol as an active ingredient. Tramadol acts as m-opioid receptor agonist, serotonin reuptake inhibitor, norepinephrine reuptake inhibitor and as a releasing agent. Opiate receptors are coupled with G-protein receptors and function as both positive and negative regulators of synaptic transmission via G-proteins that activates effector proteins. As the effector system is adenylate cyclase and cAMP is located at the inner surface of the plasma membrane, opioid decreases intracellular cAMP by inhibiting adenylate cyclase. Subsequently, the release of nociceptive neurotransmitters such as substance P, GABA, dopamine, acetylcholine, and noradrenalin is inhibited. The analgesic properties of Tramadol can be attributed to norepinephrine and serotonin reuptake blockade in the CNS, which inhibits pain transmission in the spinal cord. 


Dosage information for Ultram

This medication is to be used as prescribed by the physician. Always start with the lower dose of Ultram. Ultram is available as 250mg extended release tablet to be taken with sufficient amount of water. It can be taken before or after the meals. Do not exceed the maximum dose which is 400mg.

Missed Dose: In case the dose is missed, continue with the next dose. However, if the time gap is much between the skipped dose and regular dose, missed dose can be taken.

Overdose: In the case of overdose, seek medical attention as soon as possible.



There are some contraindications to be kept in mind while using Ultram 250mg such as:

  • Avoid using Ultram 250mg in pregnancy and lactation
  • Do not use Ultram if you are hypersensitive to any of the ingredients of Ultram
  • Do not use Ultram if you are suffering from chronic constipation
  • Avoid using Ultram if you are suffering from any kidney or liver damage issues
  • Do not use Ultram if you are taking any kind of depression medication

Drug Interactions

Ultram is likely to cause drug interactions with Fluoxetine, Paroxetine, Amitriptyline, Quinidine, Digoxin, Ketoconazole, Carbamazepine, Cimetidine, Warfarin, Lithium and MAO inhibitors.


Side effects   

There are some possible side effects likely to occur with Ultram such as headache, nausea, vomiting, drowsiness, allergic reactions, profused sweating and flushing, tachycardia, pain in stomach, anxiety and seizures.


Storage Conditions

Ultram is to be stored at room temperature; to be kept away from sunlight and moisture. Keep out of reach from children and pets.


Precautionary measures

There are some precautions to be kept in mind while using Ultram such as:

  • Avoid use of alcohol and tobacco products while using Ultram
  • Drowsiness is the major effect of Ultram, so avoid any work that requires your alertness
  • Ultram has some serious withdrawal symptoms, so do not suddenly stop using Ultram

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