Patient was educated on precautions to be exercised while taking Ultram as follows: Ultram is metabolized by the liver and Ultram intake can lead to hepatic injury. Individuals with history of compromised liver function cannot metabolize Ultram and this can lead to increased blood levels of Ultram for longer duration, leading to toxicity. Ultram should be avoided or used with extreme caution in such individuals. Observe compliance with any labs ordered for evaluation of hepatic [...]

Patient was educated on precautions to be exercised while taking Ultram as follows: Avoid using Ultram along with other medications that have a potential to cause respiratory depression, such as, muscle relaxants, sedatives, and antianxiety medications. Though they cause mild respiratory depression individually, they can have an additive effect when combined with Ultram and thus, precipitate severe respiratory depression. Ultram should be avoided or used with extreme caution in individuals with history of head injury, [...]

Patient was educated on precautions to be exercised while taking Ultram as follows: Ultram must be avoided or used cautiously in individuals allergic to opioid analgesics, such as, Hydrocodone and Oxycodone. Ultram slows down the bowel movements heavily and leads to constipation. Increase intake of daily fiber can help the situation and promote regular bowel movements. Any signs and symptoms of intestinal obstruction and ileus, such as, intense bloating, constipation, abdominal pain, nausea, and vomiting [...]

Patient was educated on contraindications for using Ultram as follows: Ultram is mainly excreted in the urine. Individuals with compromised renal functions tend to retain the drug in the circulation longer, thus resulting in toxicity. Ultram should be avoided or used with extreme caution in such individuals. Ultram affects the respiratory center in the brain and induces slowing down of respirations. The breathing pattern can become irregular with reduced gas exchange and lead to elevated [...]

Patient was educated on contraindications for using Ultram as follows: Ultram must be avoided or used cautiously in individuals allergic to opioid analgesics, such as, Hydrocodone and Oxycodone. Ultram slows down the bowel movements heavily and leads to constipation. Ultram must be avoided or used with extreme caution in chronically constipated patients, as they are at increased risk for episodes of ileus and intestinal obstruction with Ultram. Ultram produces and intense feeling of drowsiness and [...]