Patient was educated on Ultram and its mechanism of action as follows:

1. Ultram is a synthetic opioid pain reliever.
2. Ultram binds with the opioid receptors in the brain, blocks the release of excitatory neurotransmitters, such as, substance P, which are involved with pain production, and inhibits pain transmission.
3. Ultram is used to treat moderate to severe pain.
4. Ultram can be very addictive and cause dependence.
5. Sudden stopping of Ultram intake can result in serious withdrawal symptoms.