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Lements, and any medical conditions you may have. It is very important that you take this medicine exactly as your doctor tells you to. Do not take more or less medicine than directed, and do not stop taking Ultram without discussing it with your doctor first. If you miss a dose of this medicine, take it as soon as you remember, unless it is almost time for your next dose. Do NOT double doses. Get emergency help immediately if any of the following symptoms of overdose occur: convulsions; difficulty in breathing; or pinpointed pupils of the eyes. Check with your doctor as soon as possible if any of the following side effects occur: blisters under the skin; blurred vision; change in walking and balance; convulsions; difficult urination; dizziness or lightheadedness when getting up from a lying or sitting position; fainting; fast heartbeat; frequent urge to urinate; loss of memory; numbness, tingling, pain, or weakness in hands or feet; seeing, hearing, or feeling things that are not there; severe redness, swelling, and itching of the skin; shortness of breath; trembling and shaking of hands or feet; or trouble performing routine tasks. ULTRAM (tramadol hydrochloride tablets) is a centrally acting analgesic. The chemical name for tramadol hydrochloride is (±)cis-2- (dimethylamino)methyl -1-(3-methoxyphenyl) cyclohexanol hydrochloride. The molecular weight of tramadol hydrochloride is 299.8.Tramadol hydrochloride is a white, bitter, crystalline and odorless powder. It is readily soluble in water and ethanol and has a pKa of 9.41.The n-octanol water log partition coeffici
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