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ULTRAM TABLET is a combination of two drugs: Tramadol and Paracetamol. It belongs to the class of analgesics and used in the symptomatic treatment of moderate to severe pain. Tramadol is an opioid analgesic, whereas paracetamol is a common pain killer. Paracetamol also has an antipyretic effect (reduces fever). Pain can be temporary (acute) or long-lasting (chronic) in nature. Acute pain is for a short time caused by damage to the tissues of the muscle, bone, or other organs. While, chronic pain lasts for a long duration and is caused due to pathologies like nerve damage, osteoarthritis, etc.

Tramadol targets pain receptors in the central nervous system. It acts by blocking the nerve signals responsible for pain. Paracetamol acts as an analgesic by inhibiting the release of chemical mediators that cause pain. Tramadol and paracetamol in combination have a faster onset of action and provide quick relief from the pain. ULTRAM TABLET is available in both tablet and injection form. It should be used only when prescribed by a doctor. The doctor may start the therapy with a small dose and gradually increase it, to reduce the risk of side-effects. Do not take an overdose. The dose of ULTRAM TABLET depends on the severity of your pain.

ULTRAM TABLET can be taken with or after the meal. If stomach upset or irritation occurs, it is advisable to take ULTRAM TABLET with food or milk. It should be swallowed whole with a glass of water. People taking ULTRAM TABLET may experience nausea, vomiting, diarrhea, or constipation. However, all the patients may not develop the same side-effects. Inform your doctor if you notice any abnormal side-effects. Stop taking this medicine and consult doctor immediately if you experience symptoms like tightness of the chest, breathing difficulties, fever, skin rashes, increased heart rate, and or in case of any signs of hypersensitivity.

Before taking ULTRAM TABLET, inform your doctor if you have any known allergies to tramadol, paracetamol, or any other medications, foods, or herbal supplements. Also, ask the doctor if it is safe to use in children below 12 years, pregnant women, and breastfeeding mothers.


Moderate to severe pain

Directions for Use

Oral tablet: The dose and duration of ULTRAM TABLET are prescribed by the doctor. It can be taken with or without food. However, it is recommended to take after meals to prevent nausea. Swallow the tablet as a whole with a glass of water. Do not crush, chew, or break it.Intravenous injection: The duration of the ULTRAM TABLET administration should not exceed the intended time. The dosing interval should be at least six hours between the two doses.


Store in a cool and dry place away from sunlight

Side Effects of ULTRAM TABLET

Common side-effects of ULTRAM TABLET are nausea, vomiting, constipation, diarrhea, redness, itching, or rash at the site of injection, sweating, headache, confusion, nervousness, or sleep problems. Some people may also experience irregular heart rate, decrease or increase in blood pressure, ringing or buzzing in the ears, difficulty passing urine, mood disorders, chest pain, bloody diarrhea, or dark stools. Talk to your doctor if the side-effects persist or worsen during or after the treatment.

In-Depth Precautions and Warning

Drug Warning

Inform your doctor if you have any known allergies to tramadol, paracetamol, or any other active ingredients present in ULTRAM TABLET. Talk to your doctor before taking ULTRAM TABLET if you are taking other medicines containing paracetamol or tramadol, using other analgesics, have liver disease, have kidney problems, have asthma or severe lung problems, have central nervous system disorders such as epilepsy or seizures, have alcohol dependence, or have any drug dependence.

Safety Advice

  • Alcohol

    Consult Your Doctor

    Alcohol should not be taken while using ULTRAM TABLET.

  • Pregnancy

    Consult Your Doctor

    ULTRAM TABLET is not recommended for use in pregnant women.

  • Breast Feeding

    ULTRAM TABLET is not used in breastfeeding mothers as it may get excreted in the breast milk. However, if given, breastfeeding mothers are advised to refrain from breastfeeding while taking ULTRAM TABLET.

  • Driving

    ULTRAM TABLET may cause dizziness. Therefore, it is advised not to drive when taking ULTRAM TABLET.

  • Liver

    ULTRAM TABLET should be used with caution in patients with liver diseases. Therefore, the doctor may adjust the dose while using it in patients with liver diseases.

  • Kidney

    Patients with renal impairment may require dose adjustments of ULTRAM TABLET.

Other Information (ULT0076)

This item is Not Returnable.

Expires on or after - September 2021

Patients Concern


Your doctor decides the dose and duration of the medicine depending on your health condition. In general, it is not used for more than 5 days as prolonged usage may lead to dependence.

ULTRAM TABLET is not safe to use in children. It is often recommended to consult a doctor before giving any medicines to children.

No, Consult a doctor before taking ULTRAM TABLET for any condition. It is not advised to use ULTRAM TABLET without a doctor's recommendation.

No, ULTRAM TABLET is not indicated for stomach pain. Also, if you have stomach pain post ingestion it may be a sign of stomach ulcer or gastric bleeding. Do not take ULTRAM TABLET in this condition. It is better to inform your doctor in case of stomach pain post ingestion of this medication.

Manufacturer/Marketer address

No. 28 Sundar Industrial Estate,N.T.Y Layout Mysore Road , Bangalore - 560026, India



MRP: 104.00