The drug belongs to the group of narcotic analgesics with a mixed mechanism of action. In medical practice, it is used for pain of moderate and severe intensity in cancer patients, in the postoperative period, and for injuries. Also, the analgesic effect of using Tramadol is relevant if a painful therapeutic or diagnostic procedure is to be performed.

Need fast, legal access to pain relief without leaving home? At Pulido Dental Care, we provide telemedicine-based prescriptions for Ultram (Tramadol)—a trusted, FDA-approved option for moderate to moderately severe pain. Through a secure, HIPAA-compliant platform, Dr. Pulido evaluates your symptoms online and, if appropriate, issues a valid prescription filled by certified U.S. pharmacies.

What Is Ultram (Tramadol)?

Ultram, a brand name for Tramadol, is a prescription opioid analgesic used to treat:

• Acute pain from dental or musculoskeletal injuries
• Post-operative pain management
• Chronic pain when other medications are ineffective

Tramadol works by acting on the brain’s opioid receptors and inhibiting pain signals, providing effective relief without the same potency as stronger opioids.

How Telemedicine Works with Dr. Pulido

1. Step 1 – Online Medical Intake: Complete a secure medical form describing your pain symptoms, medical history, and any current treatments.
2. Step 2 – Prescription Review: Dr. Pulido personally reviews your information and determines if Tramadol is safe and medically justified.
3. Step 3 – Pharmacy Fulfillment: If approved, your prescription is sent to a U.S.-licensed pharmacy and shipped discreetly to your address.

Who May Be Prescribed Ultram?

• Adults with moderate or chronic pain not managed by OTC medications
• Patients without contraindications such as seizure history or respiratory issues
• Individuals not currently taking other CNS depressants or opioids

Because Ultram is a Schedule IV controlled substance, prescriptions are granted only after careful medical assessment.

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Side effects of the medicine

The drug is usually well tolerated by patients if used as prescribed by a doctor. As the dosage increases, patients often encounter side effects, including:

• stomach ache
• rapid heartbeat, sharp drop in blood pressure;
• frequent fainting, increased sweating;
• severe headaches;
• muscle weakness, loss of strength;
• stupor, stupor;
• nausea, vomiting;
• chronic insomnia;
• impaired coordination of movements, “drunk” gait;
• stomach ache;
• seizures;
• problems with swallowing;
• skin rashes;
• Quincke's edema, anaphylactic shock;
• urinary retention.

Contraindications to taking Tramadol

The instructions for the use of Tramadol indicate the following contraindications:

• acute alcohol or drug intoxication (opioid analgesics, hypnotics, psychotropic drugs), aggravated by respiratory depression or severe depression of the central nervous system (CNS);
• drug withdrawal (withdrawal syndrome);
• severe renal dysfunction;
• severe liver dysfunction; use simultaneously with monoamine oxidase inhibitors (MAO) and within two weeks after their discontinuation;
• individual hypersensitivity to opioid analgesics, tramadol, and other ingredients of Tramadol.

Tramadol is recommended to be used exclusively during pregnancy and breastfeeding for health reasons; therapy should be limited to a single dose of the drug. In case of renal/liver failure, the effect of tramadol is likely to be prolonged, which may require an increase in the interval between single doses for this category of patients.

Directions for use and dosage

Oral forms of Tramadol are taken before, during, or after meals; The capsules are washed down, and the drops are dissolved in a small amount of liquid, and then taken. The dose of the drug is determined by the attending physician depending on the intensity and localization of the pain syndrome. The duration of therapy should not exceed the time necessary to relieve the pain symptom.

Usually, 400 mg/day of tramadol hydrochloride is sufficient to relieve pain; relief of severe pain can be started with a single dose of 100 mg. Higher doses can be used in the postoperative period and for the treatment of pain symptoms in cancer.

Special instructions
Under the supervision of a physician, due to the increased likelihood of complications, the MEDICINES ONLINE is prescribed to patients with impaired renal/liver function, traumatic brain injury, increased intracranial pressure, epilepsy, drug dependence on opioids, unknown origin of abdominal pain, dysfunction of the respiratory center or respiratory depression, confusion of unknown origin. During tramadol therapy, patients with generalized seizures require careful monitoring.

After prolonged use of Tramadol Generic, the possibility of developing drug dependence cannot be completely excluded. Therefore, only the attending physician has the right to decide on the duration of the course of drug therapy and the need to interrupt it. The patient must be warned about the need to carefully follow the dosage regimen prescribed by the doctor and the inadmissibility of transferring the drug to others. In the case of chronic pain syndrome, long-term treatment is carried out only according to strict indications.

When using Tramadol 100mg in any dosage form, alcohol consumption should be avoided. When using tramadol, the patient should refrain from performing work that requires increased concentration and speed of psychomotor reactions, since it may have a fairly strong effect on psychophysical abilities, including slower reactions and decreased attention.